Evidence map›Paper›PMID 30519793›Full record

Trial reportPrevention science : the official journal of the Society for Prevention Research2019

Testing the keepin' it REAL Substance Use Prevention Curriculum Among Early Adolescents in Guatemala City.

Stephen S Kulis, Flavio F Marsiglia, Maria Porta, Marvyn R Arévalo Avalos, Stephanie L Ayers

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Prevention science : the official journal of the Society for Prevention Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
  7. Article
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  11. Types of Offers of Combustible Cigarettes, E-Cigarettes, and Betel Nut Experienced by Guam Youths.International journal of environmental research and public health · 2023
    Article
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  17. Belief patterns and drug use in a sample of Brazilian youth: an exploratory latent class analysis.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stephen S KulisGlobal Center for Applied Health Research, Arizona State University, 411 N. Central Avenue, Suite 720, Phoenix, AZ, 85004-0693, USA. kulis@asu.edu.ORCID 0000-0002-9890-0706
Flavio F MarsigliaGlobal Center for Applied Health Research, Arizona State University, 411 N. Central Avenue, Suite 720, Phoenix, AZ, 85004-0693, USA.
Maria PortaU Yum Cap, 20 Calle Final, Carretera a Muxbal, Complejo Pradera #9, Guatemala, Guatemala.
Marvyn R Arévalo AvalosGlobal Center for Applied Health Research, Arizona State University, 411 N. Central Avenue, Suite 720, Phoenix, AZ, 85004-0693, USA.
Stephanie L AyersGlobal Center for Applied Health Research, Arizona State University, 411 N. Central Avenue, Suite 720, Phoenix, AZ, 85004-0693, USA.

Funding

'keepin' It REAL in Mexico: An Adaptation and Multisite RCTR01DA038657 · NIDA · ARIZONA STATE UNIVERSITY-TEMPE CAMPUS · PI MARSIGLIA, FLAVIO FRANCISCO · 2015 to 2019
$3.0M
NIDA NIH HHS R01 DA038657
6 · The paper itself

Abstract

This article describes a test in Guatemala City of Mantente REAL, a linguistically adapted version of the keepin' it REAL universal substance use prevention curriculum for early adolescents that teaches culturally grounded drug resistance, risk assessment, and decision making skills. Academic researchers collaborated with a local non-profit to recruit and randomize 12 elementary schools in Guatemala City to intervention and comparison conditions. Regular classroom teachers were trained to deliver the ten-lesson Mantente REAL (MR) manualized curriculum to sixth-grade students. Parents provided passive consent and students gave active assent for data collection, which occurred between February 2013 and September 2014. Two academic year cohorts of students participated (n = 676; 53% male; M age = 12.2). All students completed a pretest questionnaire before the curriculum lessons began in intervention schools and a posttest (87% matched) 4 months later, 1 month after the final lesson. We assessed the MR intervention with paired t tests, effect sizes (Cohen's d), and general linear models adjusted for baseline, attrition, non-linear distributions, and school-level clustering. Results indicated that MR can be an effective school-based prevention approach in Guatemala. The MR participants reported pretest-to-posttest changes in desirable directions on substance use behaviors, attitudinal antecedents of substance use, and acquisition of drug resistance skills. The comparison group generally changed in undesirable directions. In linear models, the MR participants, relative to the comparison group, reported less cigarette and marijuana use, less positive drug use expectancies, and greater use of drug resistance skills. Intervention effect sizes were between .2 and .3.

Indexed as

CurriculumSchool Health ServicesStudentsChildFemaleGuatemalaHumansMaleProgram EvaluationSubstance-Related DisordersSurveys and QuestionnairesAdolescentsDrug resistance skillsGuatemalaPreventionSubstance use

Identifiers

PMID30519793
PMCPMC6520179

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.