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Does Learning About the Effects of Alcohol on the Developing Brain Affect Children's Alcohol Use?

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Abstract

Protecting You/Protecting Me (PY/PM) is a classroom-based, alcohol-use prevention and vehicle safety program for students in grades 1–5 developed by Mothers Against Drunk Driving (MADD). PY/PM is one of the first alcohol prevention programs targeting children that incorporates emerging research on the adverse effects of alcohol on the developing brain. In this study, we surveyed fifth grade students, some of whom were exposed to their fifth consecutive year of PY/PM implementation. Results indicate that, relative to comparison students from matched schools, PY/PM students increased their knowledge of the effects of alcohol on the developing brain, their perception of the potential harm of alcohol use, and their vehicle safety skills. PY/PM students also exhibited increased negative attitudes toward underage drinking, increased their intentions not to use alcohol, and reported decreased riding with an impaired driver. PY/PM did not have an effect on alcohol use per se of these fifth graders. Path modeling revealed that knowledge of the effects of alcohol on the developing brain had both a direct and an indirect effect on alcohol use, the latter by increasing perceptions of the harm of underage alcohol use which, in turn affected intentions to use and use itself. Teaching children about the effects of alcohol on the developing brain appears to be a promising strategy for underage alcohol use prevention.

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References

  • Ajzen, I. (1985). From intentions to actions: A theory of planned behavior. In J. Kuhl & J. Beckmann (Eds.), Action-control: From cognition to behavior (pp. 11–39). Heidelberg: Springer.

    Google Scholar 

  • Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Processes, 59, 179–211.

    Article  Google Scholar 

  • Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. New Jersey: Prentice Hall.

    Google Scholar 

  • Andrews, J. A., Tildesley, E., Hops, H., Duncan, S. C., & Severson, H. H. (2003). Elementary school age children's future intentions and use of substances. Journal of Clinical Child and Adolescent Psychology, 32, 556–567.

    Article  PubMed  Google Scholar 

  • Bell, M. L., Kelley-Baker, T., Falb, T., & Roberts-Gray, C. (2004). Protecting You/Protecting Me: Evaluation of a student-led alcohol prevention and traffic safety program for elementary students. Journal of Alcohol and Drug Education, 49, 33–53.

    Google Scholar 

  • Bell, M. L., Kelley-Baker, T., Rider, R., & Ringwalt, C. (2005). Protecting You/Protecting Me: Effects of an alcohol prevention and vehicle safety program on elementary students. Journal of School Health, 75, 171–177.

    Article  PubMed  Google Scholar 

  • Bell, M.L., Padget, A., Kelley-Baker, T., & Rider, R. (in press). Protecting You/Protecting Me: Evaluation of an alcohol prevention program for early elementary students. Journal of Child and Adolescent Substance Abuse.

  • Bohman, T. M., Barker, E. D., Bell, M. L., Lewis, C. M., Holleran, L., & Pomeroy, E. (2004). Early intervention for alcohol use prevention and vehicle safety skills: Evaluating the Protecting You/Protecting Me curriculum. Journal of Child and Adolescent Substance Abuse, 14, 17–40.

    Article  Google Scholar 

  • Borgers, N., de Leeuw, E., & Hox, J. (2000). Children as respondents in survey research: Cognitive development and response quality. Bulletin de Methodologie Sociologique, 66, 60–75.

    Article  Google Scholar 

  • Botvin, G. J., Griffin, K. W., Paul, E., & Macaulay, A. P. (2003). Preventing tobacco and alcohol use among elementary school students through life skills training. Journal of Child and Adolescent Substance Abuse, 12, 1–17.

    Article  Google Scholar 

  • Bridges, L. J., Sigelman, C. K., Brewster, A. B., Leach, D. B., Mack, K. L., Rinehart, C. S., et al. (2003). Cognitive predictors of children's attitudes toward alcohol and cocaine. Journal of Child and Adolescent Substance Abuse, 12, 19–44.

