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Lions Quest Skills for Adolescence Program as a School Intervention to Prevent Substance Use—a Pilot Study Across Three South East European Countries

  • Wadih MaaloufEmail author
  • Milos Stojanovic
  • Matthew Kiefer
  • Giovanna Campello
  • Hanna Heikkila
  • Ziad El-Khatib
Article

Abstract

Development of personal and social skills in a classroom prevents later drug use and alcohol abuse, and influence-related risk factors. However, clinical trials on the potential impact of such programs from low- or middle-income countries remain limited. Lions Quest Skills for Adolescence (LQSFA), a school-based prevention intervention supporting life skills, was implemented in three South East European countries. This was a collaboration between the United Nations Office on Drugs and Crime, the Lions Clubs International Foundation, and the Ministries of Education of Serbia, the Former Yugoslav Republic of Macedonia and Montenegro. The pilot was a multisite non-randomized trial. A total of 2964 elementary school students received the intervention through 232 instructors trained by the same internationally certified trainer. These were compared to 2232 students following the regular curriculum, which does not include LQFSA, in the same elementary schools. The assessment was done at the beginning and at the end of the same academic year (period of 10 months). Despite limited fluctuations, the overall results indicated an encouraging outcome on the current use of substances (alcohol, cigarettes, and marijuana) as well as intention to using these substances in the next 3 months among current users. This study attempts to address this aforementioned gap in literature and contributes to the body of research demonstrating the value, feasibility, and transferability of life skills programs in achieving prevention outcomes in South East Europe. Moreover, it paves the way to a future randomized clinical trial to further corroborate the results, overcoming limitation in current study design.

Keywords

Drug prevention South East Europe Adolescents Life skills education Lions quest skills for adolescence 

Notes

Acknowledgments

Ms. Marianne Jansson, the Lions Quest Senior trainer Coach, Stockholm, Sweden; Ministries of Education of Montenegro, Ministry of Education and Science of FYRO Macedonia and Ministry of Education, Science and Technological Development of Serbia; Dr. Gilberto Gerra, Chief of Drug Prevention and Health Branch of UNODC; Ms. Ekaterina Kolykhalova—Coordinator of the UNODC Regional Programme for South Eastern Europe; Mr. Bojan Milosavljevic, UNODC Programme Office in Serbia, Ms. Nina Fabiola Montero Salas, UNODC Office in Vienna; the members of Lions Clubs International of Montenegro, FYRO Macedonia, and Serbia; and finally all instructors and study participants.

Funding

The study was funded by the Lions Clubs International Foundation (LCIF) and the Government of Sweden.

Compliance with Ethical Standards

Conflict of Interest

The Lions Clubs International Foundation (LCIF) is the owner of the copyright to the Lions Quest program. Matthew Kiefer is the program manager for LCIF. He receives no commission or financial incentive for increased sales of the program.

Ethical Approval

This was a pilot study, which was reviewed and approved by the Ministries of Education of the three countries, the representatives of the schools, and the UNODC Drug Prevention and Health Branch. Also, no personal identifiers, for the participating students, were collected. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Permit for the study was received from the Ministries of Education, schools, and teachers. Informed assent was received, verbally, from the students, and their participation was voluntarily. No personal identifiers were collected and students were given the option to opt-out by submitting the self-filled questionnaire blank, in case they prefer not to answer.

