How effective is drug abuse resistance education? A meta-analysis of Project DARE outcome evaluations.
S T Ennett,
N S Tobler,
C L Ringwalt and
R L Flewelling
Center for Social Research and Policy Analysis, Research Triangle Institute, Research Triangle Park, NC 27709-2194.
OBJECTIVES. Project DARE (Drug Abuse Resistance Education) isthe most widely used school-based drug use prevention programin the United States, but the findings of rigorous evaluationsof its effectiveness have not been considered collectively.METHODS. We used meta-analytic techniques to review eight methodologicallyrigorous DARE evaluations. Weighted effect size means for severalshort-term outcomes also were compared with means reported forother drug use prevention programs. RESULTS. The DARE effectsize for drug use behavior ranged from .00 to .11 across theeight studies; the weighted mean for drug use across studieswas .06. For all outcomes considered, the DARE effect size meanswere substantially smaller than those of programs emphasizingsocial and general competencies and using interactive teachingstrategies. CONCLUSIONS. DARE's short-term effectiveness forreducing or preventing drug use behavior is small and is lessthan for interactive prevention programs.
Related articles in AJPH:
The effectiveness of DARE and other drug use prevention programs.
D. L. Fixsen, K. A. Blase, S. F. Naoom, and F. Wallace Core Implementation Components
Research on Social Work Practice,
September 1, 2009;
19(5):
531 - 540.
[Abstract][PDF]
Z. Sloboda, P. Stephens, A. Pyakuryal, B. Teasdale, R. C. Stephens, R. D. Hawthorne, J. Marquette, and J. E. Williams Implementation fidelity: the experience of the Adolescent Substance Abuse Prevention Study
Health Educ. Res.,
June 1, 2009;
24(3):
394 - 406.
[Abstract][Full Text][PDF]
H. Soydan Applying Randomized Controlled Trials and Systematic Reviews in Social Work Research
Research on Social Work Practice,
July 1, 2008;
18(4):
311 - 318.
[Abstract][PDF]
C. L. O'Donnell Defining, Conceptualizing, and Measuring Fidelity of Implementation and Its Relationship to Outcomes in K-12 Curriculum Intervention Research
Review of Educational Research,
March 1, 2008;
78(1):
33 - 84.
[Abstract][Full Text][PDF]
C. H. Weiss, E. Murphy-Graham, A. Petrosino, and A. G. Gandhi The Fairy Godmother--and Her Warts: Making the Dream of Evidence-Based Policy Come True
American Journal of Evaluation,
March 1, 2008;
29(1):
29 - 47.
[Abstract][PDF]
J. J. Arnett The Myth of Peer Influence in Adolescent Smoking Initiation
Health Educ Behav,
August 1, 2007;
34(4):
594 - 607.
[Abstract][PDF]
L. H. Jaycox, D. F. McCaffrey, B. W. Ocampo, G. A. Shelley, S. M. Blake, D. J. Peterson, L. S. Richmond, and J. E. Kub Challenges in the Evaluation and Implementation of School-Based Prevention and Intervention Programs on Sensitive Topics
American Journal of Evaluation,
September 1, 2006;
27(3):
320 - 336.
[Abstract][PDF]
E. M. Ginexi and T. F. Hilton What's Next for Translation Research?
Eval Health Prof,
September 1, 2006;
29(3):
334 - 347.
[Abstract][PDF]
D. C. Des Jarlais, Z. Sloboda, S. R. Friedman, B. Tempalski, C. McKnight, and N. Braine Diffusion of the D.A.R.E and Syringe Exchange Programs
Am J Public Health,
August 1, 2006;
96(8):
1354 - 1358.
[Abstract][Full Text][PDF]
M. A. Dalton, A. M. Bernhardt, J. J. Gibson, J. D. Sargent, M. L. Beach, A. M. Adachi-Mejia, L. T. Titus-Ernstoff, and T. F. Heatherton Use of Cigarettes and Alcohol by Preschoolers While Role-playing as Adults: "Honey, Have Some Smokes"
Arch Pediatr Adolesc Med,
September 1, 2005;
159(9):
854 - 859.
[Abstract][Full Text][PDF]
S. L. West and K. K. O'Neal Project D.A.R.E. Outcome Effectiveness Revisited
Am J Public Health,
June 1, 2004;
94(6):
1027 - 1029.
[Abstract][Full Text][PDF]
K. A. Komro, C. L. Perry, S. Veblen-Mortenson, M. H. Stigler, L. M. Bosma, K. A. Munson, and K. Farbakhsh Violence-Related Outcomes of the D.A.R.E. Plus Project
Health Educ Behav,
June 1, 2004;
31(3):
335 - 354.
[Abstract][PDF]
S. P. Varnell, D. M. Murray, J. B. Janega, and J. L. Blitstein Design and Analysis of Group-Randomized Trials: A Review of Recent Practices
Am J Public Health,
March 1, 2004;
94(3):
393 - 399.
