Knowledge-attitude-behavior and values-based models are analyzed with regard to their application to development and evaluation of drug education programs; theoretical problems of these models are identified. The experimental evidence regarding the application of these models to drug education is reviewed. Recommendations are made concerning theoretical, programming, and research implications for drug education and for health education in general.
Get full access to this article
View all access options for this article.
References
1.
Abelson RP, Aronson E., McGuire WJ, et al: Theories of Cognitive Consistency: A Sourcebook. Chicago, Rand McNally, 1968.
2.
Abrams LA, Garfield EF, SwisherJD (eds): Accountability in Drug Education: A Model for Evaluation . Washington, DC, Drug Abuse Council , 1973.
3.
Acock AC, DeFleur ML: A configurational approach to contingent consistency in the attitude-behavior relationship. Am Sociol Rev37:714-726, 1972.
4.
Ajzen I., Fishbein M.: Attitudinal and normative variables as predictors of specific behaviors. J Pers Soc Psychol27:41-57, 1973.
5.
Arundell RC, Wherry M.: Feeling Good (Teacher's Guide and Student's Manual)Charlotte, North Carolina, Charlotte Drug Education Center, Inc , 1973.
6.
Audi R.: On the conception and measurement of attitudes on contemporary Anglo-American psychology. J TheorSoc Behav2:179-203, 1972.
7.
Barty N., Bethell B., Bellward GD: Drug abuse education: A practical approach for elementary school. Educ Can13:10-13, 1973.
8.
Beck CM: Moral Education in the Schools: Some Practical Suggestions, Profiles of Practical Education no 3. Toronto: The Ontario Institute for Studies in Education, 1971.
9.
Berberian RM, Gross C., Lovejoy J., et al: The effectiveness of drug education programs: A critical review . Health Educ Monogr4:377-398, 1976.
10.
Berger B., Hopp J.W., Raetting V.: Values clarification and the cardiac patient. Health Educ Monogr3:191-199, 1975.
11.
Bethell BJ, Barty N., Bellward GD: A drug abuse program for grades 4-7. B CTeacher53:118-121, 1974.
12.
Bond DJ: An Analysis of Valuation Strategies in Social Science Education Materials. Ed.D. Dissertation. Berkeley, University of California, 1971.
13.
Bookman M., Safferstone M.: Drugs. Developing Real Understanding and Growth in Students: Affective Approaches to Intermediate Elementary Substance Education. A Program Guide. Miami, Dade County SchoolSystem, 1973.
14.
Branca MD, d'Augelli JF, Evans KL: Development of a Decision-Making Skills Education Program, Study I. Mimeographed . Pennsylvania State University, Addictions Prevention Laboratory, 1975.
15.
Braucht CN, Follingstad D., Brakarsh D. et al: Drug education: A review of goals, approaches and effectiveness, and a paradigm for evaluation. QJ Stud Alc34:1279-1292, 1973.
16.
Brayer HO, Maloney PB, Cleary ZW, et al: A Comparative Analysis of Drug Use and Its Relationship to Certain Attitudes, Values, and Cognitive Knowledge on Drugs Between Eighth and Eleventh Grade Students in the Coronado Unified School District. Mimeographed. Coronado, California, Coronado Unified School District , June 1970.
17.
Briskin AS: Developmental stage theory and drug abuse education. Paper presented at the Annual Meeting of the American Educational Research Association, Washington, DC, 1975.
18.
Brown W., Kingsley RF: The effect of individual contracting and guided group interaction upon behavior disordered youth's self-concept. J Sch Health45:399-401, 1975.
19.
Calder BJ, Ross M.: Attitudes and Behavior. Morristown, New Jersey, General Learning Press, 1973.
20.
California State Department of Education. A Study of More Effective Education Relative to Narcotics, Other Harmful Drugs and Hallucinogenic Substances. Progress reports submitted to the California Legislature. Sacramento, 1969 and 1970.
21.
Campbell DT: Social attitudes and other acquired behavioral dispositions. In Koch S(ed): Psychology: A Study of a Science . New York, McGraw-Hill, 1963, vol. 6.
22.
Canadian Home and School and Parent-Teacher Federation: Students and Smoking: Report of the 1971-72 Canadian School Survey on Cigarette Smoking. Toronto, 1973.
23.
Carman RS: Values, expectations, arid drug use among high school students in a rural community. Int J Addict9:57-80, 1974.
24.
Carney RE: An Evaluation of the Effect of a Values-Oriented Drug Abuse Education Program Using the Risk Taking Attitude Questionnaire. Mimeographed. Coronado, California, Coronado Unified School District , 1971.
25.
Carney RE (ed): Risk Taking Behavior. Springfield, Illinois, Charles C Thomas, 1971.