References

  1. Ahlstrom, S. K., & Oserberg, E. L. (2005). International perspectives on adolescent and young adult drinking. Alcohol Research & Health, 28(4), 258–268.Google Scholar
  2. Amtmann, E. A., Matischeck-Jauk, M., & Krammer, G. C. (2017). Austria’s innovative initial teacher education reform and its implications for the quality of academic teaching. In 42nd ATEE conference 2017 changing perspectives and approaches in contemporary teaching.Google Scholar
  3. Blakemore, S. J., & Choudhury, S. (2006). Development of the adolescent brain: Implications for executive function and social cognition. Journal of Child Psychology and Psychiatry, 47, 296–312.CrossRefGoogle Scholar
  4. Campello, G., Heikkila, H., & Maalouf, W. (2016). International standards on drug use prevention. In The Cambridge handbook of international prevention science (pp. 134–159). Cambridge University Press. doi: https://doi.org/10.1017/9781316104453.008
  5. CASEL. (2013). Preschool and elementary edition—CASEL guide.Google Scholar
  6. Casey, B. J., & Caudle, K. (2013). The teenage brain: Self control. Current Directions in Psychological Science, 22, 82–87.CrossRefGoogle Scholar
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (J. Cohen, Ed.) Second edition. New York: Department of Psychology, New York University.Google Scholar
  8. Davis, S. (2015). H.R.497—Supporting emotional learning act. https://www.congress.gov/bill/114th-congress/house-bill/497. Accessed 15 Feb 2019.
  9. Domitrovich, C., Durlak, J., Staley, K., & Weissberg, R. (2017). Social-emotional competence: An essential factor for promoting positive adjustment and reducing risk in school children. Child Development, 88, 408–416.CrossRefGoogle Scholar
  10. Durlak, J., & DuPre, E. (2008). Implementation matters: A review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41, 327–350.CrossRefGoogle Scholar
  11. Eccles, J. S. (1999). The development of children ages 6 to 14. Future of Children., 9, 30–44.  https://doi.org/10.2307/1602703.CrossRefGoogle Scholar
  12. Eisen, M., Zellman, G. L., & Murray, D. M. (2003). Evaluating the Lions–Quest “Skills for Adolescence” drug education program. Addictive Behaviors, 28, 883–897.CrossRefGoogle Scholar
  13. El-Khatib, Z. (2004). EpiData for data entry and documentation. Retrieved from http://www.epidata.dk/downloads/epidataguideziad.pdf. Accessed 15 Feb 2019.
  14. European Monitoring Center for Drugs and Drug Addiction. (2016). European drug report—trends and developments. Luxembourg: Publications Office of the European Union.Google Scholar
  15. Faggiano, F., Minozzi, S., Versino, E., & Buscemi, D. (2016). Universal school-based prevention for illicit drug use, (1). doi: https://doi.org/10.1002/14651858.CD003020.pub3.www.cochranelibrary.com
  16. Fuhrmann, D., Knoll, L. J., & Blakemore, S. J. (2015). Adolescence as a sensitive period of brain development. Trends in Cognitive Sciences., 19, 558–566.  https://doi.org/10.1016/j.tics.2015.07.008.CrossRefGoogle Scholar
  17. Greenberg, M. T., Domitrovich, C., Weissberg, R. P., & Durlak, J. A. (2017). Social and emotional learning as a public health approach to education. Future of Children, 27, 13–32.CrossRefGoogle Scholar
  18. Jackson, C., Geddes, R., Haw, S., & Frank, J. (2012). Interventions to prevent substance use and risky sexual behaviour in young people: A systematic review. Addiction., 107, 733–747.  https://doi.org/10.1111/j.1360-0443.2011.03751.x.CrossRefGoogle Scholar
  19. Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychological development: A longitudinal study of youth (Academic P). New York, NY.Google Scholar
  20. Jones, D. E., Greenberg, M., & Crowley, M. (2015). Early social-emotional functioning and public health: The relationship between kindergarten social competence and future wellness. American Journal of the American Public Health Association, 105, 2283–2290.CrossRefGoogle Scholar
  21. Kahnert, H. (2002). Evaluation of the Lions Quest program Erwachsen Werden [skills for adolescence]. Germany: Final Report.Google Scholar
  22. Lions Club International Foundation. (2018). LCIF programs. Retrieved October 12, 2017, from http://www.lcif.org/EN/our-work/index.php. Accessed 15 Feb 2019.
  23. Malmin, G. (2007). It is my choice (lions quest). The impact on the behavior of students. Unpublished Internal Report.Google Scholar
  24. Matischek-Jauk, M., & Reicher, H. (2015). What do teachers need to establish curriculum based life skills programs? Implementation requirements for programs in every day’s school life using Lions Quest. In ECER 2015: Education and transitions—contributions from educational research. Budapest.Google Scholar
  25. Menrath, I., Prüssmann, M., Müller-Godeffroy, E., Prüssmann, C., Ravens-Sieberer, U., Ottova-Jordan, V., & Thyen, U. (2015). Subjective health, school victimization, and protective factors in a high-risk school sample. Journal of Developmental and Behavioral Pediatrics, 36, 305–312.CrossRefGoogle Scholar