    Article  Google Scholar 

  • Brown, S. A., Tapert, S. F., Granholm, E., & Delis, D. C. (2000). Neurocognitive functioning of adolescents: Effects of protracted alcohol use. Alcoholism: Clinical and Experimental Research, 24, 164–171.

    Article  CAS  Google Scholar 

  • Chugani, H. T. (1998). Biological basis of emotions: Brain systems and brain development. Pediatrics, 102, 1225–1229.

    PubMed  CAS  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • DeBellis, M. D., Clark, D. B., Beers, S. R., Soloff, P. H., Boring, J. H., Hall, J., et al. (2000). Hippocampal volume in adolescent-onset alcohol use disorders. American Journal of Psychiatry, 157, 737–744.

    Article  CAS  Google Scholar 

  • Dunn, M. E., & Goldman, M. S. (1998). Age and drinking-related differences in the memory organization of alcohol expectancies in 3rd-, 6th-, 9th-, and 12th-grade children. Journal of Consulting and Clinical Psychology, 66, 579–585.

    Article  PubMed  CAS  Google Scholar 

  • Fossey, E. (1993). Young children and alcohol: A theory of attitude development. Alcohol and Alcoholism, 28, 485–498.

    PubMed  CAS  Google Scholar 

  • Giedd, J. N., Blumenthal, J., Jeffries, N. O., Castellanos, F. X., Liu, H., Zijdenbos, A., et al. (1999). Brain development during childhood and adolescence: A longitudinal MRI study. Nature Neuroscience, 2, 861–863.

    Article  PubMed  CAS  Google Scholar 

  • Grant, B. F., & Dawson, D. A. (1997). Age of onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: Results from the national longitudinal alcohol epidemiologic survey. Journal of Substance Abuse, 9, 103–110.

    Article  PubMed  CAS  Google Scholar 

  • Hahn, E. J., Hall, L. A., Rayens, M. K., Burt, A. V., Corley, D., & Sheffel, K. L. (2000). Kindergarten children's knowledge and perceptions of alcohol, tobacco, and other drugs. Journal of School Health, 70, 51–55.

    Article  PubMed  CAS  Google Scholar 

  • Hingson, R., Heeren, T., Levenson, S., Jamanka, A., & Voas, R. B. (2002). Age of drinking onset, driving after drinking, and involvement in alcohol-related motor vehicle crashes. Accident Analysis and Prevention, 34, 85–92.

    Article  PubMed  Google Scholar 

  • Hutteman, J. D., Sarvela, P. D., & Benson, R. (1992). Knowledge and attitudes toward alcohol and tobacco use among elementary children. Journal of Alcohol and Drug Education, 38, 61–72.

    Google Scholar 

  • Jahoda, G., & Crammond, J. (1972). Children and alcohol: A developmental study in Glasgow (Vol. 1). London: HMSO.

    Google Scholar 

  • Johnston, L. D., O'Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2004). Monitoring the Future national survey results on drug use, 19752003. Vol. I: Secondary school students (NIH Publication No. 04-5507). Bethesda, MD: National Institute on Drug Abuse.

  • Lloyd, J. (1996). Alcohol and young people: A case for supporting education about alcohol in primary and secondary schools. Educational Review, 48, 153–163.

    Article  Google Scholar 

  • Luna, B., Thulborn, K. R., Munoz, D. P., Merriam, E. P., Garver, K. E., Minshew, N. J., et al. (2001). Maturation of widely distributed brain function subserves cognitive development. NeuroImage, 13, 786–793.

    Article  PubMed  CAS  Google Scholar 

  • Murray D. M. (1998). Design and analysis of group-randomized trials. New York, NY: Oxford University Press.

    Google Scholar 

  • Noll, R. B., Zucker, R. A., & Greenberg, G. S. (1990). Identification of alcohol by smell among preschoolers: Evidence for early socialization about drugs occurring in the home. Child Development, 61, 1520–1527.

