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The Diabetes Educator

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Health Education & Behavior
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Impact Analysis and Mediation of Outcomes: The Going Places Program

Bruce Simons-Morton, EdD, MPH

Prevention Research Branch, Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health (NIH), Rockville, Maryland

Denise Haynie, PhD, MPH

Prevention Research Branch, Division of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health (NIH), Rockville, Maryland

Keith Saylor, PhD

NeuroScience, Inc., Bethesda, Maryland

Aria Davis Crump, ScD

Prevention Research Branch, National Institute of Drug Abuse, NIH, Rockville, Maryland

Rusan Chen, PhD

Georgetown University, Washington, DC

The purpose of the study was to evaluate the impact of the Going Places Program and mediation of treatment effects. Seven middle schools were randomized to intervention or comparison conditions and students (n = 1,320) in two successive cohorts provided five waves of data from sixth through eighth grade. The Going Places Program included classroom curriculum, parent education, and school environment components. Latent growth curve analyses demonstrated significant treatment group effects on outcome expectancies, friends who smoke, and smoking. Friends who smoke mediated the program effect on adolescents’ smoking progression. The protective effect of the Going Places Program on smoking progression was due in part to the prevention of increases in friends who smoke.

Key Words: adolescents • randomized trial • problem behavior

Health Education & Behavior, Vol. 32, No. 2, 227-241 (2005)
DOI: 10.1177/1090198104272002
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