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. Author manuscript; available in PMC: 2020 Oct 1.
Published in final edited form as: Prev Sci. 2019 Oct;20(7):1125–1135. doi: 10.1007/s11121-019-01034-0

Table 3.

Examples of Deep Structure Adaptations

Adaptation EVM Elements Description of Adaptation Data Source
(4) Concepts: Reflect gender norms and gendered communication patterns. Included a new video in which girls pressure other girls to try drugs. Teacher focus groups, Fidelity forms, Student focus groups
Created a mixed-gender activity where boys and girls pair up; one pushes drug offers and the other refuses.
Designed a gender role activity where students mark if they agree or disagree with certain gendered statements and why, and then discuss as a class.
(5) Content, Context, & Language: Help students navigate risky situations with family members. Added an in-class activity of a hypothetical situation where an uncle offers an adolescent a drink at a family party, and the adolescent must resist the offer. Student focus group #1, Teacher focus group
(6) Content, Context, & Concept: Address experiences of violence in relation to substance use. Emphasized in each core lesson that sometimes it is appropriate to use the strategy “Leave” when feeling threatened or in danger. Teacher focus group, Student focus group
Designed a new in-class activity where students practice identifying strong emotions and brainstorming ways to diffuse the situation.