Adaptation and Modification of the Preventive Drug Use Program "Tú Decides”

Main Article Content

Paola Lizeth Flores-Garza
Karla Selene López-García
Benito Israel Jiménez-Padilla
María Magdalena Alonso Castillo
Francisco Rafael Guzmán Facundo

Abstract

Introduction: alcohol and marijuana are the most widely used drugs nowadays and their consumption occurs mainly during adolescence. In Mexico, different drug use prevention programs have been developed, one of them is the “Tú Decides” program, by Rodriguez et al. (2011). This program was carried out under the framework of the Theory of Planned Behavior (Ajzen, 1991); it consists of five sessions of 50 minutes each and its objective is to reduce the experimental use of illicit drugs and the consumption of alcohol and tobacco. The program was applied to a vulnerable population in the center of the country, where it had a moderate effect on perceived behavioral control and drug use intention.


Objective: to describe the stages of adaptation and extension of the theoretical basis of the intervention “Tú Decides”, focusing it on the prevention of alcohol and/or marijuana consumption in adolescents in northeastern Mexico.


Method: to carry out this adaptation and modification process, the adaptation model of Barrera and Castro (2006) was taken as a basis.


Results: the preliminary adaptation and modification were well accepted and successfully evaluated by the adolescents.


Conclusions: the adapted intervention was named “Tú Decides +”. It is composed of four sessions from the original intervention, a self-efficacy session, and three emotional intelligence sessions, which give a total of 8 sessions of 45 minutes; it aims to reduce the intention to consume and the consumption of alcohol and/or marijuana. It is expected that by adapting and modifying to the needs of the specific population, more effective and lasting results will be obtained.

Keywords:
adaptation ,  modification ,  program ,  alcohol ,  marijuana
Published: Apr 29, 2021

Article Details

How to Cite
Flores-Garza, P. L., López-García, K. S., Jiménez-Padilla, B. I., Alonso Castillo, M. M., & Guzmán Facundo, F. R. (2021). Adaptation and Modification of the Preventive Drug Use Program "Tú Decides”. Revista Internacional De Investigación En Adicciones, 7(1), 33–42. https://doi.org/10.28931/riiad.2021.1.05
Section
Original Articles

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. doi: 10.1016/07495978(91)90020t

Ajzen, I. (2019). Theory of Planned Behavior Diagram. https://people.umass.edu/aizen/tpb.diag.html

Almaraz Castruita, D. A. (2018). Intervención holística de enfermería para la reducción del consumo de tabaco: consejo breve y atención plena [Tesis de Doctorado, Universidad Autónoma de Nuevo León]. http://eprints.uanl.mx/16826/

Arellanez Hernández, J. L. (2013). Evaluación de la eficacia de un proyecto de prevención selectiva dirigidos adolescentes: Informe de investigación 13-05. Centros de Integración Juvenil A.C. Subdirección de Investigación. http://www.cij.gob.mx/programas/Investigacion/pdf/13-05.pdf

Barrera, M., Jr., & Castro, F. G. (2006). A Heuristic Framework for the Cultural Adaptation of Interventions. Clinical Psychology Science and Practice, 13(4), 311-316. doi: 10.1111/j.1468-2850.2006.00043.x

Barrera, M., Jr., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013). Cultural adaptations of behavioral health interventions: A progress report. Journal of consulting and clinical psychology, 81(2), 196-205. doi: org/10.1037/a0027085

Blakely, C. H., Mayer, J. P., Grottschalk, R. G., Schimitt, N., Davidson, W. S., Roitman, D. B. y Emshoff, J. G. (1987). The fidelity-adaptation debate: Implications for the implementation of public sector social programs. American Journal of Community Psychology, 15(3), 253-268. doi: 10.1007/BF00922697

Castro, F. G., Barrera, M., Jr., & Holleran Steiker, L. K. (2010). Issues and challenges in the design of culturally adapted evidence-based interventions. Annual Review of Clinical Psychology, 6, 213-239. doi:10.1146/annurev-clinpsy-033109-132032

Fernández, P., Extremera, N. & Ramos, N. (2004). Validity and reliability of the spanish modified version of the Trait Meta-Mood Scale. Psychological reports, 94(3), 751-755. doi: 10.2466/pr0.94.3.751-755

