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"ME AND OTHERS PROGRAMME OUTCOME EVALUATION: PAPER 3 - STRUCTURED SESSION 39 - OCTOBER 26 th PREVENTION: FROM EVIDENCE TO ACTION HOW WE ARE WORKING LISBON AND TAGUS VALLEY REGION SAMPLE 2015 TO 2017 - PRE, POST AND FOLLOW UP" SPEAKER: CARLA FRAZO PREVENTION - COORDINATION TEAM OF DICAD-ARSLVT CO-AUTHORS: ALCIDIA LIMA (ARSLVT), ELSA LAVADO (SICAD), RAUL MELO (SICAD)AND SUSANA PINTO (ARSLVT). OUTCOME AND PROCESS EVALUATION: METHOD METHOD PROCESS OUTCOME TRAINING FIDELITY - 54 HOURS PLAYERS QUESTIONNAIRE PRE, POST AND FOLLOW UP DATA COLLECTION IMPLEMENTATION FIDELITY AT LEAST 10 HOURS PER GROUP DATA COLLECTION METHODOLOGY

DATA COLLECTED BY PREVENTION REGIONAL STAFF PRE, POST AND FOLLOW UP (6 MONTHS) TRAINEES SATISFACTION EVALUATION TRAINEES EVALUATION REPORT PLAYERS SATISFACTION QUESTIONNAIRE TRAINEES EVALUATION REPORT CONTENT ANALYSIS OUTCOME EVALUATION: PLAYERS QUESTIONNAIRE KNOWLEDGE EVALUATION AREAS: PRE, POST AND FOLLOW UP DATA COLLECTION ATTITUDES TOWARD PSYCHOATIVE SUBSTANCES USE SCALE (ADAPTED FROM SIMONS AND CAREY, 2000; GOUVEIA ET AL ,2009) ATTITUDES DRUG REFUSAL SKILLS SCALE (ADAPTED FROM LST -Q

HIGH SCHOOL VERSION, BOTVIN, 2011) CONTROL PERCEPTION SKILLS SCALE (MELO, 2013) LIFE SKILLS STUDY OF INTERNAL CONSISTENCY OF THE SCALES KNOWLEDGE TEST (MELO ET AL, 2014) LIFE EFFECTIVENESS QUESTIONNAIRE LEQ-H (NEILL, 2007) PREVALENCE OF EXPERIMENTATION OF PSYCHOACTIVE SUBSTANCES THROUGH LIFE (ADAPTED BEHAVIOURS FROM INME - FEIJO, 2011) HARM ASSOCIATED WITH OWN USE OF PSYCHOATIVE SUBSTANCES (SHAHRAP PROJ., 2004) SAMPLE PRE + POST + FOLLOW UP EXPERIMENTAL GROUP PRE+POST CONTROL GROUP PRE+POST N= 144 (RETENTION RATE 83%) N=50 (RETENTION RATE 91%)

9 GROUPS 3 GROUPS 65% - 7TH GRADE 74% - 9TH GRADE MEAN AGE: 13,5 YEARS MEAN AGE: 14 YEARS 51% 50% 49% 89% SELECTIVE PREVENTION 50% 66% SELETIVE PREVENTION EXPERIMENTAL GROUP FOLLOW UP N= 64 (RETENTION RATE 44%) 100% - 7TH GRADE MEAN AGE: 13 YEARS 4 100% SELECT. PREV. 52% 48%

BINARY ESCALE (MELO ET AL, 2014) TRUE OR FALSE - WITH 20 ITEMS KNOWLEDGE TEST EXPERIMENTAL GROUP PRE POST 16 SENTENCES RAISED % CORRECT ANSWER SCORE MEAN PRE = 13,8 POST = 15,1 (p=0,000) CONTROL GROUP PRE POST 12 SENTENCES RAISED % CORRECT ANSWER SCORE MEAN PRE = 14,4 POST = 15,4 (p=0,015)