[Abstract][Full Text][PDF]
R. Laniado-Laborin, J. I. Candelaria, A. Villasenor, S. I. Woodruff, and J. F. Sallis Concordance Between Parental and Children's Reports of Parental Smoking Prompts
Chest,
February 1, 2004;
125(2):
429 - 434.
[Abstract][Full Text][PDF]
R. Boruch, H. May, H. Turner, J. Lavenberg, A. Petrosino, D. de Moya, J. Grimshaw, and E. Foley Estimating the Effects of Interventions That are Deployed in Many Places: Place-Randomized Trials
American Behavioral Scientist,
January 1, 2004;
47(5):
608 - 633.
[Abstract][PDF]
R. F. Catalano, M. L. Berglund, J. A. M. Ryan, H. S. Lonczak, and J. D. Hawkins Positive Youth Development in the United States: Research Findings on Evaluations of Positive Youth Development Programs
The ANNALS of the American Academy of Political and Social Science,
January 1, 2004;
591(1):
98 - 124.
[Abstract][PDF]
R. W. Howard, M. W. Berkowitz, and E. F. Schaeffer Politics of Character Education
Educational Policy,
January 1, 2004;
18(1):
188 - 215.
[Abstract][PDF]
G. T. Henry Influential Evaluations
American Journal of Evaluation,
December 1, 2003;
24(4):
515 - 524.
[Abstract][PDF]
M. Deschesnes, C. Martin, and A. J. Hill Comprehensive approaches to school health promotion: how to achieve broader implementation?
Health Promot. Int.,
December 1, 2003;
18(4):
387 - 396.
[Abstract][Full Text][PDF]
R. R. Brookman D.A.R.E. and D.A.R.E. Plus: Only a Modest Impact
AAP Grand Rounds,
August 1, 2003;
10(2):
18 - 19.
[Full Text][PDF]
A. Petrosino Standards for Evidence and Evidence for Standards: The Case of School-Based Drug Prevention
The ANNALS of the American Academy of Political and Social Science,
May 1, 2003;
587(1):
180 - 207.
[Abstract][PDF]
C. L. Perry, K. A. Komro, S. Veblen-Mortenson, L. M. Bosma, K. Farbakhsh, K. A. Munson, M. H. Stigler, and L. A. Lytle A Randomized Controlled Trial of the Middle and Junior High School D.A.R.E. and D.A.R.E. Plus Programs
Arch Pediatr Adolesc Med,
February 1, 2003;
157(2):
178 - 184.
[Abstract][Full Text][PDF]
D. Hallfors and D. Godette Will the `Principles of Effectiveness' improve prevention practice? Early findings from a diffusion study
Health Educ. Res.,
August 1, 2002;
17(4):
461 - 470.
[Abstract][Full Text][PDF]
P. Tonnesen How to reduce smoking among teenagers
Eur. Respir. J.,
January 1, 2002;
19(1):
1 - 3.
[Full Text][PDF]
K. A. Komro, C. L. Perry, C. L. Williams, M. H. Stigler, K. Farbakhsh, and S. Veblen-Mortenson How did Project Northland reduce alcohol use among young adolescents? Analysis of mediating variables
Health Educ. Res.,
February 1, 2001;
16(1):
59 - 70.
[Abstract][Full Text][PDF]
K. E. Bauman, V. A. Foshee, S. T. Ennett, K. Hicks, and M. Pemberton Family Matters: A Family-Directed Program Designed to Prevent Adolescent Tobacco and Alcohol Use
Health Promot Pract,
January 1, 2001;
2(1):
81 - 96.
[Abstract][PDF]
R. Allott, R. Paxton, and R. Leonard Drug education: a review of British Government policy and evidence on effectiveness
Health Educ. Res.,
August 1, 1999;
14(4):
491 - 505.
[Abstract][Full Text][PDF]
F.-A. ESBENSEN and D. W. OSGOOD Gang Resistance Education and Training (Great): Results from the National Evaluation
Journal of Research in Crime and Delinquency,
May 1, 1999;
36(2):
194 - 225.
[Abstract][PDF]
N. S. Tobler, T. Lessard, D. Marshall, P. Ochshorn, and M. Roona Effectiveness of School-Based Drug Prevention Programs for Marijuana Use
School Psychology International,
February 1, 1999;
20(1):
105 - 137.
[Abstract][PDF]
S. A. Soule The Diffusion of an Unsuccessful Innovation
The ANNALS of the American Academy of Political and Social Science,
January 1, 1999;
566(1):
120 - 131.
[Abstract][PDF]
D. P. ROSENBAUM and G. S. HANSON Assessing the Effects of School-Based Drug Education: A Six-Year Multilevel Analysis of Project D.A.R.E.
