Ethics of Research Involving Mandatory Drug Testing of High School Athletes in Oregon

There is consensus that children have questionable decisional capacity and, therefore, in general a parent or a guardian must give permission to enroll a child in a research study. Moreover, freedom from duress and coercion, the cardinal rule in research involving adults, is even more important for children. This principle is embodied prominently in the Nuremberg Code (1947) and is embodied in various federal human research protection regulations. In a program named "SATURN" (Student Athletic Testing Using Random Notification), each school in the Oregon public-school system may implement a mandatory drug-testing program for high school student athletes. A prospective study to identify drug use among student-athletes, SATURN is designed both to evaluate the influence of random drug testing and to validate the survey data through identification of individuals who do not report drug use. The enrollment of students in the drug-testing study is a requirement for playing a school sport. In addition to the coercive nature of this study design, there were ethically questionable practices in recruitment, informed consent, and confidentiality. This article concerns the question of whether research can be conducted with high school students in conjunction with a mandatory drug-testing program, while adhering to prevailing ethical standards regarding human-subjects research and specifically the participation of children in research.     

Potential job applicant reactions to employee drug testing: The effect of program characteristics and individual differences

An experiment varied two aspects of employee drug-testing programs: the purpose of the program (to rehabilitate or to punish) and the drug-testing selection method (for due cause or random and mandatory). Dependent variables were potential job applicants' attitudes toward, intention to apply to, and willingness to accept a job offer from the company. Although the manipulations had no effects, several individual difference variables (personal use of drugs, attitudes toward drugs and drug testing, and subjective norms toward drug testing) predicted the dependent variables.     

Drug use and its relation to high school students' activities

In a high school in a suburb of Detroit, students' attitudes toward, use of, and money spent on drugs, as well as possible alternative activities, were investigated. The sample included 42 enrolled in alternative education designed for students at risk for drug abuse, pregnancy, etc., who might attend college if guided carefully, and 65 regular students who were a mix of college and noncollege bound. The two groups did not differ in actual drug use, most likely because those who recommended students to the alternative education program used low grade point average and not drug use as criterion. Very few "hard" drugs were used. Most frequently used were readily available drugs such as alcohol. Use of a drug, spending money on it, or believing that it is all right for adolescents to use the drug did not automatically indicate frequent use of the drug. Contrary to adults' expectations, "hangin' out" with peers decreased use of "soft" drugs. Family activities for some involved the use of hard drugs together or the condoning of use. To create effective drug-prevention programs, the effects of different activities need to be explored further, and admission criteria need to be well delineated.     

Psychiatric Hospitalization and School and Community Adjustment of Children and Adolescents with Acquired Brain Injury

There is a high prevalence of psychiatric disorders in children and adolescents who have acquired brain injury (ABI). We examined the records of 82 students with ABI who were admitted to a community-based school for education and neurorehabilitation over a three-year period to determine how many experienced one or more psychiatric hospitalizations before admission, and whether hospitalization status was related to positive school and community adjustment. Results were that 30.4% of the students had a documented history of one or more psychiatric hospitalizations. Of this group, 60.0% were able to be maintained in the community-based school program and 40.0% were discharged to other settings. When discharged, 70.0% of students entered more restrictive treatment programs (e.g., psychiatric hospital, secure residential facility, residential school). The number of psychiatric hospitalizations did not predict discharge from the community-based school and was unrelated to the type of discharge setting. Clinical and research issues concerning psychiatric disorders in children and adolescents with ABI in relation to post-acute adjustment are discussed.     

Partnership-Based, Community-Assisted Early Intervention for Literacy: An Application of the Participatory Intervention Model

Many schools, particularly those in low-income, urban neighborhoods serving children from diverse backgrounds, have a high percentage of students with literacy deficits and limited resources for providing remedial services. Addressing these needs requires the use of empirically supported reading intervention strategies and expanding the availability of qualified persons to implement these approaches. Just as importantly, students need to be educated in a culturally meaningful context by one or more individuals who are committed to addressing their educational, emotional, and social needs. One method of expanding the instructional work force and engaging students in attachments with caring adults in a culturally relevant context is to establish a community-assisted tutoring program, that is a program implemented by residents from the community who work in the school. This article describes the process of establishing a partnership-based, community-assisted early intervention program for literacy, based upon a participatory intervention model, by presenting two case illustrations. Challenges for school consultants in establishing such a program in schools are described and directions for future research and practice are outlined.     

