Reconceptualizing Efficacy in Substance Use Prevention Research: Refusal Response Efficacy and Drug Resistance Self-efficacy in Adolescent Substance Use

Overview

Journal Health Commun

Specialty Health Services

Date 2013 Jan 22

PMID 23330857

Citations 25

Authors

Hye Jeong Choi

Janice L Krieger

Michael L Hecht

Affiliations

Soon will be listed here.

Abstract

The purpose of this study is to utilize the Extended Parallel Process Model (EPPM) to expand the construct of efficacy in the adolescent substance use context. Using survey data collected from 2,129 seventh-grade students in 39 rural schools, we examined the construct of drug refusal efficacy and demonstrated relationships among response efficacy (RE), self-efficacy (SE), and adolescent drug use. Consistent with the hypotheses, confirmatory factor analyses of a 12-item scale yielded a three-factor solution: refusal RE, alcohol-resistance self-efficacy (ASE), and marijuana-resistance self-efficacy (MSE). Refusal RE and ASE/MSE were negatively related to alcohol use and marijuana use, whereas MSE was positively associated with alcohol use. These data demonstrate that efficacy is a broader construct than typically considered in drug prevention. Prevention programs should reinforce both refusal RE and substance-specific resistance SE.

Citing Articles

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References

Miles A, Voorwinden S, Chapman S, Wardle J . Psychologic predictors of cancer information avoidance among older adults: the role of cancer fear and fatalism. Cancer Epidemiol Biomarkers Prev. 2008; 17(8):1872-9. DOI: 10.1158/1055-9965.EPI-08-0074. View

Enders C . The impact of nonnormality on full information maximum-likelihood estimation for structural equation models with missing data. Psychol Methods. 2002; 6(4):352-70. View

Hong H . An extension of the extended parallel process model (EPPM) in television health news: the influence of health consciousness on individual message processing and acceptance. Health Commun. 2011; 26(4):343-53. DOI: 10.1080/10410236.2010.551580. View

Wong N, Cappella J . Antismoking Threat and Efficacy Appeals: Effects on Smoking Cessation Intentions for Smokers with Low and High Readiness to Quit. J Appl Commun Res. 2010; 37(1):1-20. PMC: 2680609. DOI: 10.1080/00909880802593928. View

Hecht M, Elek E, Wagstaff D, Kam J, Marsiglia F, Dustman P . Immediate and short-term effects of the 5th grade version of the keepin' it REAL substance use prevention intervention. J Drug Educ. 2009; 38(3):225-51. PMC: 2892822. DOI: 10.2190/DE.38.3.c. View

Condiotte M, Lichtenstein E . Self-efficacy and relapse in smoking cessation programs. J Consult Clin Psychol. 1981; 49(5):648-58. DOI: 10.1037//0022-006x.49.5.648. View

Catania J, Kegeles S, Coates T . Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM). Health Educ Q. 1990; 17(1):53-72. DOI: 10.1177/109019819001700107. View

Schafer J, Graham J . Missing data: our view of the state of the art. Psychol Methods. 2002; 7(2):147-77. View

McAuley E, Courneya K, Rudolph D, Lox C . Enhancing exercise adherence in middle-aged males and females. Prev Med. 1994; 23(4):498-506. DOI: 10.1006/pmed.1994.1068. View

10.

Allen J, Chango J, Szwedo D, Schad M, Marston E . Predictors of susceptibility to peer influence regarding substance use in adolescence. Child Dev. 2011; 83(1):337-50. PMC: 3390749. DOI: 10.1111/j.1467-8624.2011.01682.x. View

11.

Bandura A . Human agency in social cognitive theory. Am Psychol. 1989; 44(9):1175-84. DOI: 10.1037/0003-066x.44.9.1175. View

12.

Stephens P, Sloboda Z, Stephens R, Teasdale B, Grey S, Hawthorne R . Universal school-based substance abuse prevention programs: Modeling targeted mediators and outcomes for adolescent cigarette, alcohol and marijuana use. Drug Alcohol Depend. 2009; 102(1-3):19-29. DOI: 10.1016/j.drugalcdep.2008.12.016. View

13.

Feigelman S, Li X, Stanton B . Perceived risks and benefits of alcohol, cigarette, and drug use among urban low-income African-American early adolescents. Bull N Y Acad Med. 1995; 72(1):57-75. PMC: 2359418. View

14.

Bentler P . Comparative fit indexes in structural models. Psychol Bull. 1990; 107(2):238-46. DOI: 10.1037/0033-2909.107.2.238. View

15.

Byrne D, Davenport S, Mazanov J . Profiles of adolescent stress: the development of the adolescent stress questionnaire (ASQ). J Adolesc. 2006; 30(3):393-416. DOI: 10.1016/j.adolescence.2006.04.004. View

16.

Cuijpers P . Effective ingredients of school-based drug prevention programs. A systematic review. Addict Behav. 2002; 27(6):1009-23. DOI: 10.1016/s0306-4603(02)00295-2. View

17.

Cameron K, Rintamaki L, Kamanda-Kosseh M, Noskin G, Baker D, Makoul G . Using theoretical constructs to identify key issues for targeted message design: African American seniors' perceptions about influenza and influenza vaccination. Health Commun. 2009; 24(4):316-26. DOI: 10.1080/10410230902889258. View

18.

Wurtele S, Maddux J . Relative contributions of protection motivation theory components in predicting exercise intentions and behavior. Health Psychol. 1987; 6(5):453-66. DOI: 10.1037//0278-6133.6.5.453. View

19.

Rogers R . A Protection Motivation Theory of Fear Appeals and Attitude Change1. J Psychol. 2017; 91(1):93-114. DOI: 10.1080/00223980.1975.9915803. View

20.

Moscato S, Black D, Blue C, Mattson M, Coster D . Evaluating a fear appeal message to reduce alcohol use among "Greeks". Am J Health Behav. 2001; 25(5):481-91. View