ArticlePrevention science : the official journal of the Society for Prevention Research2018
Designed Cultural Adaptation and Delivery Quality in Rural Substance Use Prevention: an Effectiveness Trial for the Keepin' it REAL Curriculum.
Article in Prevention science : the official journal of the Society for Prevention Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Short-Term Secondary Effects of a School-Based Drug Prevention Program: Cluster-Randomized Controlled Trial of the Brazilian Version of DARE's Keepin' it REAL.Prevention science : the official journal of the Society for Prevention Research · 2022Trial
- Article
- Characterizing the Substance Use Prevention Funding Landscape in the United States: a Cross-Sectional Study of National Prevention Network Representatives and Practitioners.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- A Scoping Review of Implementation Science in Planning and Delivering Tobacco Control Interventions in the United States from 2000 to 2020: Frameworks, Intervention Characteristics, and Health Equity Considerations.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Mapping the Landscape: A Scoping Review of Evaluated Substance Use Harm Reduction Programs for Youth.Journal of drug education · 2025Article
- A Multilevel Latent Class Analysis of Adolescent Engagement in Interpersonal Violence: The Role of Stressful Life Events, School Climate, and School Characteristics.Psychology of violence · 2025Article
- Using the ADAPT guidance to culturally adapt a brief intervention to reduce alcohol use among injury patients in Tanzania.PLOS global public health · 2025Article
- The Youth Risk Index: psychometrics, predicting the initiation of early adolescent substance use, and the breadth of liability detected.Frontiers in child and adolescent psychiatry · 2025Article
- Addressing the needs for cultural adaptation of DARE-keepin' it REAL among Brazilian students: strategies to improve implementation.Substance abuse treatment, prevention, and policy · 2024Article
- Findings from the Mighty Girls Efficacy Trial: Changes in Acceptance of Dating Violence.Children (Basel, Switzerland) · 2024Article
- Does Narrative Quality Matter During Implementation of a School-Based Prevention Intervention? A Test of Narrative Engagement Theory.Journal of health communication · 2023Article
- Intersecting sex and American Indian identity moderates school and individual correlates of binge drinking among reservation-area adolescents.Journal of psychopathology and clinical science · 2023Article
- Article
- Reasons for alcohol use and non-use by underage U.S. autistic youth: A qualitative study.Autism : the international journal of research and practice · 2023Article
- Implementation fidelity of a Brazilian drug use prevention program and its effect among adolescents: a mixed-methods study.Substance abuse treatment, prevention, and policy · 2022Article
- Applying a Pattern-Centered Approach to Assess the Effect of a School-Based Drug Use Prevention Program in Brazil: A Cluster Randomized Controlled Trial.Journal of prevention (2022) · 2022Article
- Engaging Adolescents in the Fight Against Drug Abuse and Addiction: A Concept Mapping Approach.Health education & behavior : the official publication of the Society for Public Health Education · 2022Article
- Article
- Multicultural Adaptation of Mighty Girls for Widespread Dissemination: Pilot Study, App Development and Usability Testing, and Gauging Parent Support With Focus Groups.JMIR formative research · 2021Article
- A scoping review of school-based indigenous substance use prevention in preteens (7-13 years).Substance abuse treatment, prevention, and policy · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
This study examined how cultural adaptation and delivery quality of the school-based intervention keepin' it REAL (kiR) influenced adolescent substance use. The goal of the study was to compare the effectiveness of the multi-cultural, urban (non-adapted) kiR intervention, a re-grounded (adapted) rural version of the kiR intervention and control condition in a new, rural setting. A total of 39 middle schools in rural communities of two states in the USA were randomly assigned to one of three conditions (i.e., control, non-adapted urban kiR, and adapted rural kiR). Data included adolescent self-reported lifetime substance use and observers' ratings of delivery quality from video recordings of lessons. Ratings of delivery quality were used to create four comparison groups (i.e., low/high delivery quality in non-adapted/urban kiR condition and low/high quality in adapted/rural kiR condition). Controlling for substance use in the 7th grade, findings compared 9th graders' (N = 2781) lifetime alcohol, cigarette, marijuana, and chewing tobacco use. Mixed model analyses revealed that rural youth receiving the culturally adapted/rural curriculum reported significantly less cigarette use than rural youth in the control condition regardless of delivery quality. In the non-adapted/urban condition, youth receiving high delivery quality delivery reported less marijuana use than those receiving low delivery quality condition. However, substance use outcomes of youth receiving high and low delivery quality in the non-adapted intervention did not differ significantly from those the control group. Findings support the effectiveness of the culturally adapted/rural keepin' it REAL curriculum for rural youth.
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