Adolescent Substance Abuse Prevention through School-Based Behavioral Intervention Programs

Abstract

Background: Adolescent substance abuse remains a significant public health concern worldwide, contributing to adverse physical, psychological, social, and academic outcomes. Schools provide an effective setting for implementing behavioral intervention programs aimed at preventing substance use and promoting healthy decision-making among adolescents.

Objective: This study aimed to evaluate the effectiveness of school-based behavioral intervention programs in preventing substance abuse among adolescents.

Methodology: A quantitative quasi-experimental study was conducted among 320 adolescents aged 13–18 years from selected secondary schools. Participants were assigned to intervention and control groups. The intervention group received a 12-week school-based behavioral program focusing on substance abuse awareness, coping skills, peer resistance strategies, and decision-making skills. Data were collected using structured questionnaires before and after the intervention. Descriptive statistics, paired t-tests, and regression analyses were used to evaluate program effectiveness.

Findings: Results indicated that substance abuse risk scores decreased significantly in the intervention group from a mean score of 68.5 ± 9.4 at baseline to 42.7 ± 7.8 after the intervention (p < 0.001). Knowledge regarding substance abuse prevention increased from 56% to 84%, while positive behavioral attitudes improved from 49% to 79%. No significant changes were observed in the control group.

Conclusion: School-based behavioral intervention programs are effective in reducing substance abuse risk and improving preventive knowledge and behaviors among adolescents. Implementing evidence-based prevention programs in schools may contribute to healthier lifestyles and reduced substance use among youth.