{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:45:23Z","timestamp":1787028323033,"version":"build-2736575974"},"reference-count":59,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T00:00:00Z","timestamp":1614038400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["LS (GNT1132853), NN (GNT1166377), JW (GNT1125983), BL (GNT1169377), KC (GNT1120641) and MT (GNT1078407)."],"award-info":[{"award-number":["LS (GNT1132853), NN (GNT1166377), JW (GNT1125983), BL (GNT1169377), KC (GNT1120641) and MT (GNT1078407)."]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["PREMISE Centre of Research Excellence; GNT11349009"],"award-info":[{"award-number":["PREMISE Centre of Research Excellence; GNT11349009"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Australian Commonwealth Department of Health","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>School-based programs can effectively prevent substance use; however, systematic reviews and consultation with stakeholders identified a need for effective, culturally inclusive programs for Aboriginal and\/or Torres Strait Islander (hereafter Aboriginal) youth. This paper describes the development of Strong &amp; Deadly Futures, a six-lesson, curriculum-aligned wellbeing and substance use prevention program that was designed for, and with, the Aboriginal youth. Formative reviews and consultation recommended that the program (i) combine effective components of mainstream prevention with cultural elements, highlighting Aboriginal cultural strengths; (ii) avoid stigma and celebrates the cultural diversity by catering to both Aboriginal and non-Aboriginal students; and (iii) use digital technology to enhance engagement, implementation and scalability. Guided by an Appreciative Inquiry approach, the program was developed in partnership with an Indigenous Creative Design Agency, and four schools in New South Wales and Queensland, Australia. Aboriginal (n = 41) and non-Aboriginal students (n = 36) described their role models, positive aspects of their community and reasons to avoid substance use; these formed the basis of an illustrated story which conveyed the key learning outcomes. Feedback from teachers, students and content experts supported the acceptability of the program, which will be evaluated in a subsequent randomised controlled trial.<\/jats:p>","DOI":"10.3390\/ijerph18042176","type":"journal-article","created":{"date-parts":[[2021,2,23]],"date-time":"2021-02-23T12:40:16Z","timestamp":1614084016000},"page":"2176","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Strong and Deadly Futures: Co-Development of a Web-Based Wellbeing and Substance Use Prevention Program for Aboriginal and Torres Strait Islander and Non-Aboriginal Adolescents"],"prefix":"10.3390","volume":"18","author":[{"given":"Mieke","family":"Snijder","sequence":"first","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3656-4655","authenticated-orcid":false,"given":"Lexine","family":"Stapinski","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Ward","sequence":"additional","affiliation":[{"name":"South Australia Health and Medical Research Institute, Adelaide 5000, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briana","family":"Lees","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cath","family":"Chapman","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8319-9366","authenticated-orcid":false,"given":"Katrina","family":"Champion","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Doyle","sequence":"additional","affiliation":[{"name":"Centre for Research Excellence in Indigenous Health and Alcohol, Discipline of Medicine, Central Clinical School, University of Sydney, Sydney 2050, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Watson","sequence":"additional","affiliation":[{"name":"Gilimbaa, Indigenous Creative Agency, Brisbane 4101, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael","family":"Sarra","sequence":"additional","affiliation":[{"name":"Gilimbaa, Indigenous Creative Agency, Brisbane 4101, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Lear","sequence":"additional","affiliation":[{"name":"Gilimbaa, Indigenous Creative Agency, Brisbane 4101, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Garlick Bock","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maree","family":"Teesson","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Newton","sequence":"additional","affiliation":[{"name":"The Matilda Centre for Research in Mental Health and Substance Use, Sydney Medical School, Faculty of Health and Medicine, University of Sydney, Sydney 2006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,23]]},"reference":[{"key":"ref_1","unstructured":"Australian Institute of Health and Welfare (2019). 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