Using Narrative Techniques to Enhance Multicultural Practice

Holland, Thomas P.; Kilpatrick, Allie C.

doi:10.1080/10437797.1993.10778826

Cited by 37 publications

(19 citation statements)

References 7 publications

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“…Substance use prevention programs for youth have been shown to be more effective if they include specific skill development to deal with substance use offers and opportunities (Botvin and Griffin 2003;Botvin et al 2001; Griffin et al 2004a, b;Hecht et al 2003;Tobler and Stratton 1997;Vega and Gill 1998 or the anti-drug attitudes that the program reinforces. In addition to teaching life skills such as risk assessment and decision making in general, effective programs have been developed to teach specific drug resistance strategies-that is, skills for responding to drug offers and opportunities Hecht et al 1993;Holland and Kilpatrick 1993). …”

Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

“…Many programs are designed to help youth acquire and practice appropriate skills to act on what they learn from the program about the negative effects of substance use or the anti-drug attitudes that the program reinforces. In addition to teaching life skills such as risk assessment and decision making in general, effective programs have been developed to teach specific drug resistance strategies-that is, skills for responding to drug offers and opportunities Hecht et al 1993;Holland and Kilpatrick 1993). …”

Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

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Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

et al. 2008

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This study examined drug resistance strategies and substance use among adolescents from Monterrey, Mexico. The focus was strategies that U.S. adolescents use most often to resist using substances, including refuse (saying no), explain (declining with an explanation), avoid (staying away from situations where drugs are offered), and leave (exiting situations where drugs are offered). Using self-administered questionnaire data from a convenience sample of 327 Mexican students enrolled at two secondary schools (preparatorias), we tested whether frequent use of particular drug resistance strategies predicted actual substance use. Multiple regression results showed that different strategies were effective for different substances, that some effects were mediated by number of offers received, and that certain effects were stronger for females than for males. Students using the refuse strategy reported less cigarette use and less binge drinking; those using the avoid strategy reported less alcohol and cigarette use; and those using the leave strategy reported less binge drinking and, for females only, less marijuana use. Use of the explain strategy was not significantly related to substance use after controlling for use of other strategies. Findings are discussed in terms of Mexican cultural values and their implications for the design of prevention programs for Mexican youth. KeywordsAdolescents; Substance use; Substance use offers; Mexican youth; Drug resistance Research on substance use among Mexican youth provides growing evidence that prevalence rates, the types of substances used, social risk factors for use, and the health and social problems associated with use are assuming patterns similar to those reported by youth Correspondence to: Stephen Kulis, Kulis@asu.edu. (Medina-Mora Cravioto 2003;Villatoro et al. 2004). Of growing concern are increases in illicit drug use among Mexican youth, who until recently have consistently reported lower rates of consumption of illicit drugs than U.S. youth, and a decrease in the typical age of initiation of substance use from 15 to 8 years of age (FelixOrtiz et al. 2001; Tapia-Conyer et al. 2001;Villareal et al. 2004;Villatoro et al. 1998). NIH Public AccessDespite the upward trend in drug use among Mexican youth and expanding research on its etiology, there are large gaps in the knowledge needed to inform the design of effective prevention efforts in Mexico. One relatively neglected research area is the strategies that Mexican adolescents actually use when confronted with substance use opportunities and the relative effectiveness of these strategies for resisting use of different substances. This study investigated whether the strategies used most commonly by U.S. adolescents to resist offers of alcohol, tobacco, and marijuana are used with apparent success by Mexican youth, and whether use of particular strategies depends on the gender of the youth and the frequency with which the youth encounters offers of substances. We used data from a sample of Mexican secondar...

