Melvin D Livingston1, Kelli A Komro1, Alexander C Wagenaar1, Terrence K Kominsky1, Dallas W Pettigrew1, Brady A Garrett1. 1. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth. Kelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Terrence K. Kominsky and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK. Dallas W. Pettigrew is with the Anne and Henry Zarrow School of Social Work, University of Oklahoma, Tulsa.
Abstract
OBJECTIVES: To evaluate effects of 2 alcohol prevention interventions-Communities Mobilizing for Change on Alcohol (CMCA), a community organizing intervention designed to reduce youth alcohol access, and CONNECT, an individual-level screening and brief intervention approach-on other drug use outcomes. METHODS: We conducted a community intervention trial with quarterly surveys over 3 years (2012-2015) of high school students living within the jurisdictional service area of the Cherokee Nation in Oklahoma. We used generalized estimating equations and linear probability models to examine intervention spillover effects on other drug use. RESULTS: We found significant reductions in drug use other than alcohol attributable to CMCA and CONNECT. CMCA was associated with a 35% reduction in chewing tobacco use, a 39% reduction in marijuana use, and a 48% reduction in prescription drug misuse. CONNECT was associated with a 26% reduction in marijuana use and a 31% reduction in prescription drug misuse. CONCLUSIONS: Nonalcohol drug use was consistently reduced as a result of 2 theoretically and operationally distinct alcohol prevention strategies. Evaluations of alcohol prevention efforts should continue to include other drug use to understand the broader effects of such interventions.
OBJECTIVES: To evaluate effects of 2 alcohol prevention interventions-Communities Mobilizing for Change on Alcohol (CMCA), a community organizing intervention designed to reduce youth alcohol access, and CONNECT, an individual-level screening and brief intervention approach-on other drug use outcomes. METHODS: We conducted a community intervention trial with quarterly surveys over 3 years (2012-2015) of high school students living within the jurisdictional service area of the Cherokee Nation in Oklahoma. We used generalized estimating equations and linear probability models to examine intervention spillover effects on other drug use. RESULTS: We found significant reductions in drug use other than alcohol attributable to CMCA and CONNECT. CMCA was associated with a 35% reduction in chewing tobacco use, a 39% reduction in marijuana use, and a 48% reduction in prescription drug misuse. CONNECT was associated with a 26% reduction in marijuana use and a 31% reduction in prescription drug misuse. CONCLUSIONS: Nonalcohol drug use was consistently reduced as a result of 2 theoretically and operationally distinct alcohol prevention strategies. Evaluations of alcohol prevention efforts should continue to include other drug use to understand the broader effects of such interventions.
Authors: C L Perry; C L Williams; S Veblen-Mortenson; T L Toomey; K A Komro; P S Anstine; P G McGovern; J R Finnegan; J L Forster; A C Wagenaar; M Wolfson Journal: Am J Public Health Date: 1996-07 Impact factor: 9.308
Authors: Kelli A Komro; Melvin D Livingston; Alexander C Wagenaar; Terrence K Kominsky; Dallas W Pettigrew; Brady A Garrett Journal: Am J Public Health Date: 2017-01-19 Impact factor: 9.308
Authors: Kelli A Komro; Alexander C Wagenaar; Misty Boyd; B J Boyd; Terrence Kominsky; Dallas Pettigrew; Amy L Tobler; Sarah D Lynne-Landsman; Melvin D Livingston; Bethany Livingston; Mildred M Maldonado Molina Journal: Prev Sci Date: 2015-02
Authors: Cindy L Ehlers; Jennifer R Geisler; Juan A Luna; David A Gilder; Daniel Calac; Juliet P Lee; Roland S Moore Journal: Am Indian Alsk Native Ment Health Res Date: 2020
Authors: Kelli A Komro; Elizabeth J D'Amico; Daniel L Dickerson; Juli R Skinner; Carrie L Johnson; Terrence K Kominsky; Kathy Etz Journal: Prev Sci Date: 2022-06-24
Authors: Kelli A Komro; Terrence K Kominsky; Juli R Skinner; Melvin D Livingston; Bethany J Livingston; Kristin Avance; Ashley N Lincoln; Caroline M Barry; Andrew L Walker; Dallas W Pettigrew; Lisa J Merlo; Hannah L F Cooper; Alexander C Wagenaar Journal: Trials Date: 2022-02-23 Impact factor: 2.279