26.
Carney RE: Final 1972-1973 Report on the Use of the RTAVI to Evaluate the Effects ofa Values-Oriented Drug Abuse Prevention Education Program in the Tempe, Arizona Schools. Mimeographed, 1975.
27.
Charlotte Drug Education Center, Inc. Keep Out! Charlotte, North Carolina, 1973.
28.
Cook RF, Morton AS: An Assessment of Drug Education-Prevention Programs in the U.S. Army. U.S. Army Research Institute for the Behavioral and Social Sciences, 1975.
29.
D'Augelli JF: Brief Report: Initial Evaluation of a Televised Effective Education Program as a Primary Prevention Strategy. Mimeographed. University Park: Pennsylvania State University, Addictions Prevention Laboratory, 1975.
30.
D'Augelli JF, Swisher JD, Evans KL: Initial Assessment of the Manchester Plan: An Affective Drug Abuse Curriculum . Mimeographed. University Park: Pennsylvania State University, Addictions Prevention Laboratory, 1975.
31.
Education Commission of the States: Task Force on Responsible Decisions About Alcohol. Interim Report, No. 2 (A summary). Denver, Colorado, 1975.
32.
Eldridge MS, Barckowski RS, Witmer JM: Effects of DUSO on the self-concepts of second grade students. Elem Sch Guid Couns7:256-260, 1974.
33.
Evans RR, Borgatta EF: An experiment in smoking dissuasion among university freshmen: A follow-up . J Health Soc Behav11:30-36, 1970.
34.
Fejer D., Smart RG: The knowledge about drugs, attitudes towards them and drug use rates among high school students. J Drug Educ3: 337-388, 1973.
35.
Ferguson P.: Drugs and Attitude Change. Non-Medical Drug Use: Attitudes and Attitude Change , National Institute on Drug Abuse Research Issues no 3. Rockville, Maryland, 1974.
36.
Festinger L. : Behavioral support for opinion change. Public Opin Q28:404-417, 1964.
37.
Fishbein M.: Introduction: The prediction of behaviors from attitudinal variables. In Mortensen CD, Sereno KK (eds): Advances in Communication Research. New York, Harper & Row, 1973 .
38.
Frank PR: An effective approach to drug education. Paper presented at the Annual Meeting of the American Education Research Association , 1974.
39.
Goodstadt MS: Myths and methodology in drug education: A critical review of the research evidence. In Goodstadt MS (ed): Research on Methods and Programs of Drug Education. Toronto , Addiction Research Foundation, 1974.
40.
Goodstadt MS : Impact and roles of drug information in drug education. J Drug Educ5:223-233, 1975.
41.
Goodstadt MS: The effectiveness of drug education within the context of health education . Paper presented at the Seminar on Evaluation of European Drug Education, London, 1975.
42.
Goodstadt MS , Magid S., Gruson V., et al: The drug attitude scale(DAS): Its development and evaluation. Int J Addict13(8), 1977.
43.
Green LW: Should health education abandon attitude change strategies? Perspectives from recent research. Health Educ Monogr1(30):25-48, 1970.
44.
de Haes W., Schuurman J.: Results of an evaluation study of three drug education methods. Int J Health Educ18:1-16, 1975.
45.
Haynes J., Mathews B.: Human values: Implications for health education practice. Int J Health Educ17:266-273, 1974.
46.
Hoffman ML: Moral development. In Mussen PH (ed): Manual of Child Psychology, ed 3. New York, John Wiley, 1970, vol. 2.
47.
Irwin RP: The effect of the teacher and three different classroom approaches on seventh grade smoking. Cancer Forum5:240-243, 1975. (Also in Creswell WH Jr, Huffman WJ, Stone DB (eds): Youth Smoking Behavior Characteristics and Their Education Implications . Mimeographed. Urbana, University of Illinois, 1970.
48.
Kiesler CA, Collins BE, Miller N.: Attitude Change: A Critical Analysis of Theoretical Approaches. New York, John Wiley, 1969.
49.
Knopf A.: Cancer: Changes in Opinion After 7 Years of Public Education in Lancaster . Manchester, England, Manchester Regional Committee on Cancer, 1974.
50.
Kohn P.: Motivation for drug and alcohol use. In Goodstadt MS (ed): Research on Methods and Programs of Drug Education . Toronto, Addiction Research Foundation , 1974.
51.
Kothandapani V.: Validation of feeling, belief, intention to act as three components of attitude and their contribution to prediction of contraceptive behavior. J Pers Soc Psychol19:321-333, 1971.
52.
Koval CB: Effects of a Selected Guidance Program on the Self-Concept of Appalachian Primary School Children. Ph.D. Dissertation, Ohio State University, 1971.
