OBJECTIVES: This study explored the process of adoption and implementation of a school-based drug and alcohol prevention program, Project ALERT, in the country of Chile. METHODS: We describe how Project ALERT was chosen and implemented, how the educator training was carried out, and 3 sources of quantitative and qualitative feedback – surveys from 130 trainees, 5 key stakeholder interviews, and 3 trainer interviews. RESULTS: Results from these sources revealed several facilitators of Project ALERT implementation, such as perceived need and educator confidence, but also barriers, such as cultural considerations, that need to be addressed prior to implementation of the program in Chile. CONCLUSIONS: This first step toward adoption of Project ALERT in Chile provides key evidence to assist in the broader implementation of the program outside the United States.
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