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UNESCO HIV and Health Education Clearinghouse

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  1. Systematic review of the role of external contributors in school substance use education

    Purpose: A literature review was conducted to evaluate the effectiveness of external contributors (anyone other than a teacher at the school) in delivering school‐based drug, alcohol and tobacco education (substance use education) programmes. Design/methodology/approach: The review focused upon literature published from 1990 onwards in English. Published reports were identified via electronic searches, supplemented by hand searching of relevant journals. Relevant organisations and individuals were contacted to identify low circulation, difficult to acquire (grey) literature. …

  2. Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions

    Fidelity of program implementation under real-world conditions is a critical issue in the dissemination of evidence-based school substance use prevention curricula. Program effects are diminished when programs are implemented with poor fidelity. The authors assessed five domains of fidelity—adherence, exposure (dosage), quality of delivery, participant responsiveness and program differentiation (lack of contamination from other programs)—in a subset of respondents (N = 342) from a national random sample of public schools with middle school grades (N = 1721). …

  3. Effectiveness of brief school-based interventions for adolescents: a meta-analysis of alcohol use prevention programs

    To conduct a meta-analysis summarizing the effectiveness of school-based brief alcohol interventions (BAIs) among adolescents and to examine possible iatrogenic effects due to deviancy training in group-delivered interventions, a systematic search for eligible studies was undertaken, current through December 31, 2012. Studies were eligible for inclusion if they used an experimental/quasi-experimental design; focused on school-based BAIs; enrolled adolescent participants; and reported an alcohol-related outcome measure. …

  4. Implementing evidence-based substance use prevention curricula with fidelity: the role of teacher training

    It is widely recognized that teacher training affects the fidelity with which evidence-based substance use prevention curricula are implemented. This article presents the results of a 2005 survey of teachers from a nationally representative sample of 1721 public middle schools in the US (78.1% response rate).It measured fidelity along two dimensions (adherence and dose) and also assessed the number of hours, recency, and perceived effectiveness of teachers’ training, as well as the degree to which adherence was emphasized during training. …

  5. Interventions for adolescent substance abuse: an overview of systematic reviews

    Many unhealthy behaviors often begin during adolescence and represent major public health challenges. Substance abuse has a major impact on individuals, families, and communities, as its effects are cumulative, contributing to costly social, physical, and mental health problems. The authors conducted an overview of systematic reviews to evaluate the effectiveness of interventions to prevent substance abuse among adolescents. They report findings from a total of 46 systematic reviews focusing on interventions for smoking/tobacco use, alcohol use, drug use, and combined substance abuse. …

  6. Systematic review and meta-analysis: prevalence of alcohol use among young people in eastern Africa

    The study’s objective is the systematic review and meta-analysis of published studies of alcohol use among young people (age 15–24 years) in eastern Africa to estimate prevalence of alcohol use and determine the extent of use of standardised screening questionnaires in alcohol studies. Based on the review results, the authors draw the conclusion that alcohol use and problem drinking were common among diverse groups of young people in eastern Africa, indicating the urgent need for alcohol-focused interventions in this population. …

  7. Bridging the gap between evidence and practice: a multi-perspective examination of real-world drug education

    Aims: The study examined normative school drug-education practice in Scotland and the extent to which it reflected the evidence base for effective drug education. Methods: Current guidance in Scotland was compared with systematic review evidence on drug-education effectiveness; a survey was mailed to primary, secondary and special schools (928 questionnaires returned); and 100 drug-education lessons were systematically observed across 40 schools. Findings: Nearly all schools provided drug education but modes of delivery and learning approaches did not always reflect the evidence base. …

  8. Investigation of teaching the integrated topics on drug abuse in secondary school curriculum

    The problem of this study was to investigate the teaching of the integrated topics on drug abuse in the secondary school curriculum as a strategy to wipe out the problem of drug abuse among students in Machakos District, Kenya. The specific objectives of the study were to: establish the prevalence of drug abuse at the secondary school level according to gender, locality (urban/rural), boarding or day and religious practice, and establish the effect of teaching integrated topics on prevalence rate of drug abuse. …

  9. Substance abuse among public secondary school students: prevalence, strategies and challenges for public secondary school managers in Kenya: a case study of Kisumu East sub county

    Substance abuse among public secondary school students is reality that is spreading at an alarming rate. If not checked, it could destroy the youth who are in their formative stage in life. Its outcomes include school dropouts, injuries, loss of lives, destruction of properties, moral decadence, misallocation of resources, indiscipline and compromised academic standards. According to the findings of a study conducted in 2005 on substance abuse in five major cities in Kenya, Kisumu and Nakuru lead the rest of the major cities and towns in the country in the prevalence of substance abuse. …

  10. HIV prevention through drugs and sex education in junior high schools in Bandung West Java: the teachers' perspective

    The aim of this report was to identify teachers' views on knowledge, skills and curriculum content needs; attitudes; self-efficacy; and beliefs regarding teaching reproductive health and drug education in their junior high schools, in order to identify whether such programs should be implemented. From February through April 2009, 133 teachers completed a survey documenting socio demographics, behavioral intention, perceived behavior control, content knowledge, school climate, reproductive health (RH) knowledge and school drug education (DE). …

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