The Relations of Pro-Drug-Use Myths With Self-Reported Drug Use Among Youth at Continuation High Schools1

Drug-use myths, questionable beliefs regarding the effects of drug use, may help to explain why people engage in self-injurious drug-use behavior. While clinicians and applied social researchers have used this concept of drug-use myths extensively when developing substance abuse prevention or cessation programs, drug belief-type myth measures have not been investigated empirically. The present study examined the internal consistency and discriminant validity of a drug-use myth measure among 362 continuation (alternative) high school youth and found it to be discriminable from demographic, drug use, and other psychosocial measures. Controlling for its relations with its correlates, social desirability, perceived friends' drug use, ethnicity items, and gender, the myth measure remained significantly associated with 4 drug-use measures. Future research regarding drug use myths as predictors of drug use is encouraged based on these results.     

Perceived Invasiveness and Fairness of Drug-Testing Procedures for Current Employees

A study was conducted with 225 college students to examine the effects of three organizational and policy variables on the perceived fairness and invasiveness of drug-testing practices. Specifically, the effects of warning type (no warning vs. advance warning), consequence of a positive drug test (termination vs. rehabilitation), and safety sensitivity of the job (safety sensitive vs. safety nonsensitive) were examined. Results suggested that specific features of the policy, as well as type of job under consideration, affected perceived invasiveness and fairness of drug testing. In general, testing was seen as more appropriate for safety-sensitive jobs, that is, those in which drug-impaired performance presented a high degree of danger for individuals. Although rehabilitation was perceived as more fair than termination, when safety was an issue, termination was viewed as a justifiable response by the company. Implications for organizational drug-testing policies are discussed.     

Effectiveness of a Universal,Interdependent Group Contingency Program on Children's Academic Achievement: A Countywide Evaluation

The Good Behavior Game (GBG) is a universal prevention program designed to increase academic engagement and to decrease disruptive behavior in elementary school-age children. Teachers and other school personnel use interdependent group contingencies to improve students’ behavior in the classroom. Previous research indicates the GBG is efficacious in reducing behavior problems; however, little research has examined its effects on academic achievement in real-world settings. In this study, the authors evaluated the PAX GBG, a commercially available version of the GBG, as it is typically administered in elementary schools. The authors examined standardized reading and mathematics scores across one academic year for 949 students enrolled in the GBG or comparison classrooms. Results showed significant but small effects of the GBG on reading and mathematics. Results were greatest for boys, children with lower achievement scores at baseline, and students from more economically disadvantaged school districts. School personnel may find the PAX GBG useful in improving children's behavior and academic skills.     

The sexual attitudes and behavior of private and public school students: a comparative study

This study reports the results of a questionnaire and interview-based study designed to test the often-stated claims of college preparatory schools, i.e., "prep schools" that, along with a high-quality education, they also instill a superior system of values than is possible in a public school. Comparisons are made between "preppies" and college-bound public school students in terms of sexual attitudes and behavior as well as with the earlier studies of Kinsey, Pomeroy et al., Sorensen, and Haas. The results indicate that, even when measured by the standards of the schools themselves, preppies rank lower in many areas, especially attitudinal, than their public school counterparts. Despite the enormous amount of faculty energy expended to prevent it, the sexual activity of the prep school student, both in amount and degree of sophistication, is significantly greater than is found in public school students. Further, in terms of sex-related drug use, exploitiveness, female self-image, homophobia and sexism, preppies do not compare favorably with public school students. Hypotheses are advanced to account for the differences detected and suggestions made for future research. It is also suggested that the research technique used in this study has great potential for future study of adolescent sexual attitudes and behavior that, in the past, have been extremely difficult to perform.     

