{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:27:13Z","timestamp":1787128033925,"version":"build-2736575974"},"reference-count":117,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int. J. Environ. Res. Public Health","IJERPH"],"abstract":"<jats:p>Background: Early and comprehensive interventions are crucial for preventing substance use in adolescents. In school settings, such interventions can be easily integrated into the curricular and co-curricular activities with the active involvement of school administration, teachers, trained staff, parents, and community members. This review aimed to comprehensively examine preventive, protective, and corrective school-based intervention models for substance use to suggest an evidence-based and effective educational model for preventing substance use in children. Methods: In this scoping review, online databases, including SCOPUS and Web of Science, were searched to identify and collect articles evaluating the effectiveness of school-based prevention models. The PRISMA approach for scoping review (PRISMA-ScR) was employed to assess the scope of relevant literature and synthesise existing school-based intervention models. Two independent reviewers independently screened records (\u03ba = 0.75). Due to heterogeneity, findings were synthesised narratively using a socio-ecological framework. Study quality was appraised using the Mixed Methods Appraisal Tool (MMAT). Results: Forty-three studies, mostly from the United States, were included in the review. All school-based interventions examined were preventive or protective in their approaches. There was no school-based intervention model that was corrective in its approach. Increased knowledge, negative attitudes towards substance use, and reduced substance use in the intervention groups were key outcomes. Effective interventions involved a multi-pronged approach wherein teacher training, student education, and the involvement of parents, senior citizens, police officials, experts, and the community were key components. Additionally, culturally tailored interventions have shown promising results. Conclusions: Among school children, tobacco and alcohol use are most prevalent, and schools can play a crucial role in addressing this issue. Apart from preventive and protective intervention models, the focus needs to shift towards developing integrated school-based corrective models to address the concerns of substance use among school students.<\/jats:p>","DOI":"10.3390\/ijerph23081073","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:12:11Z","timestamp":1787069531000},"page":"1073","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrated Education Models for Addressing Substance Use Among Schoolchildren: A Scoping Review of School-Based Educational Interventions"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6517-7032","authenticated-orcid":false,"given":"Deeksha","family":"Bajpai Tewari","sequence":"first","affiliation":[{"name":"Department of Geography, Dyal Singh College, University of Delhi, New Delhi 110003, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4418-4804","authenticated-orcid":false,"given":"Upma","family":"Gautam","sequence":"additional","affiliation":[{"name":"University School of Law & Legal Studies, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi 110078, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1186-8348","authenticated-orcid":false,"given":"Vaishnavi","family":"Jaiswal","sequence":"additional","affiliation":[{"name":"University School of Law & Legal Studies, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi 110078, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6299-1336","authenticated-orcid":false,"family":"Pooja","sequence":"additional","affiliation":[{"name":"University School of Education, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi 110078, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0372-3708","authenticated-orcid":false,"given":"Ankita","family":"Mishra","sequence":"additional","affiliation":[{"name":"University School of Law & Legal Studies, Guru Gobind Singh Indraprastha University, Dwarka, New Delhi 110078, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1847-950X","authenticated-orcid":false,"given":"Priya","family":"Das","sequence":"additional","affiliation":[{"name":"Campus Law Centre, Faculty of Law, University of Delhi, New Delhi 110007, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"ref_1","first-page":"e31193","article-title":"Substance Abuse Amongst Adolescents: An Issue of Public Health