Research Projects

keepin' it REAL /Mantente REAL Jalisco Pilot Test

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Target Population:
457 adolescents in the equivalent of US 8th grade, aged 12-15 years
Project Team:

Flavio F. Marsiglia, PhD; Stephen S. Kulis, PhD and Bertha L. Nuño-Gutierrez, PhD

Project Status: Completed

In collaboration with the University of Guadalajara and the Instituto Mexicano de Seguro Social in Jalisco (IMSS), Mexico, GCAHR conducted a pilot study to test the feasibility of implementing keepin’ it REAL in Mexico.

To determine if this middle school-based curriculum would need adaptation to the Mexican population, and estimate its substance use prevention effects sizes. 

Two public middle schools in Guadalajara were randomized into two implementation and control/comparison conditions. In the implementing school, regular teachers delivered the Spanish-translated version of keepin’ it REAL (Mantente REAL).

Students who participated in Mantente REAL reported relative reductions in alcohol and cigarette use in the short-term, and reduced alcohol and marijuana use long-term. Effects were gendered: females showed the strongest effects on alcohol use, and males showed stronger effects for marijuana use.

Booth, J. M., Marsiglia, F. F., Nuño-Gutierrez, B. L., & Garcia-Pérez, M. (2014). The association between engaging in romantic relationships and Mexican adolescent substance use offers: Exploring gender differences. Substance Use & Misuse, 49(11), 1480-1490. doi: 10.3109/10826084.2014.913627

Kulis, S. S., Booth, J. M., & Becerra, D. (2016). Drug resistance strategies of early adolescents in Mexico: Gender differences in the influence of drug offers and relationship to the offeror. Substance Use and Misuse, 51(3), 370-382. doi:10.3109/10826084.2015.1110171 PMCID: PMC4856063

Kulis, S. S., Booth, J. M., & Becerra, D. (2018). Estrategias de resistencia al consumo de drogas en adolescentes mexicanos: el rol del género. In C. O. Socias and R. P. Gordaliza (Eds.), Género, adolescencia y drogas: Prevenir el riesgo desde la familia, (pp. 37-54). Barcelona: Octaedro.

Marsiglia, F. F., Kulis, S., Booth, J. M., Nuño-Gutierrez, B. L., & Robbins, D. E. (2015). Long-term effects of the keepin’ it REAL model program in Mexico: Substance use trajectories of Guadalajara middle school students. The Journal of Primary Prevention, 36(2), 93-104. doi: 10.1007/s10935-014-0380-1 PMCID: PMC4503325

Marsiglia, F. F., Booth, J. M., Ayers, S. L., Nuño-Gutierrez, B. L., Kulis, S., & Hoffman, S. (2014). Short-term effects on substance use of the keepin' it REAL pilot prevention program: Linguistically adapted for youth in Jalisco, Mexico. Prevention Science, 15(5), 694-704. doi: 10.1007/s11121-013-0421-7 PMCID: PMC3864112

Martinez, M., Marsiglia, F. F., Ayers, S. L., & Nuño-Gutiérrez, B. L. (2015). Substance use, religion and Mexican adolescent intentions to use drugs. In Friedman, B. & Merrick, J. (Eds.). Public health, social work and health inequalities (pp. 131-146). New York: Nova Publishers.

Martinez, M. J., Marsiglia, F. F., Ayers, S. L., & Nuno-Gutierrez, B. L. (2016). Mexican adolescents' intentions to use drugs: Gender differences in the protective effects of religiosity. International Public Health Journal, 8(2), 200.