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Health Education & Behavior
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The Potential of Coaching as a Strategy to Improve the Effectiveness of School-Based Substance Use Prevention Curricula

Christopher L. Ringwalt, DrPH

Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina, ringwalt{at}pire.org

Melinda M. Pankratz, PhD

Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina

William B. Hansen, PhD

Tanglewood Research Foundation, Greensboro, North Carolina

Linda Dusenbury, PhD

Tanglewood Research Foundation, Southern Pines, North Carolina

Julia Jackson-Newsom, PhD

Tanglewood Research Foundation, Greensboro, North Carolina

Steven M. Giles, PhD

Wake Forest University, Department of Communication, Winston-Salem, North Carolina

Paul H. Brodish, MSPH

Pacific Institute for Research and Evaluation, Chapel Hill, North Carolina

Research-based substance use prevention curricula typically yield small effects when implemented by school teachers under real-world conditions. Using a randomized controlled trial, the authors examined whether expert coaching improves the effectiveness of the All Stars prevention curriculum. Although a positive effect on students' cigarette use was noted, this finding may be attributed to marked baseline differences on this variable across the intervention and control groups. No effects were found on students' alcohol or marijuana use or on any of several variables thought to mediate curriculum effects. The effects of coaching on teachers may not become evident until future years, when they have moved beyond an initial mechanical delivery of the curriculum.

Key Words: school-based programs • substance use • prevention

This version was published on August 1, 2009

Health Education & Behavior, Vol. 36, No. 4, 696-710 (2009)
DOI: 10.1177/1090198107303311
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