Significance","volume":"14","author":"Nath","year":"2022","journal-title":"Cureus"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"194","DOI":"10.3390\/psychoactives3020013","article-title":"A Multi-Level Analysis of Biological, Social, and Psychological Determinants of Substance Use Disorder and Co-Occurring Mental Health Outcomes","volume":"3","author":"Belfiore","year":"2024","journal-title":"Psychoactives"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s13011-020-00314-1","article-title":"A scoping review of school-based indigenous substance use prevention in preteens (7\u201313 years)","volume":"15","author":"Maina","year":"2020","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/1747-597X-7-23","article-title":"Selective prevention programs for children from substance-affected families: A comprehensive systematic review","volume":"7","author":"Kumpfer","year":"2012","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1176\/ajp.154.11.1610","article-title":"One-Year Follow-Up of Secondary Versus Primary Mental Disorder in Persons With Comorbid Substance Use Disorders","volume":"154","author":"Dixon","year":"1997","journal-title":"Am. J. Psychiatry"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s13011-020-00282-6","article-title":"Mental health problems among young people in substance abuse treatment in Sweden","volume":"15","author":"Richert","year":"2020","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s13011-018-0179-9","article-title":"Smoking, alcohol consumption, and illicit substances use among adolescents in Poland","volume":"13","author":"Nowak","year":"2018","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Mak, Y.W., Leung, D., and Loke, A.Y. (2019). The vulnerability to alcohol, tobacco, and drug use of adolescents in Hong Kong: A phenomenological study. BMC Pediatr., 19.","DOI":"10.1186\/s12887-019-1678-1"},{"key":"ref_9","unstructured":"WHO (2026, March 20). WHO Global Report on Trends in Prevalence of Tobacco Use 2000\u20132030. Available online: https:\/\/iris.who.int\/."},{"key":"ref_10","unstructured":"Charrier, L., Van Dorsselaer, S., Canale, N., Baska, T., Kilibarda, B., Comoretto, R.I., Galeotti, T., Brown, J., and Vieno, A. (2024). A Focus on Adolescent Substance Use in Europe, Central Asia and Canada: Health Behaviour in School-Aged Children International Report from the 2021\/2022 Survey, World Health Organization. Available online: https:\/\/iris.who.int\/handle\/10665\/376573."},{"key":"ref_11","unstructured":"UNODC (2026, March 20). World Drug Report, 2025. Available online: https:\/\/www.unodc.org\/unodc\/en\/data-and-analysis\/world-drug-report-2025-annex.html."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1716","DOI":"10.1080\/10826084.2020.1759642","article-title":"Peer Pressure and Substance Use in Emerging Adulthood: A Latent Profile Analysis","volume":"55","author":"Keyzers","year":"2020","journal-title":"Subst. Use Misuse"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1111\/j.1360-0443.2007.01992.x","article-title":"Peer acceleration: Effects of a social network tailored substance abuse prevention program among high-risk adolescents","volume":"102","author":"Valente","year":"2007","journal-title":"Addiction"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1080\/09638230600998896","article-title":"Substance use and risk-taking among adolescents","volume":"15","author":"Feldstein","year":"2006","journal-title":"J. Ment. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1001\/archpedi.152.10.952","article-title":"Substance abuse in children: Prediction, protection and prevention","volume":"152","author":"Belcher","year":"1998","journal-title":"Arch. Pediatr. Adolesc. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"421","DOI":"10.2190\/VJHU-MRAR-NLG6-1XBH","article-title":"Low self concept as a cause of drug abuse","volume":"4","author":"Samuels","year":"1974","journal-title":"J. Drug Educ."},{"key":"ref_17","first-page":"114","article-title":"Knowledge & attitude towards drug use in school students","volume":"29","author":"Nebhinani","year":"2013","journal-title":"Indian J. Soc. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.drugalcdep.2018.10.009","article-title":"Relationship between childhood abuse and substance misuse problems is mediated by substance use coping motives, in school attending South African adolescents","volume":"194","author":"Hogarth","year":"2019","journal-title":"Drug Alcohol. Depend."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1037\/a0035664","article-title":"A longitudinal study of childhood ADHD and substance dependence disorders in early adulthood","volume":"28","author":"Breyer","year":"2014","journal-title":"Psychol. Addctv. Behav."