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The knowledge-based approach to substance use and HIV prevention, commonly used in Central Asia, does not equip at-risk adolescents with risk reduction skills. This pilot study aims to adapt and test the feasibility and estimate the effect size parameters of a skill-based and family-focused intervention for at-risk adolescents from communities affected by heroin trade and use in Kazakhstan, located on the major drug trafficking route from Afghanistan. This National Institute on Drug Abuse-funded pilot trial used a mixed-methods approach and included adolescents ages 14—17 that reported at least one risk factor e. In addition to the school-based health education program, intervention-arm adolescent-caregiver dyads received three computerized pilot sessions focusing on risk reduction self-efficacy, resistance to peer pressure, and strengthening of family relationships. Small size effects were observed for youth-level theoretical mediators associated with lower substance use.

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Building Competencies to Prevent Youth Substance Use in Kazakhstan: Mixed Methods Findings From a Pilot Family-Focused Multimedia Trial

Advocacy: Blog Posts | Management Sciences for Health

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Jump to navigation. This week, for the first time in its history, the United Nations hosted a high-level meeting on TB, where world leaders agreed on a global plan to step up the fight against TB. Although the final political declaration has won approval, it is now up to countries to take action. Health systems strengthening was front and center in discussions held in New York on the sidelines of the 72nd United Nations General Assembly.
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