APPLYING MULTILEVEL ANALYTIC STRATEGIES IN ADOLESCENT SUBSTANCE USE PREVENTION RESEARCH

Background. School-based drug prevention programs have been criticized on methodologic grounds because the unit of analysis is often not the unit of randomization, thus increasing the likelihood of Type I error s. Application of multilevel analytic strategies appropriately correct s this biasing tendency. This study demonstrates the practical use of such analysis. Methods. Data from 2,370 seventh-grade students partici pating in a substance use prevention trial were analyzed using a multi level strategy. We examined the effectiveness of a social pressure res istance training and a normative education (NORM) intervention against an information-only control group. Results. The NORM condition reveal ed 1-year program effects for cigarette and marijuana use with individ uals as the unit of analysis and only marginal effects with classroom as the unit of analysis. No program effects were found using school as the analysis unit. A multilevel strategy revealed program effects for cigarettes and marijuana with both class and school as grouping level s. The effect for alcohol use was significant at the a-year follow-up. Conclusions. Interventions establishing conservative drug use norms i n classrooms may be an effective strategy in reducing substance use on set among adolescents. Utilization of appropriate analytic strategies is important in the analysis and interpretation of data containing nes ted structures. (C) 1998 American Health Foundation and Academic Press .