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Project ALERT reduces initiation of cigarette and marijuana use in 12–14 year olds

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Q Does the revised Project ALERT reduce substance misuse among middle school students?


Embedded ImageDesign:

Randomised controlled trial.

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Embedded ImageBlinding:


Embedded ImageFollow up period:

Eighteen months.

Embedded ImageSetting:

55 middle schools in South Dakota, USA; 1997–99.

Embedded ImagePopulation:

4276 students entering the 7th grade (12 years old).

Embedded ImageIntervention:

Revised Project ALERT programme (11 lessons in 7th grade and 3 lessons in 8th grade) or control (usual curriculum). Project ALERT synthesises the health belief model, the social learning model, and the self efficacy theory of behaviour change. Interactive teaching methods and small group activities are used to help students resist pro drug pressures, change their …

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