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“SMART - The contract concept”: a Swedish program preventing alcohol and tobacco use among youth
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Med kraft och vilja - Forskning om idéburna organisationers ANDT-förebyggande arbete)ORCID iD: 0000-0002-5093-4958
Uppsala universitet, Uppsala, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Med kraft och vilja - Forskning om idéburna organisationers ANDT-förebyggande arbete)ORCID iD: 0000-0001-6633-1636
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Med kraft och vilja - Forskning om idéburna organisationers ANDT-förebyggande arbete)ORCID iD: 0000-0003-0185-0851
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Theoretical background

From a public health perspective, adolescent´s drug use is a phenomenon of concern. Multi-component interventions and parental support programs are effective in reducing adolescent’s drug use.  However those types of interventions usually do not reach parents with low Socio Economic Status (SES). School based interventions are the most appropriate to reach all youth, independently of their SES. To test this assumption, this study aims at describing the youth that participate in a popular school based intervention in Sweden.  The program is called “SMART - the contract concept” and has a long history in Sweden, involving around 30 000 youth each year, 10 to 16 years old. It consists in “a contract” where the adolescent commit not to smoke or drink alcohol and to behave properly. A requirement is that the contract is signed by the adolescent’s parent. The schools use positive reinforcement to sustain the youth’s choice by offering benefits and discounts. The aim of the program is to prevent and/or postpone various drug debuts.

Research question and significance

This study investigates whether SES is related to the participation in the program. The effects of duration of participation on alcohol and cigarettes use, delinquency, type of relationship with peers and parents are also analyzed.

Methods

A cross-sectional analysis, using self-report questionnaires collected in five schools in a middle-sized city in Sweden, is used in the present study, which is the first part in an on-going longitudinal study.  486 students in grade 7 (89 % response rate, 50% girls) participated. The majority of students and parents were born in Scandinavia (90%/83%). We performed ANCOVAs and multinomial logistic regressions.

Results and interpretation of findings

Students born in Scandinavia were more likely to have participated in school years 5 and 6 compared to students born elsewhere. They were also more likely to stay in the program until school year 7. Gender did not affect the participation. Students that never signed the contract were more often alcohol consumer, committed higher number of delinquent acts, have less established rules at home and have a worse relationship with their parents than those who signed the contract at least once. Finally the results clearly show that the longer the students stayed in the program, independently of SES, the less they smoke, drink alcohol and commit delinquent acts. The well-known and wide-spread but never evaluated program “the contract concept” shows promising results in this study.

Place, publisher, year, edition, pages
2014.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
URN: urn:nbn:se:oru:diva-37070OAI: oai:DiVA.org:oru-37070DiVA: diva2:748750
Conference
The 14th Biennial Conference of the European Association for Research on Adolescence, September 3-6 2014, Cesme, Turkey
Available from: 2014-09-22 Created: 2014-09-22 Last updated: 2017-10-17Bibliographically approved

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Geidne, SusannaGianotta, FabriziaPettersson, CamillaEriksson, Charli
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