Towards No Drug Use (TND) Program Description  Project TND: A series of 12 lessons implemented in all high schools  25 teachers from 14 high schools reported using TND in , reaching approximately 2,779 students Evaluation Design  Pretests administered to students before first lesson  Posttests administered 30 days after last lesson  Teacher survey

Evaluation of TND Program Student Survey Administration  Evaluation with student surveys Fall and Spring semesters  Survey Indicators:  Knowledge (e.g., of selected topics covered in TND)  Attitudes towards alcohol and drug use  Actual alcohol and drug use behavior (in the past 30 days).  Sample size:  1,032 pretests and 881 posttests collected  Surveys from 46 classes at 10 schools

Student Survey – Key Findings Statistically Significant Changes 1.Knowledge Increased  0.83 items (out of 4) correct at pretest  1.23 items correct at posttest 2.Perceived Peer Disapproval of Alcohol Increased  55.7% at pretest vs. 61.5% at posttest reported that their friends disapproved of them for using alcohol 3.Perceived Risk of Harm Increased  70.4% at pretest vs. 73.0% at posttest reported it was harmful to use alcohol every once in a while

Student Survey – Key Findings Positive Changes, but Not Statistically Significant 1.Perceived Risk of Harm Increased  93.5% at pretest vs. 94.5% at posttest reported that frequent (daily or almost daily) alcohol use was harmful to their health 2.Attitudes Toward Use of Alcohol Changed as Desired  83.0% at pretest vs. 85.7% at posttest reported that it was wrong of high school students to use alcohol frequently 3.Perceived Peer Disapproval of Marijuana  63.2% at pretest vs. 65.7% at posttest reported that their friends disapproved of them for using marijuana

Teacher and Student Reactions to TND 1.Most Teachers agreed that:  The content of the TND lessons was relevant for their students (8 of 11 teachers or 73%)  The lessons generated real and meaningful discussion among their students (7 of 11 teachers or 64%) 2.Nine of 10 teachers (or 90%) felt that the TND curriculum was “somewhat or very effective” at influencing students to make healthier choices.

Teacher and Student Reactions to TND 1.The majority of the students found the lessons to be:  Used “real-life” situations (83%)  Helpful (85%)  Enjoyable (74%)  Interesting (78%) 2.91% of students agreed that what they learned in the TND lessons will help them stay away from or not increase use of tobacco, alcohol, or other drugs. 3.87% of students agreed that what they learned in the TND lessons will help them quit or reduce use of tobacco, alcohol, or other drugs.

HS YRBS Trends… Youth Risk Behavior Survey (YRBS) Conducted every two years in Middle & High Schools Anonymous survey of randomly selected students (all grade levels) Most recently conducted in SY  MS N=2,091 HS N=2,587 7

Substance Use: HS YRBS 8

Alcohol Use: HS YRBS 9

Sexual Risk Taking: HS YRBS 10