    Article  PubMed  CAS  Google Scholar 

  • Office of Applied Studies (OAS), & Substance Abuse and Mental Health Services Administration (SAMHSA). (1999). National Household Survey on Drug Abuse, Main Findings, 1996 (98--3251). Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration.

  • Pisano, S., & Rooney, J. F. (1988). Children's changing attitudes regarding alcohol: A cross-sectional study. Journal of Drug Education, 18, 1–11.

    Article  PubMed  CAS  Google Scholar 

  • Raudenbush, S. W., & Bryk, A. (2002). Hierarchical linear models (2nd ed.). Newbury Park, CA: Sage.

    Google Scholar 

  • Seeman, P. (1999). Images in neuroscience. Brain Development, X: Pruning during development. American Journal of Psychiatry, 156, 168.

    PubMed  CAS  Google Scholar 

  • Sigelman, C. K., Leach, D. B., Mack, K. L., Bridges, L. J., Rinehart, C. S., Dwyer, K. M., et al. (2000). Children's beliefs about long-term health effects of alcohol and cocaine use. Journal of Pediatric Psychology, 25, 557–566.

    Article  PubMed  CAS  Google Scholar 

  • Sigelman, C. K., Bridges, L. J., Leach, D. B., Mack, K. L., Rinehart, C. S., Sorongon, A. G., et al. (2003). The efficacy of an education program to teach children a scientific theory of how drugs affect behavior. Applied Developmental Psychology, 24, 573–593.

    Article  Google Scholar 

  • Sigelman, C. K., Rinehart, C. S., Sorongon, A. G., Bridges, L. J., & Wirtz, P. W. (2004). Teaching a coherent theory of drug action to elementary school children. Health Education Research, 19, 501–513.

    Article  PubMed  Google Scholar 

  • Smith, R. F. (2003). Animal models of periadolescent substance abuse. Neurotoxicology and Teratology, 25, 291–301.

    Article  PubMed  CAS  Google Scholar 

  • Tapert, S. F., Grahnholm, E., Leedy, N. G., & Brown, S. A. (2002). Substance use and withdrawal: Neuropsychological functioning over 8 years in youth. Journal of the International Neuropsychological Society, 8, 873–883.

    Article  PubMed  Google Scholar 

  • Tapert, S. F., Pulido, C., Paulus, M. P., Schuckit, M. A., & Burke, C. (2004). Level of response to alcohol and brain response during visual working memory. Journal of Studies on Alcohol, 64, 692–700.

    Google Scholar 

  • Tobler, N. S., Roona, M. R., Ochshorn, P., Marshall, D. G., Streke, A. V., & Stackpole, K.M. (2000). School-based adolescent drug prevention programs: 1998 meta-analysis. The Journal of Primary Prevention, 20, 275–336.

    Article  Google Scholar 

  • Whalen, L. G., Kinchen, S., McManus, T., Shanklin, S. L., & Kann, L. (2005). Middle School Youth Risk Behavior Survey 2003. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • White, A. M., & Swartzwelder, S. (2004). Hippocampal functon during adolescence. A unique target of ethanol effects. Annals of the New York Academy of Science, 1021, 206–222.

    Article  CAS  Google Scholar 

Download references

Acknowledegments

Support was provided by Mothers Against Drunk Driving and Grant #2003-DD-BX-1083 from the U.S. Department of Justice Office of Justice Programs, Bureau of Justice Assistance.

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Correspondence to Mary Lou Bell.

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Padget, A., Bell, M.L., Shamblen, S.R. et al. Does Learning About the Effects of Alcohol on the Developing Brain Affect Children's Alcohol Use?. Prev Sci 7, 293–302 (2006). https://doi.org/10.1007/s11121-006-0030-9

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  • DOI: https://doi.org/10.1007/s11121-006-0030-9

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