{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T17:10:41Z","timestamp":1782493841271,"version":"3.54.5"},"reference-count":33,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Promotion Practice"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>The use of alcohol and other drugs is a major public health problem in adolescence. The implementation of evidence-based prevention strategies is still scarce in the global south. This study aimed to evaluate facilitators and barriers to the implementation of the Icelandic prevention model of adolescent substance use (IPM) in Chile. We conducted a qualitative study of stakeholders during the implementation process of the IPM in six municipalities of the Metropolitan Region of Santiago, Chile. We convened six focus groups with parents and professionals from schools and municipal prevention teams (38 participants). Recordings were transcribed and submitted to a six-step thematic analysis. The following facilitators emerged: Participants valued the contribution of the IPM to articulate existing programs and teams, its community focus, and the local data obtained through the survey. There were also several barriers: Those included resistance to adopting a foreign model, the tension between generating local strategies and looking for measures to ensure the fidelity of the implementation, socioeconomic differences between and within municipalities, low-risk perception and supervision of parents in Chile, and a culture that generally does not discourage adolescent substance use. Implementation of the IPM was largely accepted by the stakeholders who agreed with the community approach of the model. The main barriers to consider were related to cultural and socioeconomic factors that need to be addressed in further research and may limit the effects of the model in Chile.<\/jats:p>","DOI":"10.1177\/15248399231201551","type":"journal-article","created":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T02:02:48Z","timestamp":1697508168000},"page":"836-844","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Facilitating Factors and Barriers to the Implementation of the Icelandic Prevention Model of Adolescent Substance Use in Chile: A Focus Group Study"],"prefix":"10.1177","volume":"25","author":[{"given":"Carolina","family":"Sep\u00falveda","sequence":"first","affiliation":[{"name":"Facultad de Psicolog\u00eda, Universidad Diego Portales, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Ib\u00e1\u00f1ez","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"},{"name":"Departamento de Neurociencias, Facultad de Medicina, Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5734-6294","authenticated-orcid":false,"given":"Nicol\u00e1s","family":"Libuy","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"},{"name":"Doctorado en Psicoterapia, Facultad de Medicina y Facultad de Ciencias Sociales, Universidad de Chile y Universidad Cat\u00f3lica de Chile, Santiago, Chile"},{"name":"Millennium Nucleus to Improve, the Mental Health of Adolescents and Youths, Imhay, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viviana","family":"Guajardo","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Mar\u00eda","family":"Araneda","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorena","family":"Contreras","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Donoso","sequence":"additional","affiliation":[{"name":"Departamento de Pediatr\u00eda, Hospital Cl\u00ednico Universidad de Chile, Santiago, Chile"},{"name":"Departamento de Pediatr\u00eda y Cirug\u00eda Infantil, Facultad de Medicina Oriente, Universidad de Chile, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8763-4601","authenticated-orcid":false,"given":"Adrian P.","family":"Mundt","sequence":"additional","affiliation":[{"name":"Departamento de Psiquiatr\u00eda y Salud Mental, Facultad de Medicina Norte, Universidad de Chile, Santiago, Chile"},{"name":"Facultad de Medicina, Universidad Diego Portales, Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"bibr1-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckaa097"},{"key":"bibr2-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr3-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11828-z"},{"key":"bibr4-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2022.103793"},{"key":"bibr5-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01245-0"},{"key":"bibr6-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00508-8"},{"key":"bibr7-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-022-06472-w"},{"key":"bibr8-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-021-05904-3"},{"key":"bibr9-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09288-y"},{"key":"bibr10-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhp.2019.200166"},{"key":"bibr11-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-016-0437-z"},{"key":"bibr12-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1080\/09687637.2020.1863916"},{"key":"bibr13-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1177\/15248399211002827"},{"key":"bibr14-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2010.05.001"},{"key":"bibr15-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyaa052"},{"key":"bibr16-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1177\/1524839919849032"},{"key":"bibr17-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1177\/1524839919849033"},{"key":"bibr18-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1186\/1747-597X-8-27"},{"key":"bibr19-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1111\/add.13248"},{"key":"bibr20-15248399231201551","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1209584"},{"key":"bibr21-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-023-01539-9"},{"key":"bibr22-15248399231201551","doi-asserted-by":"publisher","DOI":"10.4067\/S0717-92272021000100038"},{"key":"bibr23-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1126\/science.abg5298"},{"key":"bibr24-15248399231201551","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daad004"},{"key":"bibr25-15248399231201551","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1117857"},{"key":"bibr26-15248399231201551","unstructured":"Organizaci\u00f3n de los Estados Americanos (OEA)\/Comisi\u00f3n Interamericana para el Control del Abuso de Drogas (CICAD). (2019). Informe sobre el Consumo de Drogas en las Am\u00e9ricas [Report on Drug Use in the Americas]. http:\/\/www.cicad.oas.org\/main\/pubs\/Informe%20sobre%20el%20consumo%20de%20drogas%20en%20las%20Am%C3%A9ricas%202019.pdf"},{"key":"bibr27-15248399231201551","unstructured":"Planet Youth. (2021). The method. How the prevention model works. https:\/\/planetyouth.org\/the-method\/"},{"key":"bibr28-15248399231201551","unstructured":"Portilla Huidobro R., Verg\u00e9s A., Lozier M., Oliva M. (2019). 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