Expand & Improve Support for Youth Outreach, Leadership, Prevention, and Education

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Return to Opioid Top-Level Strategy Map or Zoom Map (Improve Protective Factors to Minimize Desire to Misuse Opioids)

Background

A positive relationship between peer drug use and drug use among adolescents is well-established in scientific literature.[1][2][3][4][5] Recently, a study of teen and adult drivers showed that the reward-processing areas of the brains of teens are more active when their behavior is observed, suggesting that the "presence of peers is sufficient in itself to make risks feel more worthwhile to teens," including using drugs.[6]

School Based Prevention

Social Resistance Skills
In this type of training, students are taught how to recognize situations in which they are likely to face peer pressure and are given strategies to deal with these situations including formulating counter arguments.[7] This approach alone does not counteract peer pressure, but can be effective when used in conjunction with normative education.[8][9]

Normative Education
This approach attempts to counteract inaccurate perceptions of drug and alcohol abuse. According to Griffen and Botvin (2010) "Many adolescents overestimate the prevalence of smoking, drinking, and the use of certain drugs, which can make substance use seem to be normative behavior. Educating youth about actual rates of use, which are almost always lower than the perceived rates of use, can reduce perceptions regarding the social acceptability of drug use."[10] Studies have shown that normative education alone and in conjunction with social resistance training can be effective in reducing alcohol, cigarette, and marijuana use among adolescents.[11]

Competence Enhancement/Life Skills Training (LST)
This approach focuses on the social learning processes that play a role in the development of drug use in adolescents. Students are taught some combination of the following life skills:

      • general problem solving and decision-making
      • general cognitive skills for resisting interpersonal media influences
      • skills for increasing self-control and self-esteem
      • adapting coping strategies for relieving stress and anxiety through use of cognitive coping skills or behavioral relaxation techniques
      • general social skills and general assertive skills[12]

LST is effective in reducing use of alcohol, tobacco, marijuana, and other psychoactive drugs and is estimated to save $38 for every dollar invested.[13]

Campaigns for Helping Teens to Not Misuse Drugs

Above the Influence national awareness campaign

Parental Involvement

High levels of parental disapproval of drug use may mitigate the negative influence of drug-using peers.[14]

  See Also: Empower & Strengthen Parents

 

Mentorship and Support

Previous research has shown a relationship between peer mentorship and reduction in the size of peer substance-user networks and substance use risk among youth with at least one HIV-positive parent.[15] More recently, a study showed that greater levels of perceived teacher support was negatively correlated with marijuana and drug use and positively correlated with academic performance. [16]

 

Tools & Resources

TR - Train Youth in How to Resist Peer Pressure to Try Drugs

Scorecard Building

Potential Objective Details ( Under Construction) 
Potential Measures and Data Sources( Under Construction) 
Potential Actions and Partners( Under Construction) 

