Journal Article

What Influences Evidence-Based Treatment Sustainment After Implementation Support Ends? A Mixed Method Study of the Adolescent-Community Reinforcement Approach

Our findings lend empirical support for implementation theories in that multiple factors appear to be associated with long-term delivery of an evidence-based treatment.

May 27, 2021
Project

What Do We Know About the Health and Well-Being of U.S. Service Members?

RAND experts have analyzed data from the Department of Defense's flagship survey for understanding the health, health behaviors, and well-being of service members. The results provide valuable insights across various health-related topics and about personnel by service branch.

Apr 28, 2021
Journal Article

Opioid Misuse During Late Adolescence and Its Effects on Risk Behaviors, Social Functioning, Health, and Emerging Adult Roles

We examined the association of opioid misuse from ages 18 to 20 with four domains at age 21–22: risk behaviors and consequences; health; social functioning; and emerging adult roles.

Apr 28, 2021
Journal Article

Sustaining an Evidence-Based Program Over Time: Moderators of Sustainability and the Role of the Getting to Outcomes® Implementation Support Intervention

This randomized controlled trial advances the literature by testing the effects of Getting To Outcomes, an after-school evidence-based program for preventing substance use among middle-school students.

Jan 5, 2021
Journal Article

Practical Factors Determining Adolescent Substance Use Treatment Settings: Results from Four Online Stakeholder Panels

This study aimed to identify practical factors that stakeholders find most critical to consider when planning adolescent substance use treatment.

May 12, 2020
Journal Article

Cost Analysis of a Randomized Trial of Getting to Outcomes Implementation Support of CHOICE in Boys and Girls Clubs in Southern California

This study estimates the societal costs of implementing CHOICE, a voluntary after-school alcohol and other drug prevention program for adolescents, in Boys and Girls Clubs across Southern California with and without an implementation support system called Getting To Outcomes.

Mar 11, 2020
Journal Article

Advancing LGBTQ Health Equity Via Human-Centered Design

Human-centered design (HCD; also known as user-centered design) is well-suited to advance the field of substance use prevention interventions for LGBTQ youths by designing interventions that simultaneously target several the complex, multilevel factors that drive health disparities.

Feb 4, 2020
Journal Article

Associations of Tobacco Advertising Appeal With Intentions to Use Alternative Tobacco Products Among Young Tobacco Users Experiencing Homelessness

The primary goal of this study was to examine the relationship between the appeal of advertising for five classes of tobacco product and future intentions to use those products, among youth experiencing homelessness who had some level of experience with it.

Dec 12, 2019
Journal Article

Roll-your-own Cigarette Smoking Among Youth Experiencing Homelessness

Roll-your-own cigarettes may encourage continued tobacco use among youth experiencing homelessness and pose additional health risks, despite users' beliefs to the contrary.

Dec 12, 2019
Journal Article

Early Alcohol and Smoking Initiation: A Contributor to Sexual Minority Disparities in Adult Use

Lesbian, gay, and bisexual adults report higher rates of smoking and alcohol use than heterosexual peers. Prior studies have not examined whether disparities in early initiation among lesbian, gay, and bisexual youth contribute to adult disparities.

Dec 11, 2019
Journal Article

Early Evidence of the Impact of Cannabis Legalization on Cannabis Use, Cannabis Use Disorder, and the Use of Other Substances: Findings from State Policy Evaluations

Understanding effects of cannabis laws requires greater attention to differences in short- versus long-term effects of the laws, nuances of policies and patterns of consumption, and careful consideration of appropriate control groups.

Oct 30, 2019
Journal Article

Long-term Associations Between Substance Use-Related Media Exposure, Descriptive Norms, and Alcohol Use from Adolescence to Young Adulthood

This study uses advances in longitudinal modeling to extend our understanding of how exposure to substance-related media content, quantity of alcohol use, and perceived descriptive norms about alcohol use are reciprocally related over time.

Sep 19, 2019
Journal Article

Understanding Which Teenagers Benefit Most From a Brief Primary Care Substance Use Intervention

A brief primary care intervention can be effective over the long-term for adolescents who report problems from alcohol and marijuana use.

Aug 16, 2019
Journal Article

Associations Between Driving Under the Influence or Riding with an Impaired Driver and Future Substance Use Among Adolescents

In this article, we examined characteristics of adolescents who reported DUI and RWID in the past year using a baseline survey and then assessed associations between baseline reports of DUI and RWID with reports of alcohol and marijuana use and consequences 6 months later.

Aug 6, 2019
Journal Article

Associations Between Young Adult Marijuana Outcomes and Availability of Medical Marijuana Dispensaries and Storefront Signage

Among young adults in Los Angeles County, living near more MMDs is positively associated with more frequent use of marijuana within the past month and greater expectations of marijuana's positive benefits.

Jun 25, 2019
Journal Article

Overt Perceived Discrimination and Racial Microaggressions and Their Association with Health Risk Behaviors Among a Sample of Urban American Indian/Alaska Native Adolescents

Analyzing the potential effects of the broad range of perceived discrimination (PD) experiences, including both overt PD and racial microaggressions, among urban American Indian/Alaska Native adolescents on health outcomes offers a unique opportunity to further our understanding of these health disparities.

Jun 12, 2019
Blog

Data Breaches, Marijuana, Turkey: RAND Weekly Recap

This weekly recap focuses on consumer reactions to data breaches, understanding teen marijuana use after legalization, why the United States can't rely on Turkey to defeat ISIS, and more.

Jan 4, 2019
Commentary

Vaping May Have Its Place, Just Not With Teens

While e-cigarettes may be a “safer” option for adult smokers, they are not safe for young people. Teens who vape are significantly more likely to start smoking traditional cigarettes in the future.

Dec 17, 2018

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