  26. Nelson, S. E., Van Ryzin, M. J., & Dishion, T. J. (2015). Alcohol, marijuana, and tobacco use trajectories from age 12 to 24 years: Demographic correlates and young adult substance use problems. Development and Psychopathology, 27, 253–277.  https://doi.org/10.1017/S0954579414000650.CrossRefGoogle Scholar
  27. Pihl, R. (2014). Understanding the risk factors for substance abuse. In Childhood and adolescent pathways to substance use disorders (pp. 1–90). Ottawa.Google Scholar
  28. Reicher, H., & Matischek-Jauk, M. (2015). Improving adolescent school engagement through social-emotional learning. In ECER 2015: Educational and transitions—contributions from educational research. Budapest.Google Scholar
  29. Salazar Silva, F. (2015). Implementación y adaptación del Programa Lions Quest (Leones Educando) en Perú, Paraguay y Colombia. In XLII National Meeting of Socidrogalcohol. Logroño, Spain.Google Scholar
  30. Sanchez, Z. M., Sanudo, A., Andreoni, S., Schneider, D., Paula, A., Pereira, D., & Faggiano, F. (2016). Efficacy evaluation of the school program unplugged for drug use prevention among Brazilian adolescents, 1–9. doi: https://doi.org/10.1186/s12889-016-3877-0
  31. Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin. (H. Mifflin, Ed.). Boston, Massachusetts.Google Scholar
  32. Spear, L. P. (2013). Adolescent neurodevelopment. Journal of Adolescent Health., 52, S7–S13.  https://doi.org/10.1016/j.jadohealth.2012.05.006.
  33. StataCorp. (2011). Stata statistical software: Release 12. College Station, TX: StataCorp LP.Google Scholar
  34. Stuart, E. A., & Rubin, D. B. (2008). Matching with multiple control groups with adjustment for group differences. Journal of Educational and Behavioral Statistics, 33, 279–306.CrossRefGoogle Scholar
  35. Talvio, M., Berg, M., Litmanen, T., & Lonka, K. (2016). The benefits of teachers’ workshops on their social and emotional intelligence in four countries. Creative Education, 07, 2803–2819.  https://doi.org/10.4236/ce.2016.718260.CrossRefGoogle Scholar
  36. Taylor, R. D., Oberle, E., Durlak, J. A., & Weissberg, R. P. (2017). Promoting positive youth development through school-based social and emotional learning interventions: A meta-analysis of follow-up effects. Child Development, 88, 1156–1171.CrossRefGoogle Scholar
  37. Thapa, A., Cohen, J., Guffey, S., & Higgins-D’Alessandro, A. (2013). A review of school climate research. Review of Educational Research, 83, 357–385.CrossRefGoogle Scholar
  38. Thomas, R. E., McLellan, J., & Perera, R. (2015). Effectiveness of school-based smoking prevention curricula: Systematic review and meta-analysis. BMJ Open, 5, e006976.  https://doi.org/10.1136/bmjopen-2014-006976.CrossRefGoogle Scholar
  39. United Nations Children’s Fund (UNICEF). (2007). Child poverty in perspective: An overview of child well-being in rich countries. Florence.Google Scholar
  40. United Nations Office on Drugs and Crime (UNODC). (2015). International standards on drug use prevention. Vienna.Google Scholar
  41. United Nations Office on Drugs and Crime (UNODC). (2017). Education sector responses to the use of alcohol, tobacco and drugs—good policy and practice in health education, Booklet 10. Vienna.Google Scholar
  42. United Nations Office on Drugs and Crime (UNODC). (2018). Prevention drug use among youth works. Retrieved April 10, 2018, from www.unodc.org/unodc/en/prevention/. Accessed 15 Feb 2019.
  43. United Nations Office on Drugs and Crime (UNODC), & World Health Organization (WHO). (2018). International standards on drug use prevention—second updated edition. Vienna.Google Scholar
  44. Vigna-Taglianti, F. D., Galanti, M. R., Burkhart, G., Caria, M. P., Vadrucci, S., & Faggiano, F. (2014). “Unplugged,” a European school-based program for substance use prevention among adolescents: Overview of results from the EU-Dap trial. New Directions for Youth Development, 2014, 67–82.  https://doi.org/10.1002/yd.20087.CrossRefGoogle Scholar
  45. Viner, R. M., & Barker, M. (2005). Young people’s health: The need for action. BMJ (Clinical Research Ed.), 330, 901–903.  https://doi.org/10.1136/bmj.330.7496.901.CrossRefGoogle Scholar
  46. World Bank. (2015). World development report 2015: Mind, society and behavior. Washington DC.Google Scholar

Copyright information

© Society for Prevention Research 2019

Authors and Affiliations

  • Wadih Maalouf
    • 1
    Email author
  • Milos Stojanovic
    • 2
  • Matthew Kiefer
    • 3
  • Giovanna Campello
    • 1
  • Hanna Heikkila
    • 1
  • Ziad El-Khatib
    • 1
    • 4
  1. 1.Drug Prevention and Health Branch, Prevention Treatment and Rehabilitation SectionUnited Nations Office on Drugs and CrimeViennaAustria
  2. 2.Programme Office of SerbiaUnited Nations Office on Drugs and Crime (UNODC)BelgradeSerbia
  3. 3.Lions Clubs International FoundationOak BrookUSA
  4. 4.Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden World Health ProgrammeUniversité du Québec en Abitibi-Témiscamingue (UQAT)QuébecCanada

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