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Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

Section: Drug Resistance Strategies In Prevention Programmingmentioning

confidence: 99%

Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

et al. 2008

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“…The prevention program, named for the drug refusal skills it teaches (Refuse, Explain, Avoid, Leave), was developed as a culturally appropriate intervention, incorporating traditional ethnic values and practices that promote protection against drug use (Castro et al, 1999). The program specifically identified aspects of Mexican American, European American and African American culture to develop a 10-lesson, classroom-based curriculum (Marsiglia & Hecht, 2005) that extended resistance and life skills models , using a culturally based narrative and performance framework (Holland & Kilpatrick, 1993). The objective was to enhance anti-drug norms and attitudes and to facilitate the development of students' risk assessment, decision-making, and drug resistance skills.…”

Section: Keepin' It Real: a Samhsa Model Programmentioning

confidence: 99%

Promoting Reduced and Discontinued Substance Use among Adolescent Substance Users: Effectiveness of a Universal Prevention Program

et al. 2006

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Efforts to address youth substance use have focused on prevention among non-users and treatment among severe users with less attention given to youth occupying the middle ground who have used substances but not yet progressed to serious abuse or addiction. Using a sample from 35 middle schools of 1,364 youth who reported using substances, this study examined the effectiveness of a universal youth substance use prevention program, the SAMHSA Model Program keepin' it REAL, in promoting reduced or recently discontinued alcohol, cigarette, and marijuana use. Discrete-time event history methods modeled the rates of reduced and recently discontinued use across four waves of data. Each substance (alcohol, cigarettes, and marijuana) was modeled separately. Beginning at the second wave, participants who reported use at wave 1 were considered at risk of reducing or discontinuing use. Since the data sampled students in schools, multi-level models accounted for the nesting of data at the school level. Results indicated that prevention program participation influenced the rates of reduced and recently discontinued use only for alcohol, controlling for baseline use severity, age, grades, socioeconomic status, ethnicity and gender. Among youth who reported use of alcohol in wave 1 (N= 1,028), the rate of reducing use for program participants was 72% higher than the rate for control students. The rate of discontinuing use was 66% higher than the rate for control students. Among youth who reported use of one or more of the three substances in wave 1 (N = 1,364), the rate of discontinuing all use was 61% higher for program participants than for control students. Limitations and implications of these findings and plans for further research are discussed.

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“…It is a culturally appropriate intervention incorporating traditional ethnic values and practices that promote protection against drug use (Castro, Proescholdbell, Abeita, and Rodriguez, 1999). In accordance with the best practices literature (Gosin, Marsiglia, and Hecht, 2003), the program specifically incorporates aspects of traditional Mexican American culture-the ethnic background of the majority of students-into the 10-lesson, classroom-based curriculum, taught by trained teachers, that extends evidence-based resistance and life skills models (Botvin, Griffin, Diaz, and Ifill-Williams, 2001) using a culturally based narrative and performance framework (Holland and Kilpatrick, 1993). The objective was to enhance anti-drug norms and attitudes and to facilitate the development of the students' risk assessment, decision-making, and resistance skills.…”

Section: Methodsmentioning

confidence: 99%

Neighborhood Effects on the Efficacy of a Program to Prevent Youth Alcohol Use

Yabiku

Kulis

Marsiglia

et al. 2007

Substance Use & Misuse

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This study examines how neighborhood characteristics affect program efficacy. Data come from a randomized trial of a substance use prevention program called keepin' it REAL, which was administered to a predominantly Mexican American sample of 4,622 middle school students in Phoenix, Arizona, beginning in 1998. Multilevel models and multiple imputation techniques address clustered data and attrition. Among less linguistically acculturated Latinos, living in poorer neighborhoods and those with many single-mother families decreased program effectiveness in combating alcohol use. High neighborhood immigrant composition increased program effectiveness. Unexpectedly, the program was also more effective in neighborhoods with higher rates of crime. There were no significant effects on program efficacy for the more linguistically acculturated Latinos and non-Hispanic White students. Findings are discussed in light of theories of neighborhood social disorganization, immigrant adaptation, and social isolation.

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Using Narrative Techniques to Enhance Multicultural Practice

Cited by 37 publications

References 7 publications

Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

Drug Resistance Strategies and Substance Use among Adolescents in Monterrey, Mexico

Promoting Reduced and Discontinued Substance Use among Adolescent Substance Users: Effectiveness of a Universal Prevention Program

Neighborhood Effects on the Efficacy of a Program to Prevent Youth Alcohol Use

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