Implementation of an empirically based drug and violence prevention and intervention program in public school settings

Describes the implementation of a collaborative preventive intervention project (Healthy Schools) designed to reduce levels of bullying and related antisocial behaviors in children attending two urban middle schools serving primarily African American students. These schools have high rates of juvenile violence, as reflected by suspensions and expulsions for behavioral problems. Using a quasi-experimental design, empirically based drug and violence prevention programs, Bullying Prevention and Project ALERT, are being implemented at each middle school. In addition, an intensive evidence-based intervention, multisystemic therapy, is being used to target students at high risk of expulsion and court referral. Hence, the proposed project integrates both universal approaches to prevention and a model that focuses on indicated cases. Targeted outcomes, by which the effectiveness of this comprehensive school-based program will be measured, are reduced youth violence, reduced drug use, and improved psychosocial functioning of participating youth.     

Academic Integrity in a Mandatory Physics Lab: The Influence of Post-Graduate Aspirations and Grade Point Averages

Research on academic cheating by high school students and undergraduates suggests that many students will do whatever it takes, including violating ethical classroom standards, to not be left behind or to race to the top. This behavior may be exacerbated among pre-med and pre-health professional school students enrolled in laboratory classes because of the typical disconnect between these students, their instructors and the perceived legitimacy of the laboratory work. There is little research, however, that has investigated the relationship between high aspirations and academic conduct. This study fills this research gap by investigating the beliefs, perceptions and self-reported academic conduct of highly aspirational students and their peers in mandatory physics labs. The findings suggest that physics laboratory classes may face particular challenges with highly aspirational students and cheating, but the paper offers practical solutions for addressing them.     

感觉寻求对工读生毒品使用的影响：有中介的调节效应

以523名工读生为调查对象,考察工读生毒品使用特点,并在控制相关人口学变量后,探讨感觉寻求、压力性生活事件、结交不良同伴与工读生毒品使用的关系。结果显示：（1）工读生的毒品使用行为严重,34.2%的工读生曾使用过毒品,毒品使用呈现低龄化、以吸食新型毒品为主的趋势。（2）工读生的感觉寻求是毒品使用的风险因素。（3）压力性生活事件对感觉寻求与毒品使用之间的关系具有风险增强的调节效应。（4）这种调节效应以结交不良同伴为中介变量。因此,感觉寻求对工读生毒品使用的影响是有中介的调节效应。研究结果对青少年毒品使用的预防和干预有重要的理论价值和参考价值。     

After School Care for Children on the Autism Spectrum

Few programs exist for after school care designed to support children with Autism Spectrum Disorder (ASD). Not only do parents often depend on after school care, but also children with ASD are likely to benefit from opportunities to generalize skills in an authentic setting and interact with typically developing peers. This lack of support occurs at a time during which there is increasing research and community awareness regarding the need for high quality after school programs to support typically developing children. This study investigates reported experiences with and needs for after school care by parents of children with ASD. Survey results (N = 54) revealed that the majority of parents surveyed desired after school programs within their child’s school but are often denied access to such services or received low quality care for their child in after school programs. Recommendations are provided for future research and program development.     

Peer Effects in Drug Use and Sex Among College Students

Past research suggests that congregating delinquent youth increases their likelihood of problem behavior. We test for analogous peer effects in the drug use and sexual behavior of male (n = 279) and female (n = 435) college students, using data on the characteristics of first-year roommates to whom they were randomly assigned. We find that males who reported binge drinking in high school drink much more in college if assigned a roommate who also binge drank in high school than if assigned a nonbinge-drinking roommate. No such multiplier effect is observed for females, nor are multiplier effects observed for marijuana use or sexual behavior for either males or females. Students who did not engage in these behaviors in high school do not appear to be affected by their roommates high school behavior.     

