In all, 96% of school districts reported implementing at least one commercially developed substance use prevention curricula that did not have evidence of its effectiveness (Table 2).
Considering the school level at which curricula were implemented, school districts were substantially more likely to be using evidence-based substance use prevention curricula extensively in middle school (23%), compared to elementary school (3%) and high school (7%) (Table 3).
In general, North Carolina school districts are more likely to be implementing evidence-based substance use prevention curricula at the middle school level, than the elementary or high school levels.
It was expected that social system characteristics (such as urbanicity) would be important, but the only thing that seemed to really matter in the multivariate analysis was the amount of time district SDFS coordinators spent on substance use prevention each week.
The federal SDFSCA has taken several important steps to encourage adoption of effective, evidence-based substance use prevention programs.
Compared to national estimates, (18) districts in this study reported greater use of evidence-based substance use prevention curricula, indicating the extensive use of evidenced-based substance use prevention curricula, while quite low, was not lower than would be expected from a nationally representative sample.
Consistent with earlier findings, the role of the SDFS coordinator is critical in determining whether school districts implement evidence-based substance use prevention curricula.
School district characteristics associated with the adoption of effective substance use prevention curricula.