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1017\/S0954579412000284","article-title":"Differential changes in impulsivity and sensation seeking and the escalation of substance use from adolescence to early adulthood","volume":"25","author":"Quinn","year":"2013","journal-title":"Dev. Psychopathol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1037\/1064-1297.7.1.20","article-title":"Modeling of alcohol use mediates the effect of family history of alcoholism on adolescent alcohol expectancies","volume":"7","author":"Brown","year":"1999","journal-title":"Exp. Clin. Psychopharmacol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/0192513X08326225","article-title":"Parental substance abuse and child well-being: A consideration of parents\u2019 gender and coresidence","volume":"30","author":"Osborne","year":"2009","journal-title":"J. Fam. Issues"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1007\/s11121-019-01072-8","article-title":"Neighborhood Structural Factors and Proximal Risk for Youth Substance Use","volume":"21","author":"Cambron","year":"2020","journal-title":"Prev. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1177\/1049732318761863","article-title":"Contributing Risk Factors for Substance Use Among Youth in Postconflict Liberia","volume":"28","author":"Petruzzi","year":"2018","journal-title":"Qual. Health Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1007\/s10964-016-0475-5","article-title":"Parents, Peers, Perceived Risk of Harm, and the Neighborhood: Contextualizing Key Influences on Adolescent Substance Use","volume":"46","author":"Zimmerman","year":"2017","journal-title":"J. Youth Adolesc."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"579310","DOI":"10.1155\/2013\/579310","article-title":"Familial, Social, and Individual Factors Contributing to Risk for Adolescent Substance Use","volume":"2013","author":"Whitesell","year":"2013","journal-title":"J. Addict."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1080\/10826084.2021.1883660","article-title":"Influence of Family and Community Socioeconomic Status on the Risk of Adolescent Drug Use","volume":"56","author":"Aschengrau","year":"2021","journal-title":"Subst. Use Misuse"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"245","DOI":"10.3102\/0034654313518441","article-title":"The Effects of Adolescent Health-Related Behavior on Academic Performance: A Systematic Review of the Longitudinal Evidence","volume":"84","author":"Busch","year":"2014","journal-title":"Rev. Educ. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1741","DOI":"10.1111\/j.1360-0443.2006.01544.x","article-title":"Reducing substance use improves adolescents\u2019 school attendance","volume":"101","author":"Engberg","year":"2006","journal-title":"Addiction"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"489","DOI":"10.6061\/clinics\/2013(04)09","article-title":"Sexual behavior among high school students in Brazil: Alcohol consumption and legal and illegal drug use associated with unprotected sex","volume":"68","author":"Sanchez","year":"2013","journal-title":"Clinics"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/S1054-139X(96)00180-2","article-title":"The Association of Sexual Risk Behaviors and Problem Drug Behaviors in High School Students","volume":"20","author":"Shrier","year":"1996","journal-title":"J. Adolesc. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1300\/J499v06n02_05","article-title":"The relationship between substance use and STD\/HIV-related sexual risk behaviors among US adolescents","volume":"6","author":"Howard","year":"2004","journal-title":"J. HIV\/AIDS Prev. Child. Youth"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1093\/oxfordjournals.bjc.a048447","article-title":"Empirical Study of the Relations between Drug and Delinquency among Adolescents","volume":"34","year":"1994","journal-title":"Br. J. Criminol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"768","DOI":"10.51594\/ijarss.v5i10.1544","article-title":"Evaluating the impact of early intervention programs on substance abuse prevention in adolescents: A comprehensive review","volume":"5","author":"Katas","year":"2023","journal-title":"Int. J. Appl. Res. Soc. Sci."