Effects of a school-based substance use prevention education on psychoactive substance knowledge, attitudes and behaviours among young people.

Onuorah, Samuel Ifeanyichukwu; Agbaje, Olaoluwa Samson; Ene, Osmond Chukwuemeka; Ugwueze, Fabian Chibunine

Objective: Psychoactive substance use is prevalent among young people in Nigeria. However, the dearth of accessible and good-quality treatment for substance use disorders in Nigeria creates a treatment gap. This study evaluated the effectiveness of a substance use prevention education programme (SUPEP) for young people in Nigeria. Design: A quasi-experimental study using a pre–post-test was conducted. The experimental group (n = 100) and comparison group (n = 100) comprised students in four senior secondary schools. Data were collected using a validated self-report questionnaire and the WHO Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) version 3.0. Paired sample t -tests, analysis of covariance (ANCOVA) and generalised and linear mixed models (GLMM) were used for data analysis. Setting: Two hundred young people aged 14–20 years prone to substance use participated in SUPEP in four secondary schools in Enugu State, Southeast, Nigeria. Results: Students' psychoactive substance knowledge and substance use attitudes in the experimental group (p <.001) improved significantly post-intervention. ANCOVA results showed that the mean psychoactive substance knowledge score increased significantly between the time points, F (1, 123) = 8.89, p =.003. In contrast, mean psychoactive substance use attitudes reduced significantly between the same time points, F (1, 123) = 12.390, p =.001. However, no significant difference between the groups was observed in the mean psychoactive substance use behaviour post-intervention. Conclusion: The school-based SUPEP increases psychoactive substance knowledge and improves attitudes. However, the intervention did not reduce substance use among adolescents.

NIGERIA; SUBSTANCE abuse prevention; PSYCHOLOGICAL resilience; SUBSTANCE abuse; SELF-evaluation; DATA analysis; COMPULSIVE behavior; HUMAN services programs; EDUCATIONAL outcomes; HEALTH occupations students; HIGH school students; CLINICAL trials; QUESTIONNAIRES; EVALUATION of human services programs; BEHAVIOR; SELF-control; DESCRIPTIVE statistics; MULTIVARIATE analysis; CHI-squared test; ANALYSIS of covariance; TEENAGERS' conduct of life; CONTROL groups; PRE-tests & post-tests; ETHICS; RESEARCH methodology; SOCIAL skills; STATISTICS; HEALTH education; STUDENT attitudes; COMPARATIVE studies; INTERPERSONAL relations; DATA analysis software; CONFIDENCE intervals; PSYCHIATRIC drugs; DRUG abstinence; REGRESSION analysis; ADOLESCENCE

Health Education Journal, 2024, Vol 83, Issue 6, p664

0017-8969

Academic Journal

10.1177/00178969241268172