Fishbein, D., Hyde, C., Eldreth, D., Paschall, M., Hubal, R., Das, A., Tarter, R., Ialongo, N., Hubbard, S. & Yung, B. (2006). Neurocognitive skills moderate urban male adolescents responses to prevention intervention materials. Drug and alcohol dependence, 82(1), 47-60. doi; 10.1016/j.drugalcdep.2005.08.008

García, J., García, A., Gázquez, M., & Marzo, J. (2013). La Inteligencia Emocional como estrategia de prevención de las adicciones. Salud y Drogas, 13(2), 89-97. http://www.redalyc.org/pdf/839/83929573001.pdf

González-Castro, F. G., Barrera, M., Jr., & Martinez, C. R., Jr. (2004). The cultural adaptation of prevention interventions: resolving tensions between fidelity and fit. Prevention science: the official journal of the Society for Prevention Research, 5(1), 41-45. doi: 10.1023/B:PREV.0000013980.12412.cd

Guo, J. L., Lee, T. C., Liao, J. Y., & Huang, C. M. (2015). Prevention of illicit drug use through a school-based program: results of a longitudinal, cluster-randomized controlled trial. The Journal of adolescent health: official publication of the Society for Adolescent Medicine, 56(3), 314–322. doi: 10.1016/j.jadohealth.2014.12.003

Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz. (2017). Encuesta Nacional de Consumo de Drogas, Alcohol y Tabaco 2016. http://inprf.gob.mx/psicosociales/archivos/ena/ENCODAT_DROGAS_2016-2017.pdf

Moral, M., Ovejero, A., Sirvent, C., & Rodríguez, F. (2005). Prevención e intervención psicosocial sobre el consumo juvenil de sustancias psicoactivas: Comparación de la eficacia preventiva de cuatro programas. Psychosocial Intervention, 14(2), 189-208. https://journals.copmadrid.org/pi/archivos/99051.pdf

National Institute on Drug Abuse. (2004). Cómo prevenir el uso de drogas en los niños y los adolescentes. https://www.drugabuse.gov/sites/default/files/redbook_spanish.pdf

Organización Mundial de la Salud (2021). Salud del adolescente y el joven adulto. https://www.who.int/es/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions

Ramos, Z., & Alegría, M. (2014). Cultural Adaptation and Health Literacy Refinement of a Brief Depression Intervention for Latinos in a Low-Resource Setting. Cultural diversity & ethnic minority psychology, 20(2), 293-301. doi: 10.1037/a0035021

Rodríguez, K., Díaz, D., García, S., Guerrero, J. & Gómez, E. (2011). Evaluación de un programa de prevención del consumo de drogas para adolescentes, Salud mental, 34(1), 27-35. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-33252011000100004

Rosabal, E., Romero, N., Gaquín, K., & Hernández, R. (2015). Conductas de riesgo en los adolescentes. Revista Cubana de Medicina Militar, 44(2), 218-229. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S013865572015000200010&lng=es&tlng=es

Ruiz, T. & Medina-Mora, I. (2014). La percepción de los adolescentes sobre el consumo de alcohol y su relación con la exposición a la oportunidad y la tentación de consumo de alcohol. Salud mental, 37(1), 1-8. http://www.medigraphic.com/cgi-bin/new/resumenI.cgi?IDARTICULO=48664

Salovey, P., Mayer, J., Goldman, S., Turvey, C., & Palfai, T. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the Trait Meta-Mood Scale. En W. Pennebaker (Ed.), Emotion, disclosure, & health (p. 125–154). American Psychological Association. doi: 10.1037/10182-006

Sánchez-Gómez, M. (2004). Investigación cualitativa en F. Salvador, J. L. Rodríguez y A. Bolívar (Dirs.), Diccionario enciclopédico de didáctica (Vol. 2, pp. 95-102). Aljibe.

Secretaría de Salud. (s.f.). Reglamento de la Ley general de salud en materia de investigación para la salud. http://www.salud.gob.mx/unidades/cdi/nom/compi/rlgsmis.html

Steinmetz, H., Knappstein, M., Ajzen, I., Schmidt, P., & Kabst, R. (2016). How effective are behavior change interventions based on the theory of planned behavior? A three-level meta-analysis. Zeitschrift für Psychologie, 224(3), 216-233. doi: org/10.1027/2151-2604/a000255

United Nations Office on Drugs and Crime. (2018). Informe mundial sobre las drogas 2018. https://www.unodc.org/wdr2018/prelaunch/WDR18_ExSum_Spanish.pdf