53.
Landry RG: Schilson E, Parden EM: Self-concept enhancement in a preschool program. J Exper Educ42:39-43, 1974.
54.
La Piere RT: Attitudes versus actions. Soc Forces13:230-237, 1934.
55.
Leo PF: The Effects of Two Types of Group Counselling Upon the Academic Achievement and Self-Concept of Mexican-American Pupils in the Elementary School. Washington, DC, Office of Education, U.S. Department of Health, Education, and Welfare, 1972.
56.
Lewis JM, Gossett JT, Phillips VA: Evaluation of a drug prevention program. Hosp Commun Psychiatr23:124-126, 1972.
57.
Lotecka L.: A project advocating humanistic education: An evaluation of its effects on public school teachers. J Drug Educ4:141-149, 1974.
58.
McGuire WJ: The nature of attitudes and attitude change. In Lindzey G, Aronson E(eds): The Handbook of Social Psychology, ed 2. Reading, Massachusetts, Addison-Wesley, 1969, vol 3.
59.
Mason ML: Drug Education Effects. Final Report, Young Adult Services . Gainesville, Florida, 1972.
60.
Matthews VL, Piper GW: The Saskatoon Smoking Study: Five Year Trends. A report to theDepartment of National Health and Welfare. Ottawa, Canada, 1975.
61.
Merki DJ: Student centered approaches to behavior and attitude change. In Creswell WH Jr, Huffman WJ , Stone DB (eds): Youth Smoking Behavior Characteristics and Their Educational Implications. Mimeographed . Urbana, University of Illinois , 1970.
62.
Milgram G.: A historical review of alcohol education research and comments. J Alc Drug Educ21:1-16, 1976.
63.
Myers EE: The effects of a drug education curriculum based on a causal approach to human behavior. J Drug Educ4:309-315, 1974.
64.
O'Rourke TW , Barr SL: Assessment of the effectiveness of the N.Y. State Drug Curriculum Guide with respect to drug attitudes. J Drug Educ4:347-356, 1974.
65.
Ostram TM: The relationship between the affective, behavioral, and cognitive components of attitude. J Exper Soc Psychol5:12-30, 1969.
66.
Pethel DL: Comparison of two approaches to instruction on drug abuse. SchHealth Rev2(2):9-11, 1971.
67.
Pierce JC, Hieatt D., Goodstadt M., et al: Experimental evaluation of a community based campaign against drinking and driving. In Alcohol, Drugs and Traffic Safety . Toronto, Addiction Research Foundation , 1975.
68.
Porter Fth: Assessing public reaction to an anti-smoking campaign. Ont Med Rev36:217-224, 1969.
69.
Rabinowitz HS, Zimmerli WH: Effects of a health education program on junior high school students' knowledge, attitudes, and behavior concerning tobacco use. J Sch Health44:324-330, 1974.
70.
Raths L., Harmin N., Simon S.: Values and Teaching. Columbus, Ohio, Charles E. Merrill Publishing, 1966.
71.
Richardson DW, Nader PR, Roghmann KJ et al: Attitudes offifth grade students to illicit psychoactive drugs. J Sch Health42:389-391, 1972.
72.
Rokeach M.: Attitude change and behavioral change. Public Opin Q30:529-550, 1966.
73.
Rokeach M.: Beliefs, Attitudes, and Values: A Theory of Organization and Change. San Francisco, Jossey-Bass, 1968 .
74.
Rokeach M.: The Nature of Human Values. New York, Free Press, 1973.
75.
Rokeach M., Kliejunas P.: Behavior as a function of attitude-toward-object and attitude-toward-situation . J Pers Soc Psychol22:194-201, 1972.
76.
Ruiz EM: ALMA: The new drug education. J Drug Educ5:1-11, 1975.
77.
Ryan WP: A school-based drug abuse prevention program: An evaluation. J Drug Educ4:61-67, 1974.
78.
Samuels DJ, Samuels M.: Low self-concept as a cause of drug abuse. J Drug Educ4:421-436, 1974.
79.
Schlegel R., Crawford CA, Sanborn MD: Specificity parameters of the Fishbein Model: An application to adolescent alcohol use. J Pers Soc Psychol13(5):421, 1977.
80.
Schuman H.: Attitudes vs action versus attitudes vs attitudes. Public Opin Q36:348-354, 1972.
81.
Shain M.: The effect of values clarification and survey feedback on teachers' attitudes toward education and drugs. J Drug Educ4:369-383, 1974.
82.
Simon S., Howe LH, Kirschenbaum H.: Values Clarifications: A Handbook of Practical Strategies for Teachers and Students. New York, Hart Publishing , 1972.
83.
