Aims: To test the effectiveness of the Healthy School and Drugs (HSD) programme on tobacco and alcohol use in Dutch secondary special education (SE) schools, and whether this depends upon subtypes of SE schools and the level of implementation.

Design: In a quasi-experimental design with baseline and post-treatment follow-up, 363 students were allocated arbitrarily or depending on teacher motivation to either intervention condition (n = 205) or usual curriculum (n = 158).

Setting: Thirteen secondary SE schools spread throughout the Netherlands.

Participants: Participants were recruited during the autumn of 2013 from three school subtypes: SE for adolescents with intellectual/physical disabilities (SEI; n = 13), behavioural/emotional difficulties (SEB; n = 136) and learning disabilities/developmental disorders (SEL; n = 214).

Measurements: Self-reported life-time smoking prevalence and life-time drinking frequency as outcomes, and school subtype (SEL/SEB) and implementation fidelity (high/low) as moderators.

Findings: No significant differences were found at follow-up in life-time smoking [odds ratio (OR) = 1.52; 95% confidence interval (CI) = 0.74-3.12] and drinking frequency (d = 0.01; 95% CI = -0.16 to 0.18). Interaction analyses revealed adverse effects in SEB students for alcohol use (d = 0.43; 95% CI = 0.16-0.69). Effect on tobacco refusal self-efficacy was moderated positively by implementation fidelity (d = 0.35; 95% CI = 0.07-0.63).

Conclusion: The Healthy School and Drugs programme adapted for secondary special education in the Netherlands lacked clear evidence for effects on all outcomes. This pilot study suggests further that, within special education, substance use interventions may need to be targeted at school subtypes, as these may have harmful effects among students with behavioural difficulties. Finally, limited evidence was found that programme effectiveness may depend upon implementation fidelity.

Download full-text PDF

Source
http://dx.doi.org/10.1111/add.13672DOI Listing

Publication Analysis

Top Keywords

special education
16
implementation fidelity
12
programme tobacco
8
tobacco alcohol
8
school subtype
8
healthy school
8
school drugs
8
secondary special
8
school subtypes
8
life-time smoking
8

Similar Publications

Effects of population aging on quality of life and disease burden: a population-based study.

Glob Health Res Policy

January 2025

Center for Public Health and Epidemic Preparedness and Response, Peking University, Haidian District, 38Th Xueyuan Road, Beijing, 100191, China.

Background: As population aging intensifies, it becomes increasingly important to elucidate the casual relationship between aging and changes in population health. Therefore, our study proposed to develop a systematic attribution framework to comprehensively evaluate the health impacts of population aging.

Methods: We used health-adjusted life expectancy (HALE) to measure quality of life and disability-adjusted life years (DALY) to quantify the burden of disease for the population of Guangzhou.

View Article and Find Full Text PDF

Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy.

BMC Surg

January 2025

Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & Institute, Beijing, 100142, China.

Background: Globally, totally laparoscopic total gastrectomy is increasingly being accepted by surgeons for the treatment of gastric cancer. Overlap anastomosis and π-shaped anastomosis are the two most commonly used anastomosis methods in total laparoscopic surgery; however, their safety and suitability for the population are still unclear.

Methods: A total of 162 consecutive patients with gastric cancer who underwent total laparoscopic total gastrectomy with overlap or π-shaped anastomosis were retrospectively analyzed.

View Article and Find Full Text PDF

Algorithmic Audits in Sports Medicine: An Examination of the SpartaScienceTM Force Plate System.

Med Sci Sports Exerc

November 2024

Department of Kinesiology, School of Education and Human Development, University of Virginia, Charlottesville, VA.

Introduction: Force plate systems are increasingly utilized in the armed forces that claim to identify individuals at risk of musculoskeletal injury. However, factors influencing injury risk scores from a force plate system (SpartaScienceTM), and the effects of experimental perturbations on these scores, remain unclear.

Methods: Healthy males (n = 823; 22.

View Article and Find Full Text PDF

DECT sparse reconstruction based on hybrid spectrum data generative diffusion model.

Comput Methods Programs Biomed

January 2025

Key Laboratory of Computer Network and Information Integration (Southeast University), Ministry of Education, Nanjing, China; School of Computer Science and Engineering, Southeast University, Nanjing, China.

Purpose: Dual-energy computed tomography (DECT) enables the differentiation of different materials. Additionally, DECT images consist of multiple scans of the same sample, revealing information similarity within the energy domain. To leverage this information similarity and address safety concerns related to excessive radiation exposure in DECT imaging, sparse view DECT imaging is proposed as a solution.

View Article and Find Full Text PDF

The current paper aimed to estimate the network structure of general psychopathology (internalizing and externalizing symptoms/disorders) among 239 gifted children in Jordan. This cross-sectional study with a convenience sampling method was conducted between September 2023 and October 2024 among gifted children aged 7-12. The Child Behavior Checklist (CBCL) was employed to assess six symptom clusters: conduct problems, attention-deficit/hyperactivity disorder (ADHD), and oppositional defiant problems as externalizing symptoms, and affective problems, anxiety issues, and somatic complaints as internalizing symptoms.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!