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s13011-020-00300-7","article-title":"Individualized approach to primary prevention of substance use disorder: Age-related risks","volume":"15","author":"Afuseh","year":"2020","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Tinner, L., Palmer, J.C., Lloyd, E.C., Caldwell, D.M., MacArthur, G.J., Dias, K., Langford, R., Redmore, J., Wittkop, L., and Watkins, S.H. (2022). Individual-, family- and school-based interventions to prevent multiple risk behaviours relating to alcohol, tobacco and drug use in young people aged 8-25 years: A systematic review and meta-analysis. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-13072-5"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Edalati, H., and Conrod, P.J. (2019). A review of personality-targeted interventions for prevention of substance misuse and related harm in community samples of adolescents. Front. Psychiatry, 9.","DOI":"10.3389\/fpsyt.2018.00770"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/S2215-0366(16)00002-X","article-title":"Prevention, early intervention, harm reduction, and treatment of substance use in young people","volume":"3","author":"Stockings","year":"2016","journal-title":"Lancet Psychiatry"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1023\/A:1016591216363","article-title":"Family-Based Approaches to Substance Abuse Prevention","volume":"23","author":"Lochman","year":"2002","journal-title":"J. Prim. Prev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"409","DOI":"10.5498\/wjp.v13.i7.409","article-title":"Delivering substance use prevention interventions for adolescents in educational settings: A scoping review","volume":"13","author":"Liu","year":"2023","journal-title":"World J. Psychiatry"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1023\/A:1022137920532","article-title":"Proximal Impact of Two First-Grade Preventive Interventions on the Early Risk Behaviors for Later Substance Abuse, Depression, and Antisocial Behavior","volume":"27","author":"Lalongo","year":"1999","journal-title":"Am. J. Community Psychol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1136\/jech.2006.048157","article-title":"School culture as an influencing factor on youth substance use","volume":"61","author":"Bisset","year":"2007","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Nawi, A.M., Ismail, R., Ibrahim, F., Hassan, M.R., Manaf, M.R., Amit, N., Ibrahim, N., and Shafurdin, N.S. (2021). Risk and protective factors of drug abuse among adolescents: A systematic review. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11906-2"},{"key":"ref_44","first-page":"575","article-title":"Measuring Risk and Protective Factors for Use, Delinquency, and Other Adolescent Problem Behaviors","volume":"26","author":"Arthur","year":"2002","journal-title":"Eval. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/jcop.1047","article-title":"Family-based adolescent counselling for high-risk young adolescents: Immediate outcomes","volume":"30","author":"Hogue","year":"1998","journal-title":"J. Community Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2190\/5ET9-X1C2-Q17B-2G6D","article-title":"Toward a New Paradigm in Substance Abuse and other Problem Behavior Prevention for Youth: Youth Development and Empowerment Approach","volume":"28","author":"Kim","year":"1998","journal-title":"J. Drug Educ."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/BF02407424","article-title":"Empowering communities to prevent adolescent substance abuse: Process evaluation results from a risk- and protection-focused community mobilization efforts","volume":"16","author":"Harachi","year":"1996","journal-title":"J. Prim. Prev."},{"key":"ref_48","first-page":"9","article-title":"Hispanic Youth, Substance Abuse, and Stress: Implications for Prevention Research","volume":"23","author":"Schinke","year":"1988","journal-title":"Int. J. Addctn."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1023\/A:1019994500301","article-title":"Preventing early adolescent substance use: A family-centered strategy for the public middle school","volume":"3","author":"Dishion","year":"2002","journal-title":"Prev. Sci."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1300\/J274v18n01_07","article-title":"Family-Oriented Interventions for the Prevention of Chemical Dependency in Children and Adolescents","volume":"18","author":"Demarsh","year":"1986","journal-title":"J. Child. Contemp. Soc."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1111\/eip.12458","article-title":"Enhancing prevention and intervention for youth concurrent mental health and substance use disorders: The Research and Action for Teens study","volume":"13","author":"Henderson","year":"2019","journal-title":"Early Interv. Psychiatry"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5820\/aian.2201.2015.42","article-title":"Healing of the canoe: Preliminary results of a culturally tailored intervention to prevent substance abuse and promote tribal identity for Native youth in two Pacific Northwest tribes","volume":"22","author":"Donovan","year":"2015","journal-title":"Am. Indian Alsk. Nativ. Ment. Health Res."