Mediating mechanisms in a school-based drug prevention program: first-year effects of the Midwestern Prevention Project

Describes (a) the effects of a social-influences-based drug prevention program (the Midwestern Prevention Project) on the mediating variables it was designed to change and (b) the process by which the effects on mediating variables changed use of drugs (tobacco, alcohol, and marijuana). Students in 42 middle schools and junior high schools in Kansas City, Missouri, and Kansas City, Kansas, were measured in the fall of 1984 (N = 5,065) and again 1 year later (N = 5,008) after 24 of the schools had been through the program. Compared to students in control schools, students in program schools became less likely to express belief in the positive consequences of drug use, less likely to indicate that they would use such drugs in the future, more likely to report that their friends were less tolerant of drug use, and more likely to believe that they were better able to communicate with their friends about drug or school problems. Change in perceptions of friends' tolerance of drug use was the most substantial mediator of program effects on drug use. There was evidence that intentions to use and beliefs about the positive consequences of use may also mediate program effects on drug use.     

Longitudinal Evaluation of a Preparation Program for Mandatory Military Service

This multivariate longitudinal study explored the relative contribution of 12th-grade students' (a) participation in a preparation program for mandatory military service, (b) feelings of adjustment at high school, and (c) perceptions of school climate to their evaluation of the program's impact on them, as well as to their later adjustment to military service. The sample included 247 male and female 12th graders, divided into an intervention group and a control group. The intervention group participated in a 10-meeting preparation program focusing on the enhancement of empowerment feelings regarding entrance into military service. We conducted measurements at three points in time: (a) before exposure to the preparation program, (b) after exposure to the preparation program, and (c) 6–12 months after military enlistment. Research findings supported the notion that the preparation program had a short-term impact on students' feelings of preparedness for military service. Activities in which students were directly exposed to military life or to Army representatives gained more positive evaluations. But some of the activities conducted by school staff were also positively related to the overall evaluation of the program's contribution to preparedness. However, in the long run, students' later military adjustment was not related to participation in the preparation program but rather to their pre-intervention attitudes toward military enlistment as well as their preliminary general feeling of adjustment. Altogether, study findings indicate that the preparation program had a positive impact mainly for those students who manage well in high school before enlistment. Hence, it is suggested that efforts to foster school-to-Army transition should unfold in a three-step process: (a) preliminary screening for maladaptive behavior, (b) pre-enlistment preparation, and (c) post-enlistment support to all recruits.     

Comparative differences in the self-perceptions of disadvantaged and advantaged students

Previous research had indicated positive and significantly higher self-perceptions for disadvantaged children in comparison to advantaged children in grades four through eight. The intention of this research was to determine whether disadvantaged children maintain their more positive self-images when they enter the more integrated environment with advantaged children. It was discovered that both disadvantaged and advantaged high school students had significantly lower self-perception scores than did the elementary school pupils. The importance of the study is in the continued non-support of the hypothesis that disadvantaged children of all ages have negative self concepts—whether in segregated or integrated situations. However, the study further shows that high school students' self-images are not as high as those of younger children—whether they are disadvantaged or advantaged.     

employers' perceptions of transition programming for students with emotional disturbances

This qualitative study compiled input from employers (N = 7) participating in a program geared to prepare high school students with emotional disturbances for post‐high‐school employment situations. Data were collected through open‐ended interviews related to 4 research questions and analyzed through thematic and comparative analysis. Results showed a link between the skills employers desired from their employees and skills needed for students with emotional disturbances to be successful. Employers' recommendations included measures to address prior to program implementation and ways to create strong support systems for students with disabilities.     

At-risk children in Christian families concerning alcohol use

Health educators proposing alcohol prevention programs for a church setting face a variety of problems. Information only preventive types of alcohol programs are being increasingly criticized. The purpose of this study was to identify variables that best predict use of alcohol for children in fundamentalist Protestant Christian families. Three hundred and two students currently enrolled in a mandatory health course at a fundamentalist Protestant Christian university responded to a questionnaire designed to identify contextual or environmental risk factors for alcohol use. A significant difference was found in five of 15 established environmental factors. This paper suggests that an alcohol education program that focused on these differences would be advantageous for the health educator to carry out in the church setting.