186855 Evaluation of the All Stars Senior High School Prevention Curriculum

Tuesday, October 28, 2008

David L. Wyrick, PhD , Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC
Muhsin Orsini, EdD , Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC
Melodie Fearnow-Kenney, PhD , Prevention Strategies, Mechanicsville, VA
Jeff J. Milroy, MPH , Public health Education, University of North Carolina at Greensboro, Greensboro, NC
Substance use continues to be a major problem facing our nation. Most drug prevention programs that have been developed and evaluated in school settings are delivered in the 5th, 6th, or 7th grades (Tobler & Stratton, 1997). There are few experimental studies and programs that address late onset prevention and early self-directed cessation for high school students (Cho, Hallfors, & Sanchez, 2005). It is during this period that the use of substances intensifies and problematic use emerges (Johnston, O'Malley, & Bachman, 1997). This situation suggests a need for effective prevention during high school. The effects of All Stars Senior, a high school prevention curriculum, on substance use, problem behavior, and variables theorized to mediate substance use and problem behavior among adolescents are reported. An independent evaluation assessed program implementation and effectiveness during a randomized controlled trial conducted at 24 high schools in Nebraska, North Carolina, and Missouri. A total of 1,286 students completed pretest, posttest, and 1-year follow up surveys measuring demographics and outcome variables. A smaller sample of teachers and students participated in classroom observations and group interviews. Results indicate that All Stars Senior had immediate and long-term effects on 30-day alcohol use, lifetime alcohol use, problem behavior, problem use, stress management, commitment, lifestyle incongruence, normative beliefs, perceived pressure, and resistance skills. In addition, results indicate long-term effects on 30-day inhalant use and goal setting. Findings suggest that All Stars Senior is engaging for teachers and students, and affects the behaviors, skills, dispositions, and beliefs of high school students.

Learning Objectives:
1. Describe the indirect effect of prevention programs on adolescent substance use using the mediational model as a framework. 2. Compare and contrast the theoretically-based mediators targeted by All Stars, Sr. 3. Discuss the advantages and disadvantages of implementing All Stars, Sr. in high school health classes. 4. Critique the findings that suggest All Stars, Sr. is an effective program for preventing substance use among high school students.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the Co-Investigator on the All Stars, Sr. project.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Prevention Strategies Prevention Research and Development Stock Ownership

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.