PRE POST KNOWLEDE SCORE: MEAN KNOWLEDGE TEST EXPERIMENTAL GROUP CONTROL GROUP ( p=0,000) AGE: 12 YEARS OR LESS RAISED MORE MEAN KNOWLEDGE SCORE NARRATIVES: 3 - 2 - 1 KNOWLEGE SCORE MEAN TOBACCO SENTENCES ALCOHOL SENTENCES CANNABIS SENTENCES - ( p=0,013) ( p=0,000) AGE: NO DIFFERENCES BETWEEN AGE SCALE (12 OR -; 13/14; 15 OR +) TOBACCO SENTENCES ALCOHOL SENTENCES CANNABIS SENTENCES - - (p=0,003) SEMANTIC DIFFERENTIAL SCALE (ADAPTED FROM SIMONS AND CAREY, 2000; GOUVEIA ET AL ,2009) 4 BIPOLAR ADJECTIVES: POSITIVE-NEGATIVE, PLEASANT UNPLEASANT, GOOD-BAD, AND DESIRABLE-UNDESIRABLE RATING IN A SCALE OF 9-POINTS. MEAN MINIMUM 4 MAXIMUM 36

ATTITUDES ( p=0,000) EXPERIMENTAL GROUP PRE POST M= 31,57 M=30,70 AGE 12 years or less NARRATIVES: 3 1 (p=0,001) CONTROL GROUP PRE M= 31 ,96 POST M= 30,81 AGE 12 years or less DRUG REFUSAL SKILLS ESCALE (ADAPTED FROM LST QUESTIONNAIRE HIGH SCHOOL VERSION, BOTVIN, 2011) LIFE SKILLS 4 ITEMS - TOBACCO, ALCOHOL, CANNABIS OR OTHER DRUGS 1 FACTOR SCALE OF 5 ITEMS, RATING IN A SCALE OF 5-POINTS - FROM ONE

- VERY UNLIKELY TO SAY NO - TO FIVE - MOST LIKELY SAY NO CONTROL PERCEPTION SKILLS SCALE (MELO, 2013) ( p=0,000) 6 ITEMS 3 SELF CENTERED AND 3 HETERO CENTERED 1 FACTOR LIFE EFFECTIVENESS QUESTIONNAIRE LEQ-H (NEILL, 2007) - 24 ITEMS - 8 FACTORS LIFE SKILLS CONTROL PERCEPTION SKILLS SCALE (CPSS) (MELO, 2013) 6 ITEMS 3 SELF CENTERED AND 3 HETERO CENTERED. RATING IN A SCALE OF 6-POINTS - 1 LOWER CONTROL PERCEPTION, 6 HIGHER CONTROL PERCEPTION EXPERIMENTAL GROUP PRE SELF: M= 3,46 HETERO: M= 3,62 SELF HETERO POST ( p=0,000) M= 3,50 M= 3,64 AGE: 12 OR - LIFETIME SUBSTANCE USE SELF YES NO

( p=0,027) HETERO CONTROL GROUP PRE SELF M= 3,85 HETERO M= 3,97 SELF HETERO POST M= 3,75 M= 3,89 AGE: 12 OR - LIFETIME SUBSTANCE USE SELF YES NO HETERO LIFE SKILLS LIFE EFFECTIVENESS QUESTIONNAIRE LEQ-H (NEILL, 2007) - 24 ITEMS 8 FACTORS 5 FACTORS CONTRIBUTE MORE TO PROGRAM OBJECTIVES: TIME MANAGEMENT, SOCIAL COMPETENCE, INTELECTUAL FLEXIBILITY, EMOTIONAL CONTROL , SELF CONFIDENCE. RATING IN A SCALE OF 8POINTS: 1 DONT DESCRIBE ME; 8 DESCRIBE ME VERY WELL EXPERIMENTAL GROUP PRE POST

( p=0,000) TIME MANAG. 5,4 SOCIAL COMP. 5,6 INT. FLEXIB. 5,6 EMOT. CONT. 4,6 4,5 SELF CONFID. 6,0 NARRATIVE 3/2 AGE CONTROL GROUP TIME MANAG. SOCIAL COMP. INT. FLEXIB. EMOT. CONT. SELF CONFID. PRE 5,6 5,8 5,9 5,0 6,3 AGE POST 5,5 5,7 4,7