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1007\/s11121-019-01036-y","article-title":"Integrating Community-Engagement and a Multiphase Optimization Strategy Framework: Adapting Substance Use Prevention for American Indian Families","volume":"20","author":"Whitesell","year":"2019","journal-title":"Prev. Sci."},{"key":"ref_54","first-page":"250","article-title":"Preventing Alcohol and Tobacco Use Through Life Skills Training Theory, Methods, and Empirical Findings","volume":"24","author":"Botvin","year":"2000","journal-title":"Alcohol Res. Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1007\/s11121-024-01662-1","article-title":"Universal School-Based Substance Use Prevention Using Technology-Supported Cooperative Learning","volume":"25","author":"Chirimwami","year":"2024","journal-title":"Prev. Sci."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1086\/449180","article-title":"Substance Abuse Prevention: Theory, Practice, and Effectiveness","volume":"13","author":"Botvin","year":"1990","journal-title":"Crime Justice"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1177\/0261927X06289476","article-title":"The principle of cultural grounding in school-based substance abuse prevention: The drug resistance strategies project","volume":"25","author":"Hecht","year":"2006","journal-title":"J. Lang. Soc. Psychol."},{"key":"ref_58","first-page":"869","article-title":"Skills enhancement to prevent substance abuse among american indian adolescents","volume":"22","author":"Gilchrist","year":"1987","journal-title":"Int. J. Addctn."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10567-022-00420-5","article-title":"A National Strategy for Preventing Substance and Opioid Use Disorders Through Evidence-Based Prevention Programming that Fosters Healthy Outcomes in Our Youth","volume":"26","author":"Fishbein","year":"2023","journal-title":"Clin. Child. Fam. Psychol. Rev."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1007\/s11121-023-01532-2","article-title":"Normalization of Prevention Principles and Practices to Reduce Substance Use Disorders Through an Integrated Dissemination and Implementation Framework","volume":"24","author":"Sloboda","year":"2023","journal-title":"Prev. Sci."},{"key":"ref_61","first-page":"CD003020","article-title":"Universal school-based prevention for illicit drug use","volume":"12","author":"Faggiano","year":"2014","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1001\/jama.1995.03520380042033","article-title":"Long-term Follow-up Results of a Randomized Drug Abuse Prevention Trial in a White Middle-class Population","volume":"273","author":"Botvin","year":"1995","journal-title":"JAMA"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1006\/pmed.2002.1133","article-title":"Effectiveness of a universal drug abuse prevention approach for youth at high risk for substance use initiation","volume":"36","author":"Griffin","year":"2003","journal-title":"Prev. Med."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.cpr.2015.11.002","article-title":"School-based programmes to reduce and prevent substance use in different age groups: What works for whom? Systematic review and meta-regression analysis","volume":"44","author":"Onrust","year":"2016","journal-title":"Clin. Psychol. Rev."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"950","DOI":"10.11124\/JBIES-21-00483","article-title":"What are scoping reviews? Providing a formal definition of scoping reviews as a type of evidence synthesis","volume":"20","author":"Munn","year":"2022","journal-title":"JBI Evid. Synth."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2307\/2529310","article-title":"The Measurement of Observer Agreement for Categorical Data","volume":"33","author":"Landis","year":"1977","journal-title":"Biometrics"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1080\/01609510903366202","article-title":"Real Groups: The design and immediate effects of a prevention intervention for Latino children","volume":"33","author":"Marsiglia","year":"2010","journal-title":"Soc. Work Groups"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1300\/J160v5n01_05","article-title":"Acculturation status and substance use prevention with mexican and mexican-american youth","volume":"5","author":"Marsiglia","year":"2005","journal-title":"J. Soc. Work Pract. Addict."