Resources to Investigate

More RTI on Training Youth to Resist Peer Pressure

PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer   Date   Comments  
         

Sources

  1. ^ [1]Santor, D. A., Messervey, D., & Kusumakar, V. (2000). Measuring Peer Pressure, Popularity, and Conformity in Adolescent Boys and Girls: Predicting School Performance, Sexual Attitudes, and Substance Abuse. Journal of Youth and Adolescence, 29(2), 163–182. https://doi.org/10.1023/A:1005152515264
  2. ^ [2]Dielman, T. E., et al.
  3. ^ [3]Brooks-Russell, A., Conway, K. P., Liu, D., Xie, Y., Vullo, G. C., Li, K., … Simons-Morton, B. (2015). Dynamic Patterns of Adolescent Substance Use: Results From a Nationally Representative Sample of High School Students. Journal of Studies on Alcohol and Drugs, 76(6), 962–970. https://doi.org/10.15288/jsad.2015.76.962
  4. ^ [4]Tucker, J. S., Ewing, B. A., Miles, J. N. V., Shih, R. A., Pedersen, E. R., & D’Amico, E. J. (2015). Predictors and consequences of prescription drug misuse during middle school. Drug and Alcohol Dependence, 156, 254–260. https://doi.org/10.1016/j.drugalcdep.2015.09.018
  5. ^ [5]McDonough, M. H., Jose, P. E., & Stuart, J. (2016). Bi-directional Effects of Peer Relationships and Adolescent Substance Use: A Longitudinal Study. Journal of Youth and Adolescence, 45(8), 1652–1663. https://doi.org/10.1007/s10964-015-0355-4
  6. ^ [6]Chein, J., Albert, D., O’Brien, L., Uckert, K., & Steinberg, L. (2011). Peers increase adolescent risk taking by enhancing activity in the brain’s reward circuitry. Developmental Science, 14(2), F1-10. https://doi.org/10.1111/j.1467-7687.2010.01035.x
  7. ^ [7]Griffin, K. W., & Botvin, G. J. (2010). Evidence-Based Interventions for Preventing Substance Use Disorders in Adolescents. Child and Adolescent Psychiatric Clinics of North America, 19(3), 505–526. https://doi.org/10.1016/j.chc.2010.03.005
  8. ^ [8]Hansen, W. B., & Graham, J. W. (1991). Preventing alcohol, marijuana, and cigarette use among adolescents: Peer pressure resistance training versus establishing conservative norms. Preventive Medicine, 20(3), 414–430. https://doi.org/10.1016/0091-7435(91)90039-7
  9. ^ [9]Clayton, R. R., Cattarello, A. M., & Johnstone, B. M. (1996). The Effectiveness of Drug Abuse Resistance Education (Project DARE): 5-Year Follow-Up Results. Preventive Medicine, 25(3), 307–318. https://doi.org/10.1006/pmed.1996.0061
  10. ^ [10]Griffin, K. W., & Botvin, G. J. (2010). Evidence-Based Interventions for Preventing Substance Use Disorders in Adolescents. Child and Adolescent Psychiatric Clinics of North America, 19(3), 505–526. https://doi.org/10.1016/j.chc.2010.03.005
  11. ^ [11]Hansen, W. B., & Graham, J. W. (1991). Preventing alcohol, marijuana, and cigarette use among adolescents: Peer pressure resistance training versus establishing conservative norms. Preventive Medicine, 20(3), 414–430. https://doi.org/10.1016/0091-7435(91)90039-7
  12. ^ [12]Griffin, K. W., & Botvin, G. J. (2010). Evidence-Based Interventions for Preventing Substance Use Disorders in Adolescents. Child and Adolescent Psychiatric Clinics of North America, 19(3), 505–526. https://doi.org/10.1016/j.chc.2010.03.005
  13. ^ [13]Botvin, G. J., & Griffin, K. W. (2014). Life skills training: Preventing substance misuse by enhancing individual and social competence. New Directions for Youth Development, 2014(141), 57–65. https://doi.org/10.1002/yd.20086
  14. ^ [14]Chan, G. C. K., Kelly, A. B., Carroll, A., & Williams, J. W. (2017). Peer drug use and adolescent polysubstance use: Do parenting and school factors moderate this association? Addictive Behaviors, 64, 78–81. https://doi.org/10.1016/j.addbeh.2016.08.004
  15. ^ [15]PhD, A. R., Stephen Magura PhD, C., MS, C. F., BA, P. C., BA, C. N., & MEd, D. C. (2006). Effects of Peer Mentoring on HIV-Affected Youths’ Substance Use Risk and Association with Substance Using Friends. Journal of Social Service Research, 32(2), 45–60. https://doi.org/10.1300/J079v32n02_03
  16. ^ [16]Dudovitz, R. N., Chung, P. J., & Wong, M. D. (2017). Teachers and Coaches in Adolescent Social Networks Are Associated With Healthier Self-Concept and Decreased Substance Use. The Journal of School Health, 87(1), 12–20. https://doi.org/10.1111/josh.12462