Connect was linked to lower vaping and substance use six months after graduation

Sustained Prevention of Substance Use in Rural and Tribal Youth: Post High School Results From a Cluster Randomized Trial.

The Journal of adolescent health : official publication of the Society for Adolescent Medicine β€’ β€’ Highly Relevant
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AI Summary

This study asked whether the effects of Connect, a substance-use prevention program, persisted after high school among young adults in rural and tribal communities. It followed 410 participants from a cluster-randomized trial involving 20 high schools on or near the Cherokee Nation Reservation and compared outcomes between schools assigned to Connect and control conditions. Participants completed an online survey six months after graduation.

Compared with the control condition, young adults in Connect schools had statistically significantly lower odds of reporting past-30-day alcohol use, binge drinking, cannabis vaping, and nicotine vaping. For cannabis vaping, the reported odds ratio was 0.38 (95% CI 0.17–0.84); this is a relative odds comparison, not an absolute reduction in use. The findings suggest that the program’s effects on substance use continued after high school, but this abstract does not establish the size of any practical benefit or explain which program elements produced it. This is an abstract-based summary; the reported survey outcomes cannot establish longer-term effects beyond the follow-up period.

πŸ’‘ Key Findings

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At six months after graduation, the Connect condition had lower odds of past-30-day cannabis vaping than the control condition (OR 0.38, 95% CI 0.17–0.84).
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The Connect condition also had statistically significantly lower odds of past-30-day alcohol use, binge drinking, and nicotine vaping than the control condition.
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The study surveyed 410 young adults from a cluster-randomized trial at 20 high schools on or near the Cherokee Nation Reservation; the abstract reports outcomes at one follow-up point, six months after graduation.
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πŸ“„ Original Abstract

PURPOSE: Connect, a universal preventive intervention, effectively reduced substance use by the end of high school. The aim of this study is to examine substance use 6 months post high school graduation. METHODS: Online survey of young adults (n = 410) who participated in a 2-arm cluster randomized trial from 2021 to 2024, with 10 high schools per condition on or near the Cherokee Nation Reservation. RESULTS: We found statistically significantly lower odds of alcohol use (odds ratio [OR] = 0.48; 95% confidence interval [CI] = 0.29, 0.79; p = .004), binge drinking (OR = 0.52; 95% CI = 0.29, 0.94; p = .029), vaping cannabis (OR = 0.38; 95% CI = 0.17, 0.84; p = .016), and vaping nicotine (OR = 0.35; 95% CI = 0.17, 0.70; p = .003) in the past 30 days in the intervention condition as compared to the control condition at 6 months post high school graduation. DISCUSSION: Connect sustained substance use reduction after high school.

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