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"61","DOI":"10.2190\/DE.40.1.e","article-title":"Effects of the 5th and 7th grade enhanced versions of the keepin\u2019 it real substance use prevention curriculum","volume":"40","author":"Elek","year":"2010","journal-title":"J. Drug Educ."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1080\/10410236.2017.1321163","article-title":"Entertainment\u2013Education Videos as a Persuasive Tool in the Substance Use Prevention Intervention \u201ckeepin\u2019 it REAL\u201d","volume":"33","author":"Shin","year":"2018","journal-title":"Health Commun."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1080\/10826084.2020.1858103","article-title":"Testing a Culturally Adapted Youth Substance Use Prevention Program in a Mexican Border City: Mantente REAL","volume":"56","author":"Kulis","year":"2020","journal-title":"Subst. Use Misuse"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.addbeh.2017.05.025","article-title":"Coming to the new DARE: A preliminary test. of the officer-taught elementary keepin\u2019 it REAL curriculum","volume":"74","author":"Day","year":"2017","journal-title":"Addctv. Behav."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"123","DOI":"10.2190\/C467-16T1-HV11-3V80","article-title":"Differences by Gender, Ethinicity, and Acculturation in the efficacy of the keepin\u2019 it REAL Model Prevention Program","volume":"37","author":"Kulis","year":"2007","journal-title":"J. Drug Educ."},{"key":"ref_74","first-page":"621","article-title":"The role of life skills promotion in substance abuse prevention: A mediation analysis","volume":"23","author":"Silbereisen","year":"2008","journal-title":"Health Educ. Res."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1006\/pmed.1996.0061","article-title":"The Effectiveness of Drug Abuse Resistance Education (Project DARE): 5-Year Follow-Up Results","volume":"25","author":"Clayton","year":"1996","journal-title":"Prev. Med."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.drugalcdep.2009.01.015","article-title":"The Adolescent Substance Abuse Prevention Study: A randomized field trial of a universal substance abuse prevention program","volume":"102","author":"Sloboda","year":"2009","journal-title":"Drug Alcohol Depend."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1177\/0743554896111007","article-title":"An Outcome Evaluation of Across Ages: An Intergenerational Mentoring Approach to Drug Prevention","volume":"11","author":"LoSciuto","year":"1996","journal-title":"J. Adolesc. Res."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.3109\/10826089609063981","article-title":"Pilot Test Results Comparing the All Stars Program with Seventh Grade DARE: Program. Integrity and Mediating Variable Analysis","volume":"31","author":"Hansen","year":"1996","journal-title":"Subst. Use Misuse"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1080\/00048670802653364","article-title":"CLIMATE Schools: Alcohol module: Cross-validation of a school-based prevention programme for alcohol misuse","volume":"43","author":"Newton","year":"2009","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13011-018-0171-4","article-title":"Universal cannabis outcomes from the Climate and Preventure (CAP) study: A cluster randomised controlled trial","volume":"13","author":"Newton","year":"2018","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s11469-019-00209-8","article-title":"From Model to Case: Implementation, Follow-Up, and Evaluation of a Permanent School Prevention Program","volume":"18","year":"2020","journal-title":"Int. J. Ment. Health Addict."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1017\/S0954579402004157","article-title":"Contextual social-cognitive mediators and child outcome: A test of the theoretical model in the Coping Power program","volume":"14","author":"Lochman","year":"2002","journal-title":"Dev. Psychopathol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1177\/0047237915579886","article-title":"Alcohol prevention and school students: Findings from an Australian 2-year trial of integrated harm minimization school drug education","volume":"44","author":"Midford","year":"2014","journal-title":"J. Drug Educ."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/0959523031000154409","article-title":"Early unsupervised drinking\u2014Reducing the risks. The School Health and Alcohol Harm Reduction Project","volume":"22","author":"Mcbride","year":"2003","journal-title":"Drug Alcohol Rev."