Evidence map›Paper›PMID 30615625›Full record

Trial reportPloS one2019

The role of normative beliefs in the mediation of a school-based drug prevention program: A secondary analysis of the #Tamojunto cluster-randomized trial.

Zila M Sanchez, Juliana Y Valente, Thiago M Fidalgo, Ana Paula Leal, Pollyanna Fausta de Pimentel de Medeiros, Hugo Cogo-Moreira

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Traps in cannabis policies in Brazil.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Article
  6. 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

6 authors.

Zila M SanchezDepartment of Preventive Medicine, Universidade Federal São Paulo, São Paulo, Brazil.ORCID 0000-0002-7427-7956
Juliana Y ValenteDepartment of Preventive Medicine, Universidade Federal São Paulo, São Paulo, Brazil.ORCID 0000-0003-4408-2952
Thiago M FidalgoDepartment of Psychiatry, Universidade Federal São Paulo, São Paulo, Brazil.
Ana Paula LealDepartment of Psychobiology, Universidade Federal São Paulo, São Paulo, Brazil.ORCID 0000-0001-7425-4036
Pollyanna Fausta de Pimentel de MedeirosDepartment of Preventive Medicine, Universidade Federal São Paulo, São Paulo, Brazil.
Hugo Cogo-MoreiraDepartment of Psychiatry, Universidade Federal São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo investigate the mediating effects of normative beliefs of drug use on the effects of the #Tamojunto school-based prevention program (Unplugged).

designSecondary analysis of a cluster randomized controlled trial.

settingBrazil. Participants: A total of 6,391 adolescents (12.68 y.o) from 72 public schools in 6 Brazilian cities. Intervention: Schools were assigned to an experimental condition (#Tamojunto curriculum) or a control condition (no prevention program). Measurements: Baseline data were collected prior to program implementation, and follow-up data were collected 9 and 21 months later. The substances examined were alcohol (including binge drinking), tobacco, marijuana and inhalants. Five in-parallel mediation models evaluated whether the positive and negative beliefs were mediators of the likely effects of the intervention on drug use.

findingsLack of evidences regarding differences in normative beliefs or drug use were found between the intervention and control groups. However, there was a clear association between negative drug beliefs and lower consumption (i.e. OR = 0.78; 95% CI 0.70; 0.87, for cannabis use) as well as between positive drug beliefs and higher consumption (i.e. OR = 1.77; 95% CI 1.56; 2.02, for cannabis use) independent of the assigned group.

conclusionsThese results suggest that there is a lack of evidence that the program impact the normative beliefs, as proposed by the theoretical model of the program, suggesting that modifications are needed to produce the intended effect of the program. Negative normative beliefs seem to be a potential protective factor for drug use, but the program's effect itself on drug use via normative beliefs was not found to be statistically significant. Program activities intended to affect normative beliefs should be improved.

Indexed as

CultureSchoolsAdolescentBrazilFemaleHumansIllicit DrugsMaleModels, TheoreticalSubstance-Related DisordersIllicit Drugs

Identifiers

PMID30615625
PMCPMC6322758

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Registered trials

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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.