Stoessel RE: Exploration of the attitudes of students involved with drugs. In Kemp W (ed): Drug Abuse: Current Concepts and Research. Springfield, Illinois, Charles C Thomas, 1972.
84.
Stokes JP: Personality traits and attitudes and their relationship to student drug using behavior. Int J Addict9:267-287, 1974.
85.
Stone DB, Huffman WJ: A replication of the Horn study on youth smoking in 1967. In Creswell WH Jr, Huffman WJ , Stone DB(eds): Youth Smoking Behavior Characteristics and Their Educational Implications. Mimeographed. Urbana, University of Illinois , 1970.
86.
Stuart RB: Teaching facts about drugs: Pushing or preventing?J Educ Psychol66:189-201, 1974.
87.
Sullivan EV: Moral Learning: Some Findings, Issues and Questions. New York, Paulist Press, 1975.
88.
Swift B., Dorn N., Thompson A.: Evaluation of Drug Education: Findings of a National Research Study of Effects on Secondary School Students of Five Types of Lessons Given by Teachers. London, Institute for the Study of Drug Dependence , 1974.
89.
Swisher JD, Crawford JL Jr: An evaluation of a short-term drug education program. Sch Couns18:265-272, 1971.
90.
Swisher JD, Crawford J., Goldstein R., et al: Drug education: Pushing or preventing? Peabody J Educ44:68-75, 1971.
91.
Swisher JD, Horan JJ: Effecting drug attitude change in college students via induced cognitive dissonance . J SPATE15:26-30, 1972.
Swisher JD, Piniuk.AJ: An Evaluation of Keystone Central School District's Drug Education Program . Mimeographed. University Park, Pennsylvania State University, Addictions Prevention Laboratory, nd.
94.
Swisher JD, Wall B.: A Goal Oriented Index of Affective Education Materials. Mimeographed. University Park, Pennsylvania State University, Addictions Prevention Laboratory, 1975.
95.
Swisher JD, Warner RW Jr, Herr EL: Experimental comparison of four approaches to drug abuse prevention among ninth and eleventh graders. J Couns Psychol19:328-332, 1972.
96.
Swisher JD, Warner RW Jr, Spence CC, et al: Four approaches to drug abuse prevention among college students . J Coll Student Pers14: 231-235, 1973.
97.
Tandy RE: Smoking among teenagers: Effects of programmed instruction on attitudes, behavior and knowledge. Int J Health Educ15:106-112, 1972.
98.
Tennant FS Jr, Weaver SC, Lewis CE: Outcomes of drug education: Four case studies . Pediatrics52:246-251, 1973.
99.
Thomas EM, Wake FR: Effects of Health Education on Smoking Habits in School Students: A Longitudinal Study. Report to theDepartment of National Health and Welfare, Ottawa, Canada, 1972.
100.
Tittle CR, Hill RJ: Attitude measurement and prediction of behavior: An evaluation of conditions and measurement techniques. Sociometry30:199-213, 1967.
101.
Walker BW: The Effect of a Decision-Theory Paradigm on the Classroom Behavior of Individual Middle School Students Referred to the Counselor. Ph.D. Dissertation. Baltimore, Maryland, Loyola College, 1974.
102.
Warner RW Jr, Swisher JD, Horan JJ: Drug Abuse Prevention: A behavioral approach. Nat'l Assoc Second Sch Principals Bull57:49-54, 1973.
103.
Weigel RH, Newman LS: Increasing attitude-behavior correspondence by broadening the scope of the behavioral measure. J Pers Soc Psychol33:793-802, 1976.
104.
Weinstein AG: Predicting behavior from attitudes. Public Opin Q36:355-360, 1972.
105.
Wicker AW: Attitudes versus actions: The relationship of verbal and overt behavioral responses to attitude object. J Soc Issues25:41-78, 1969.
106.
Wicker AW: An examination of the "other variables" explanation of attitude-behavior inconsistency . J Pers Soc Psychol19:18-30, 1971.
107.
Williams AF , DiCicco LM, Unterberger H.: Philosophy and evaluation of an alcohol education program. QJ Stud Alc29:685-702, 1969.
108.
Williams JH , Vanlewen A., Breen T.: Evaluation of a 6-day course in alcoholism education and orientation. Int J Addict9:673-700, 1974.
109.
Winn M.: The drug alternative. Paper presented at the American Alliance for Health, Physical Education and Recreation , Washington, DC, 1974.
110.
Wong MR: Different strokes: Models of drug abuse prevention education. Contemporary Educ Psych1:285-303, 1976.
111.
Wong MR, Zimmerman R.: Changes in teachers' attitudes toward drugs associated with a "social seminar" course. J Drug Educ4:361-367, 1975.