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"281","DOI":"10.14485\/HBPR.8.4.1","article-title":"Drug story theater: A mixed-methods study of a peer-to-peer approach to substance abuse education","volume":"8","author":"Shrand","year":"2021","journal-title":"Health Behav. Policy Rev."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1080\/10826084.2017.1385082","article-title":"Effectiveness of Fresh Start: A Randomized Study of a School-Based Program to Retain a Negative Attitude Toward Substance Use in Secondary School Freshmen","volume":"53","author":"Onrust","year":"2018","journal-title":"Subst. Use Misuse"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"89","DOI":"10.2190\/U92M-29A4-1B7T-HMCM","article-title":"PULSAR: A qualitative study of a substance abuse prevention program","volume":"34","year":"2004","journal-title":"J. Drug Educ."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1177\/00178969241268172","article-title":"Effects of a school-based substance use prevention education on psychoactive substance knowledge, attitudes and behaviours among young people","volume":"83","author":"Onuorah","year":"2024","journal-title":"Health Educ. J."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1046\/j.1360-0443.2002.00038.x","article-title":"The effects of drug abuse prevention at school: The \u201cHealthy School and Drugs\u201d project","volume":"97","author":"Cuijpers","year":"2002","journal-title":"Addiction"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.pedhc.2021.07.013","article-title":"Vaping Prevention in a Middle School Population Using CATCH My Breath","volume":"36","author":"Baker","year":"2022","journal-title":"J. Pediatr. Health Care"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/0033354919900887","article-title":"A Middle School Program. to Prevent E-Cigarette Use: A Pilot. Study of \u201cCATCH. My Breath\u201d","volume":"135","author":"Kelder","year":"2020","journal-title":"Public Health Rep."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"e682","DOI":"10.1016\/S2468-2667(25)00145-8","article-title":"The OurFutures Vaping eHealth intervention to prevent e-cigarette use among adolescent students in Australia: A cluster randomised controlled trial","volume":"10","author":"Gardner","year":"2025","journal-title":"Lancet Public Health"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1300\/J029v16n02_04","article-title":"Applying computer technology to substance abuse prevention science results of a preliminary examination","volume":"16","author":"Marsch","year":"2007","journal-title":"J. Child Adolesc. Subst. Abus."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"277","DOI":"10.2190\/DE.43.3.e","article-title":"Randomized controlled evaluation of the too good for drugs prevention program: Impact on adolescents at different risk levels for drug use","volume":"43","author":"Hall","year":"2013","journal-title":"J. Drug Educ."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1093\/ntr\/ntad244","article-title":"Assessing the Pragmatic Effectiveness and Implementation of Click City: Tobacco: A School-Based Prevention Program Targeting Youth Cigarette and E-cigarette Use","volume":"26","author":"Andrews","year":"2024","journal-title":"Nicotine Tob. Res."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"271","DOI":"10.2190\/DE.41.3.c","article-title":"Are substance use prevention programs more effective in schools making adequate yearly progress? A study of project ALERT","volume":"41","author":"Clark","year":"2011","journal-title":"J. Drug Educ."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s11121-009-0163-8","article-title":"The effects of project ALERT one year past curriculum completion","volume":"11","author":"Ringwalt","year":"2010","journal-title":"Prev. Sci."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"17","DOI":"10.2190\/DE.41.1.b","article-title":"Project success\u2019 effects on substance use-related attitudes and behaviors: A randomized controlled trial in alternative high schools","volume":"41","author":"Clark","year":"2011","journal-title":"J. Drug Educ."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1111\/j.1360-0443.2007.02110.x","article-title":"Outcomes from a randomized controlled trial of a multi-component alcohol use preventive intervention for urban youth: Project Northland Chicago","volume":"103","author":"Komro","year":"2008","journal-title":"Addiction"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1006\/pmed.1998.0338","article-title":"One-Year Outcomes of Project Towards No Drug Abuse","volume":"27","author":"Sussman","year":"1998","journal-title":"Prev. Med."