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Of the original 6,527 participants, 60 percent completed all three follow-up questionnaires and were included in the final analysis.

(Attrition was similar across the experimental conditions, and analytic controls adjusted for the small differences across groups.) Questionnaires assessed alcohol, tobacco, and marijuana use and related behaviors and attitudes.

Today, 18,000 trained Project ALERT classroom teachers present the revised 14-lesson curriculum in more than 3,500 school districts nationwide.

Originally, Project ALERT was organized into a three-month, eight-session curriculum taught during the seventh grade, followed by three "booster" sessions presented in the eighth grade that are designed to reinforce the lessons learned from earlier material.

The program uses small-group activities, question-and-answer sessions, role-playing, and the practice of new skills to stimulate students' interest and participation in the ALERT curriculum.

Students from 34 middle schools received the Revised Project ALERT curriculum, while students from 21 schools were assigned to the control group.

To test the effectiveness of the revised middle school curriculum, the two treatment groups were combined hrough eighth grade.

Students in the treatment and comparison groups completed a self-report questionnaire in the fall of seventh grade, before administration of Project ALERT.

They completed a follow-up questionnaire after the presentation of the lessons in the spring of eighth grade.

Subsequently, Project Alert was revised and strengthened.

Parent involvement activities, material on alcohol misuse and a lesson to help smokers quit were added to the curriculum.

Participants were from urban, rural, and suburban areas and represented a variety of racial, ethnic, and socioeconomic backgrounds.

Currently, the curriculum is used with students from varied backgrounds around the country.

In addition, student saliva samples were collected and analyzed for drug use.

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