Journal of Research in Crime and Delinquency,
November 1, 1998;
35(4):
381 - 412.
[Abstract][PDF]
H. M. E. Belcher and H. E. Shinitzky Substance Abuse in Children: Prediction, Protection, and Prevention
Arch Pediatr Adolesc Med,
October 1, 1998;
152(10):
952 - 960.
[Abstract][Full Text][PDF]
R. A. Weisheit and J. M. Klofas The Public Health Approach to Illicit Drugs
Criminal Justice Review,
September 1, 1998;
23(2):
197 - 207.
[Abstract]
J. H. Brown and I. G.G. Kreft Introduction To the Special Issue: Zero Effects of Drug Prevention Programs: Issues and Solutions
Eval Rev,
February 1, 1998;
22(1):
3 - 14.
[PDF]
I. G.G. Kreft An Illustration of Item Homoge-Neity Scaling and Multilevel Analysis Techniques in the Evaluation of Drug Prevention Programs
Eval Rev,
February 1, 1998;
22(1):
46 - 77.
[Abstract][PDF]
M. D'Emidio-Caston and J. H. Brown The Other Side of the Story: Student Narratives on the California Drug, Alcohol, and Tobacco Education Programs
Eval Rev,
February 1, 1998;
22(1):
95 - 117.
[Abstract][PDF]
R. Paxton, S. Finnigan, M. Haddow, R. Allott, and R. Leonard Drug education in primary schools: putting what we know into practice
Health Education Journal,
January 1, 1998;
57(2):
117 - 128.
[Abstract][PDF]
S. A. Gilham, W. L. Lucas, and D. Sivewright The Impact of Drug Education and Prevention Programs: Disparity Between Impressionistic and Empirical Assessments
Eval Rev,
October 1, 1997;
21(5):
589 - 613.
[Abstract][PDF]
R. L. Dukes, J. A. Stein, and J. B. Ullman Long-Term Impact of Drug Abuse Resistance Education (D.A.R.E: Results of a 6-Year Follow-Up
Eval Rev,
August 1, 1997;
21(4):
483 - 500.
[Abstract][PDF]
W. B. Hansen and R. B. McNeal Jr. How D.A.R.E. Works: An Examination of Program Effects on Mediating Variables
Health Educ Behav,
April 1, 1997;
24(2):
165 - 176.
[Abstract][PDF]
J. H. Brown, M. D'Emidio-Caston, and J. A. Pollard Students and Substances: Social Power in Drug Education
Educational Evaluation and Policy Analysis,
January 1, 1997;
19(1):
65 - 82.
[Abstract][PDF]
S. I. DONALDSON, S. SUSSMAN, D. P. MacKINNON, H. H. SEVERSON, T. GLYNN, D. M. MURRAY, and E. J. STONE Drug Abuse Prevention Programming: Do We Know What Content Works?
American Behavioral Scientist,
June 1, 1996;
39(7):
868 - 883.
[Abstract]
L. A. ROHRBACH, C. N. D'ONOFRIO, T. E. BACKER, and S. B. MONTGOMERY Diffusion of School-Based Substance Abuse Prevention Programs
American Behavioral Scientist,
June 1, 1996;
39(7):
919 - 934.
[Abstract]
L. T. Winfree JR, F.-A. Esbensen, and D. W. Osgood Evaluating a School-Based Gang-Prevention Program: A Theoretical Perspective
Eval Rev,
April 1, 1996;
20(2):
181 - 203.
[Abstract][PDF]
R. L. Dukes, J. B . Ullman, and J. A. Stein Three-Year Follow-Up of Drug Abuse Resistance Education (D.A.R.E.)
Eval Rev,
February 1, 1996;
20(1):
49 - 66.
[Abstract][PDF]
J. E. Gans, B. Alexander, R. C. Chu, and A. B. Elster The Cost of Comprehensive Preventive Medical Services for Adolescents
Arch Pediatr Adolesc Med,
November 1, 1995;
149(11):
1226 - 1234.
[Abstract][PDF]
R. L. Dukes, J. B. Ullman, and J. A. Stein An Evaluation of D.A.R.E. (Drug Abuse Resistance Education), Using a Solomon Four-Group Design With Latent Variables
Eval Rev,
August 1, 1995;
19(4):
409 - 435.
[Abstract][PDF]
J. H. Brown and M. D'Emidio Caston On Becoming "At Risk" Through Drug Education: How Symbolic Policies and Their Practices Affect Students
Eval Rev,
August 1, 1995;
19(4):
451 - 491.
[Abstract][PDF]
R. B. McNeal JR and W. B. Hansen An Examination of Strategies for Gaining Convergent Validity in Natural Experiments: D.A.R.E. as an Illustrative Case Study
Eval Rev,
April 1, 1995;
19(2):
141 - 158.
[Abstract][PDF]