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1037\/a0025756","article-title":"One-year outcomes of a drug abuse prevention program for older teens and emerging adults: Evaluating a motivational interviewing booster component","volume":"31","author":"Sussman","year":"2012","journal-title":"Health Psychol."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.ypmed.2005.11.011","article-title":"Project Towards No Drug Abuse: Long-term substance use outcomes evaluation","volume":"42","author":"Sun","year":"2006","journal-title":"Prev. Med."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s11121-019-01051-z","article-title":"Family Support. and Connection Groups: Long-Term. Benefits for Inner-City Children?","volume":"21","author":"Tolan","year":"2020","journal-title":"Prev. Sci."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1037\/h0079598","article-title":"Preventive School Failure, Drug Use, and delinquency among low-income children: Long-term Intervention in Elementary Schools","volume":"65","author":"Hawkins","year":"1995","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s40865-020-00152-6","article-title":"Applying the Social Development Model in Middle Childhood to Promote Healthy Development: Effects from Primary School Through the 30s and Across Generations","volume":"7","author":"Catalano","year":"2021","journal-title":"J. Dev. Life Course Criminol."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.jadohealth.2010.06.003","article-title":"Effects of a school-based prevention program on European adolescents\u2019 patterns of alcohol use","volume":"48","author":"Caria","year":"2011","journal-title":"J. Adolesc. Health"},{"key":"ref_107","first-page":"53","article-title":"A brief high school prevention program to decrease alcohol usage and change social norms","volume":"41","author":"Allen","year":"2017","journal-title":"Soc. Work Res."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1037\/aap0000164","article-title":"An Efficacy Trial of the Ho\u2018ouna Pono Drug Prevention Curriculum: An Evaluation of a Culturally Grounded Substance Abuse Prevention Program in Rural Hawai\u2018i","volume":"10","author":"Okamoto","year":"2019","journal-title":"Asian Am. J. Psychol."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1300\/J029v04n02_01","article-title":"Substance Refusal: More Than \u201cJust Say No\u201d","volume":"4","author":"Jones","year":"1995","journal-title":"J. Child Adolesc. Subst. Abus."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1037\/a0027085","article-title":"Cultural adaptations of behavioral health interventions: A progress report","volume":"81","author":"Barrera","year":"2013","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1023\/A:1024630205999","article-title":"Effectiveness of School-Based Drug Prevention Programs: A Meta-Analysis of the Research","volume":"18","author":"Tobler","year":"1997","journal-title":"J. Prim. Prev."},{"key":"ref_112","unstructured":"Kerry, M., Julie, N., and Sarah, L. (2013). Effectiveness of School-Based Life-Skills and Alcohol Education Programmes: A Review of the Literature, National Foundation for Educational Research."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1093\/heapro\/dah210","article-title":"A review of school drug policies and their impact on youth substance use","volume":"19","author":"Beyers","year":"2004","journal-title":"Health Promot. Int."},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1177\/1098300718768208","article-title":"A Quasi-Experimental Design Analysis of the Effects of School-Wide Positive Behavior Interventions and Supports on Discipline in Florida","volume":"21","author":"Gage","year":"2019","journal-title":"J. Posit. Behav. Interv."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1007\/s11920-019-1086-0","article-title":"Adolescent Substance Use Disorder Treatment: An Update on Evidence-Based Strategies","volume":"21","author":"Fadus","year":"2019","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_116","first-page":"34","article-title":"Toward a Sociology of Acceptance: The Other Side of the Study of Deviance","volume":"18","author":"Bogdan","year":"1987","journal-title":"Soc. Policy"},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1073\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:03:32Z","timestamp":1787126612000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/8\/1073"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":117,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["ijerph23081073"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23081073","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]}}}