Drug Abuse Resistance Education Program (PROERD)
Problems addressed
Effectiveness

Negative Effect

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Negative Effect

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Where the program was applied
Country of application
Description

This is a Brazilian adaptation of the North American Drug Abuse Resistance Education (D.A.R.E.) Keepin’ it REAL program. The objective is to prevent drug abuse by teaching skills to resist the social pressure associated with the use of psychoactive substances.
The intervention was carried out with fifth- and seventh-grade students from public schools. They participated in 10 classes, one per week, taught by uniformed police officers trained by the program.

Impact evaluations

An impact evaluation showed that the program resulted in a 50% increase in seventh-grade students’ intention to use cigarettes and a 38% increase in the likelihood of accepting cannabis, compared to those who did not participate in the program. The study found a small positive effect on students’ evaluation of their school experience, although without statistical significance [1].
Fifth-graders showed a slight reduction in decision-making skills compared to the treatment group. The study indicates that the program produced side effects, worsening students’ intention to use drugs; it is highly recommended that large-scale implementation be rethought, and it is very important to conduct new experiments to qualify the evidence [1].
A second impact evaluation study found no evidence of the program’s efficacy, indicating its ineffectiveness as a universal program to delay or reduce any drug abuse after 9 months [2].
In addition, a negative effect was observed in the specific subgroup of seventh-graders who were already binge-drinkers and received the intervention. In this case, it was observed that these students were significantly more likely to maintain this behavior compared to the control group [2].
The first study had an experimental design conducted in 30 public schools in the city of São Paulo, with 1,727 fifth-graders and 2,303 seventh-graders from elementary schools, separated between the group that received the 10 PROERD sessions and another group with the same characteristics that served as a control group, which did not participate in the program [1]. The second experiment had a sample of 4,030 students from 30 public schools in the state of São Paulo (1,727 fifth-graders and 2,303 seventh-graders) [2].

Bibliographic reference

[1] Valente, J. Y., & Sanchez, Z. M. (2022). Short-term secondary effects of a school-based drug prevention program: cluster-randomized controlled trial of the Brazilian Version of DARE’s Keepin’it REAL. Prevention science, 23(1), 10-23. https://doi.org/10.1007/s11121-021-01277-w

[2] Sanchez, Z. M., Valente, J. Y., Gusmões, J. D. P., Ferreira-Junior, V., Caetano, S. C., Cogo-Moreira, H., & Andreoni, S. (2021). Effectiveness of a school-based substance use prevention program taught by police officers in Brazil: Two cluster randomized controlled trials of the PROERD. International Journal of Drug Policy, 98, 103413. https://doi.org/10.1016/j.drugpo.2021.103413

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