Health Education Research Advance Access originally published online on February 1, 2005
Health Education Research 2005 20(5):514-526; doi:10.1093/her/cyh008
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Health Education Research Vol.20 no.5, © Oxford University Press 2005; All rights reserved
Factors associated with adoption of evidence-based substance use prevention curricula in US school districts
1 Department of Preventive Medicine and Institute for Prevention Research, University of Southern California, Alhambra, CA 91803, 2 Pacific Institute for Research and Evaluation, Chapel Hill, NC 27514 and 3 Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
4 Correspondence to: L. A. Rohrbach; E-mail: rohrbac{at}usc.edu
This paper examines factors associated with the adoption of evidence-based substance use prevention curricula (EBC) in a national sample of school districts. Substance abuse prevention coordinators in public school districts (n = 1593), which were affiliated with a random sample of schools that served students in Grades 5–8, completed a written survey in 1999. Results indicated that 47.5% of districts used at least one EBC in their schools with middle school grades. Substance use prevention coordinators reported they had the greatest input in decisions about curricula. In a multivariate analysis of factors positively associated with district-level decisions to adopt evidence-based programs, significant factors included input from a state substance use prevention group, use of information disseminated by the National Institute on Drug Abuse or Center for Substance Abuse Prevention, use of local needs assessment data, consideration of research showing which curricula are effective and allocation of a greater proportion of the coordinator's time to substance use prevention activities. State and federal agencies should increase their efforts to disseminate information about evidence-based programs, targeting in particular the district substance use prevention coordinator.
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