Substance Abuse Education & Risk Reduction Flashcards

The Transtheoretical Model (Stages of Change) identifies which stage as the point where an individual has no intention to change within the next six months?

Answer: Precontemplation

In the precontemplation stage, individuals are not considering change and may be unaware their behavior is problematic.

Which of the following describes 'fidelity' in the context of evidence-based prevention program implementation?

Answer: The extent to which a program is delivered as originally designed

Implementation fidelity refers to delivering a program according to its original design, which is essential for achieving the outcomes demonstrated in research.

What is a 'coalition' in community-based prevention, and what is its key advantage?

Answer: A group of diverse organizations working together; advantage is shared resources and broader reach

A prevention coalition brings together diverse stakeholders who pool resources, expertise, and community connections to address substance use more comprehensively.

In prevention science, what does the term 'dose-response relationship' refer to?

Answer: The finding that greater program exposure is generally associated with better prevention outcomes

In prevention, a dose-response relationship means that individuals who receive more program sessions or content typically show greater reductions in substance use.

Which of the following is an example of a secondary prevention strategy targeting substance use?

Answer: Providing brief counseling to college students who screen positive for high-risk drinking

Secondary prevention targets individuals who have begun risky behavior but have not yet developed a disorder, as in brief counseling after a positive screening.

Cultural competence in substance abuse prevention education primarily involves:

Answer: Adapting programs to be relevant and respectful of the cultural context of the target population

Cultural competence requires adapting prevention content, delivery, and messaging to align with the values, beliefs, and norms of the target community.

A prevention program measures changes in participants' knowledge, attitudes, and intentions before and after the intervention. These are examples of which type of evaluation outcomes?

Answer: Intermediate or proximal outcomes

Knowledge, attitudes, and intentions are intermediate outcomes that are expected to change before behavioral outcomes like actual substance use.