Effectiveness of School-Based Resilience Interventions on Adolescent Tobacco, Alcohol, and Illicit Substance Use: A Meta-Analysis
- Forfatter(e)
- Chae, J., Kim, H.
- År
- 2026
- Tidsskrift
- Journal of School Health
- Volum
- 96
- Sider
- 11
- Kategori(er)
- Rus (alkohol, illegale rusmidler)
- Tiltakstype(r)
- Skole/barnehagebaserte tiltak
- Abstract
Background
Resilience is a key protective factor in mitigating substance use behaviors in adolescence, but the effectiveness of school-based resilience interventions remains unclear.
Methods
Randomized and quasi-experimental studies evaluating school-based resilience interventions for tobacco, alcohol, or illicit substance use among students aged 6-18 years were identified. Pooled effect sizes were estimated using random-effects meta-analysis, with subgroup and meta-regression analyses.
Results
From 3504 records, 13 studies on tobacco, 14 on alcohol, and 12 on illicit substances met the inclusion criteria. The pooled results showed significant reductions in tobacco (OR = 0.83, 95% CI = 0.73-0.93, I2 = 61.0%), alcohol use (OR = 0.81, 95% CI = 0.74-0.90, I2 = 57.1%), and illicit substance use (OR = 0.80, 95% CI = 0.70-0.92, I2 = 45.3%). Subgroup analysis revealed that multi-level interventions yielded a greater reduction.Implications for School Health Policy, Practice, and Equity School-based resilience interventions reduce adolescent substance use, providing insight into how resilience strategies operate across ecological domains. Embedding sustained, multi-level approaches within whole-school prevention frameworks may strengthen effectiveness and promote equity in school health.
Conclusions
School-based resilience interventions are effective in reducing adolescent substance use, underscoring the need for multi-level intervention strategies.