Problem behaviors such as drug use, violence, and school misconduct increase during adolescence. This study evaluated a program designed to prevent problem behaviors in middle school students; the program includes classroom instruction for students and home instruction for parents.

Condition	Treatment or Intervention
Substance Use Disorders Health Promotion	Behavior: Going Places: School program to prevent problem behavior

Further Study Details: 

Expected Total Enrollment:  2768

The prevalence of problem behaviors, such as school misconduct, underachievement, and dropout; tobacco, alcohol, and other drug use; and violence and delinquency, increases dramatically during adolescence. These behaviors place youths at an increased risk for school failure, involvement in the criminal justice system, and chronic substance abuse.

The purpose of this study was to test the efficacy of a comprehensive program of interventions, called Going Places, that includes participatory classroom curriculum, parent education, and enhanced school environment. The primary goal of these components was to help students learn social competence skills that will help them make positive decisions in their lives. The classroom curriculum component was integrated into the participating schools' regular Language Arts curriculum in grades 6 through 8. The curriculum provided instruction in and opportunities to practice interpersonal communication, self-management, problem solving, and conflict management. Brief videotapes with student actors served as trigger films to stimulate student interest, provide models, and motivate prosocial behavior. Parents in the participating schools received instruction via videotape and print materials and participated in student homework exercises. The emphasis was on encouraging parents to remain involved, adopt creative monitoring practices, and foster adolescent autonomy by establishing rules and conditions leading incrementally to greater independence.

Students in the seven Charles County, Maryland, middle schools were randomized either to the Going Places intervention group or to the usual education control group. The intervention was sequentially structured, with curricula implemented in each grade of middle school. Questionnaires were administered to all middle school students at the beginning of the 6th grade (before the intervention) to establish baseline levels of substance use, school misconduct, parent and peer influences, and school climate. Students completed surveys in the spring of grades 6, 7, and 8. A final follow-up survey was completed in the fall of ninth grade. The surveys assessed standard measures of tobacco, alcohol, and illicit drug use, school misconduct, and participation in school activities. The surveys also included items related to psychosocial, parental, and school factors.

Ages Eligible for Study:  10 Years   -   12 Years,  Genders Eligible for Study:  Both

Accepts Healthy Volunteers

Criteria

Inclusion Criteria

• Attends participating middle schools
• Reads at grade level

Study chairs or principal investigators

Bruce Simons-Morton, EdD, MPH,  Principal Investigator,  Prevention Research Branch, Division of Epidemiology, Statistics and Prevention Research   

Study ID Numbers:  N01HD33207; Z01 HD 02110-07-PR; NO1-HD-3-3207; NICHD-400
Record last reviewed:  May 2003
Last Updated:  October 13, 2004
Record first received:  June 18, 2003
ClinicalTrials.gov Identifier:  NCT00062959
Health Authority: United States: Federal Government
ClinicalTrials.gov processed this record on 2005-04-08