PREVALENCE OF EXPERIMENTATION OF PSYCHOACTIVE SUBSTANCES THROUGH LIFE: TOBACCO, ALCOHOL, CANNABIS, ECSTASY, NSP, MEDICATION WITHOUT PRESCRIPTION (ADAPTED BEHAVIOURS FROM ESPAD, 2011) EXPERIMENTAL GROUP PRE (44%) POST ((49%) p=0,000) POLY SUBSTANCE USE 16% to 23% AGE ONSET - MEAN: ALC-13; TB-13; CN-15 LIFETIME USE ALCOHOL - 42% TO 47% TOBACCO 17% TO 23% CANNABIS 5% TO 7% AGE: 12 years - CONTROL GROUP PRE (56%) POST (60%) POLY SUBSTANCE USE 38% to 34% AGE ONSET - MEAN: ALC-13,5; TB-13; CN-14

LIFETIME USE ALCOHOL - 56% TO 56% TOBACCO 32% TO 30% CANNABIS 10% TO 10% AGE 12 years - 20% BEHAVIOURS HARM ASSOCIATED WITH OWN USE OF PSYCHOATIVE SUBSTANCES FREQUENCY. RATING IN A SCALE OF 6POINTS: 1 NEVER; 6 12 TIMES OR MORE. (SHAHRAP PROJ., 2004) EXPERIMENTAL GROUP PRE (N=64) 53% ( p=0,000) POST (N=71) about your behavior PRE (N= 28) 32% 58% Planned to drunk or be stoned Used more than planned Hangover after use Didnt remember what happened

Someone complained CONTROL GROUP 20% 40% 32% 21% 16% POST (N=30) 43% Planned to drunk or be stoned Used more than planned Hangover after use Didnt remember what happened Someone complained about your behavior 27% 33% 30% 17% 13% PRE POST FOLLOW UP OBJETIVES EVALUATION PRE POS

FOLLOW UP KNOWLEDGE TEST M= 13,39 M=15,06 M= 15,53 M= 32,5 M=32,0 M= 32,2 SELF M=3,6 SELF M=3,4 SELF M= 3,6 HETERO M= 3,7 HETERO- M= 3,6 HETERO M= 4,0 LEQ - M= 5,5 LEQ - M=5,4 LEQ - M= 5,7

ATTITUDES LIFE SKILLS BEHAVIOURS 13 EXPERIMENTAL GROUP N=64 LIFETIME USE 36% LIFETIME USE -36% LIFETIME USE- 42% CONCLUSIONS KNOWLEDGE ATTITUDES LIFE SKILLS BEHAVIOURS 12 YEARS OR LESS UNIVERSAL LEVEL NARRATIVES: 3 / 2 / 1 12 YEARS OR LESS UNIVERSAL LEVEL NARRATIVES: 3 / 1 14 12 YEARS OR LESS NARRATIVES: 1 / 3 / 2 UNIVERSAL AND SELETIVE LEVEL

12 YEARS OR LESS UNIVERSAL LEVEL NARRATIVES: 3 / 1 LIMITS AND CHALLENGES FOR THE FUTURE NECESSARY TO REVIEW KNOWLEDGE TEST AND DRUG REFUSAL SKILLS NO SCALE EVALUATES DIRECTLY DECISION-MAKING SKILLS ITS IMPORTANT TO USE AND VALIDATE ONE REDUCE THE NUMBER OF QUESTIONS TO REDUCE TIME OF FULFILMENT OF THIS QUESTIONNAIRE EVALUATE AN HIGHER SAMPLE, WITH CONTROL GROUP AND EXPERIMENTAL GROUP MORE BALANCED GUARANTEE A HIGHER FOLLOW UP RETENTION RATE IN BOTH GROUPS 15 Thank you [email protected]

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