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Students in one rural, Northeast Missouri, USA school district abused alcohol, marijuana, and prescription drugs at levels higher than the state average. Youth who perceive a low risk of harm from substances are more likely to use those substances. Because age of first use is generally 10-14 years old, a drug prevention intervention focused on these specific substances for elementary school students was conducted. However, due to lack of resources, only the educational curriculum component of a comprehensive intervention was implemented. Before the start and at the finish of the curriculum delivered as one lesson each week for eight weeks, participants completed the perception of harm reduction survey that accompanied the program. An increase in percentage of program participants pre-post who reported moderate to great perceived risk of harm for smoking marijuana was noted, however; the increase was not significant. This study reinforces the importance of environmental and social support for any school-wide health behavior change. It is recommended that elementary schools interested in substance abuse prevention interventions, but do not have the resources or administrative support to implement a comprehensive initiative, wait until they can acquire all components of an evidence-based program before attempting a change.

Shayda Afrassiab, Anna Wang, Carol Cox. (2016) Effect of using only the Educational Curriculum of a Comprehensive Substance abuse Prevention Program on Perception of harm in US Elementary Students , Journal of Elementary Education, Volume-26, Issue-2.
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