Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study
Abstract Introduction Substance use among adolescents is a public health problem. We culturally adapted The Social Competence Promotion Program for Young Adolescents (SCPP-YA) program to the school context in Chile (henceforth “Mi Mejor Plan or MMP”) and assessed the acceptability, feasibility, fide...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-05-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-025-23033-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850128187069038592 |
|---|---|
| author | Saray Ramirez Natalia Ríos Cristian A. Rojas-Barahona Marcela Cárcamo Alejandro Sepulveda-Pañaloza Ricardo Araya Jorge Gaete |
| author_facet | Saray Ramirez Natalia Ríos Cristian A. Rojas-Barahona Marcela Cárcamo Alejandro Sepulveda-Pañaloza Ricardo Araya Jorge Gaete |
| author_sort | Saray Ramirez |
| collection | DOAJ |
| description | Abstract Introduction Substance use among adolescents is a public health problem. We culturally adapted The Social Competence Promotion Program for Young Adolescents (SCPP-YA) program to the school context in Chile (henceforth “Mi Mejor Plan or MMP”) and assessed the acceptability, feasibility, fidelity, and quality of the implementation among 6th graders. We also explored the efficacy of the program in improving individual protective factors and reducing risk factors and substance use. Methods Cluster randomized controlled trial conducted in Chile. The schools were randomly assigned to one of two conditions in a 1:1 ratio: 1) the "MMP" intervention group, and 2) the Control group. The program consisted of a 16-h class-based curriculum promoting social problem-solving skills delivered by a trained facilitator. Primary outcomes were acceptability, feasibility, fidelity, and quality of the implementation using detailed reports of facilitators and from observers of the performance of the facilitators in vivo. Additionally, we explored the efficacy of the intervention on secondary outcomes: 30-day prevalence of tobacco, alcohol, and cannabis use and individual risk and protective factors promoted by MMP. We performed an intention-to-treat analysis using mixed models, taking into account the hierarchical nature of the data. Results Seven hundred sixty-five 6th graders from 11 schools were enrolled (one school dropped out after the randomization); 608 were analyzed at baseline, and 538 were analyzed post-intervention. 52.5% were male, and the average age was 11.3 in both groups. All 16 sessions were implemented, and students’ attendance at each session ranged from 83.8% to 92.4%. The program was generally well-received, with up to 91.3% of students rating acceptability positively. Facilitators and observers reported high adherence to the contents of the program in most sessions. Protective factors, such as negative beliefs about tobacco and alcohol, increased significantly in the IG. Still, there were no significant changes in substance use, risk factors, emotion regulation, or school membership. Conclusions The MMP program was well accepted, and we achieved high levels of implementation and fidelity. The program improved some individual protective factors, such as negative beliefs about tobacco and alcohol, with no changes in substance use among adolescents. Trial registration ClinicalTrials.gov, number NCT04236947; registration date: 17/01/2020. |
| format | Article |
| id | doaj-art-dbbd4c25505e4161b565666cbf8dbf9a |
| institution | OA Journals |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-dbbd4c25505e4161b565666cbf8dbf9a2025-08-20T02:33:26ZengBMCBMC Public Health1471-24582025-05-0125111810.1186/s12889-025-23033-3Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control studySaray Ramirez0Natalia Ríos1Cristian A. Rojas-Barahona2Marcela Cárcamo3Alejandro Sepulveda-Pañaloza4Ricardo Araya5Jorge Gaete6Research Center for Student Mental Health (ISME), School of Education, Faculty of Social Sciences, Universidad de los AndesResearch Center for Student Mental Health (ISME), School of Education, Faculty of Social Sciences, Universidad de los AndesFaculty of Psychology, Universidad de TalcaANID, Millennium Science Initiative Program, Millennium Nucleus to Improve the Mental Health of Adolescents and Youths, ImhayDepartment of Epidemiology and Health Studies, Faculty of Medicine, Universidad de los AndesDepartment of Health Service and Population Research, King’s College LondonResearch Center for Student Mental Health (ISME), School of Education, Faculty of Social Sciences, Universidad de los AndesAbstract Introduction