SynthesisThe Journal of school health2026
Effectiveness of School-Based Resilience Interventions on Adolescent Tobacco, Alcohol, and Illicit Substance Use: A Meta-Analysis.
Synthesis in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
backgroundResilience is a key protective factor in mitigating substance use behaviors in adolescence, but the effectiveness of school-based resilience interventions remains unclear.
methodsRandomized and quasi-experimental studies evaluating school-based resilience interventions for tobacco, alcohol, or illicit substance use among students aged 6-18 years were identified. Pooled effect sizes were estimated using random-effects meta-analysis, with subgroup and meta-regression analyses.
resultsFrom 3504 records, 13 studies on tobacco, 14 on alcohol, and 12 on illicit substances met the inclusion criteria. The pooled results showed significant reductions in tobacco (OR = 0.83, 95% CI = 0.73-0.93, I IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: School-based resilience interventions reduce adolescent substance use, providing insight into how resilience strategies operate across ecological domains. Embedding sustained, multi-level approaches within whole-school prevention frameworks may strengthen effectiveness and promote equity in school health.
conclusionsSchool-based resilience interventions are effective in reducing adolescent substance use, underscoring the need for multi-level intervention strategies.
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