Short Description: |
In the Netherlands alcohol and tobacco prevention programs aimed at primary school students are largely lacking. A comprehensive school-based interactive e-learning program, including classroom assignments and a parent meeting was developed and tested. In a quasi-experimental design with baseline and 4-week follow-up 700 students from 30 primary schools were allocated to the e-learning program or a non-intervention control group. Main outcome measures were self-reported past month prevalence rates and intentions, The e-learning program showed for both behaviors a significant positive knowledge effect (p<.01). No effects were found on behavioral measures, intentions, or other cognitive determinants as attitudes, social influence, and self-efficacy.
In general, the e-learning program failed to show consistent behavioral effects, partly due to an incomplete implementation. Also, a few small adverse effects on cognitions raise some concern about the benefit of substance use prevention at this age.
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