Substance use among adolescents is a public health problem. We culturally adapted The Social Competence Promotion Program for Young Adolescents (SCPP-YA) program to the school context in Chile (henceforth “Mi Mejor Plan or MMP”) and assessed the acceptability, feasibility, fidelity, and quality of the implementation among 6th graders. We also explored the efficacy of the program in improving individual protective factors and reducing risk factors and substance use. Methods Cluster randomized controlled trial conducted in Chile. The schools were randomly assigned to one of two conditions in a 1:1 ratio: 1) the "MMP" intervention group, and 2) the Control group. The program consisted of a 16-h class-based curriculum promoting social problem-solving skills delivered by a trained facilitator. Primary outcomes were acceptability, feasibility, fidelity, and quality of the implementation using detailed reports of facilitators and from observers of the performance of the facilitators in vivo. Additionally, we explored the efficacy of the intervention on secondary outcomes: 30-day prevalence of tobacco, alcohol, and cannabis use and individual risk and protective factors promoted by MMP. We performed an intention-to-treat analysis using mixed models, taking into account the hierarchical nature of the data. Results Seven hundred sixty-five 6th graders from 11 schools were enrolled (one school dropped out after the randomization); 608 were analyzed at baseline, and 538 were analyzed post-intervention. 52.5% were male, and the average age was 11.3 in both groups. All 16 sessions were implemented, and students’ attendance at each session ranged from 83.8% to 92.4%. The program was generally well-received, with up to 91.3% of students rating acceptability positively. Facilitators and observers reported high adherence to the contents of the program in most sessions. Protective factors, such as negative beliefs about tobacco and alcohol, increased significantly in the IG. Still, there were no significant changes in substance use, risk factors, emotion regulation, or school membership. Conclusions The MMP program was well accepted, and we achieved high levels of implementation and fidelity. The program improved some individual protective factors, such as negative beliefs about tobacco and alcohol, with no changes in substance use among adolescents. Trial registration ClinicalTrials.gov, number NCT04236947; registration date: 17/01/2020.https://doi.org/10.1186/s12889-025-23033-3AdolescentsSubstance AbusePreventionAcceptabilityFeasibilityFidelity |
| spellingShingle | Saray Ramirez Natalia Ríos Cristian A. Rojas-Barahona Marcela Cárcamo Alejandro Sepulveda-Pañaloza Ricardo Araya Jorge Gaete Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study BMC Public Health Adolescents Substance Abuse Prevention Acceptability Feasibility Fidelity |
| title | Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study |
| title_full | Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study |
| title_fullStr | Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study |
| title_full_unstemmed | Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study |
| title_short | Acceptability, feasibility, fidelity and quality implementation of the culturally adapted version of the Social Competence Promotion Program among Young Adolescents (“Mi Mejor Plan”) to prevent substance use among adolescents in Chile: a pilot randomized control study |
| title_sort | acceptability feasibility fidelity and quality implementation of the culturally adapted version of the social competence promotion program among young adolescents mi mejor plan to prevent substance use among adolescents in chile a pilot randomized control study |
| topic | Adolescents Substance Abuse Prevention Acceptability Feasibility Fidelity |
| url | https://doi.org/10.1186/s12889-025-23033-3 |
| work_keys_str_mv | AT sarayramirez acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT nataliarios acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT cristianarojasbarahona acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT marcelacarcamo acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT alejandrosepulvedapanaloza acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT ricardoaraya acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy AT jorgegaete acceptabilityfeasibilityfidelityandqualityimplementationoftheculturallyadaptedversionofthesocialcompetencepromotionprogramamongyoungadolescentsmimejorplantopreventsubstanceuseamongadolescentsinchileapilotrandomizedcontrolstudy |