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About keepin' it REAL Lesson 3 Assignment Lesson 5 Assignment Lesson 10 Assignmment

keepin' it REAL is a model multicultural drug resistance and life skills curriculum for students in grades 6-9. Developed for Hispanic/Latino, African American and White students, it aims to increase students' important life skills, such as risk assessment, decision making, and drug resistance, while enhancing anti-drug norms and attitudes.

Link to Lesson 3 Assignment link to Lesson 5 Assignment Link to Lesson 10 Assignment

The curriculum was developed by Arizona State University and Penn State University with funding provided by the National Institutes of Health, National Institute on Drug Abuse. It is published by ETR Associates. To reach middle school youth, the curriculum developers based the program on adolescents' narratives of how they had resisted drugs. As a result, the curriculum incorporates the following four drug resistance strategies represented by the acronym REAL:

  • Refuse offers of substance use in an assertive way that maintains social acceptance and self-confidence
  • Explain your reason for refusal
  • Avoid situations where substances are used and offered
  • Leave situations where substances are used and offered

keepin’ it REAL uses a variety of engaging teaching strategies, such as:

  • games and quizzes,
  • small group work,
  • trigger and demonstration videos,
  • roleplays, and
  • worksheets and homework assignments

to encourage student participation and promote interaction among students and with the teacher.

The lessons are 45-60 minutes each and are as follows:

  • Lesson 1: Options and Choices (Part I and II)
  • Lesson 2: Risks
  • Lesson 3: Communication & Conflict
  • Lesson 4: Refuse
  • Lesson 5: Explain
  • Lesson 6: Avoid
  • Lesson 7: Leave
  • Lesson 8: Personal Health Views & Beliefs
  • Lesson 9: Feelings
  • Lesson 10: Support Networks (Part I and II)

For more information about keepin' it REAL, see the kiREAL Fact Sheet (a pdf file).


keepin' it REAL Works!

keepin' it REAL was initially evaluated with 35 public middle schools in the southwestern United States. Data collected over a two-year period from more than 6,000 students indicated that, overall, students who received keepin' it REAL reported better behavioral and psychosocial outcomes related to substance use than did students who received other research-based substance abuse prevention programs.

keepin’ it REAL students reported:

  • 32-44% reduction in marijuana, tobacco and alcohol use
  • 30-38% increase in knowledge about and negative attitudes towards drug use
  • 29-34% decrease in intent to accept substances

keepin' it REAL is "evidence-based" — research proves that it works. keepin’ it REAL is also science-based; it is built upon the following core elements (as listed in Hecht et al, 2003):

  • communication competence,
  • narrative-based knowledge to enhance identification with the prevention message,
  • social norms (personal, injunctive, and descriptive),
  • social learning of life skills and their role in risk assessment and decision making,
  • drug resistance strategies most commonly and effectively used by adolescents, and
  • social context.

keepin' it REAL is a Model Program!

keepin' it REAL is being noticed! It has been identified as:


keepin' it REAL is Unique!

keepin' it REAL is unique because it:

  • Is Culturally Grounded: The curriculum builds upon the cultural norms and strengths of the students, their families and their community. In this way, the curriculum uses the protective social processes present in families and communities to resist offers of alcohol, tobacco, and other drugs.
  • Uses Youth Created Videos: Five short videos were created "for youth, by youth" as an integral part of keepin' it REAL. The videos demonstrate the refusal strategies in depth and are infused with the students' ethnic culture and youth culture which make their messages more relevant to and more readily accepted by students.
  • Teaches Life Skills: The curriculum focuses on building the skills of students and encouraging their natural inclinations to resist drug use. And, the skills the curriculum teaches (eg. using "I" statements, refusing unwanted offers, leaving pressure situations, etc.) can be used in many areas of a student's life – not just around resisting drug use!

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Funded by the National Institutes of Health, National Institute on Drug Abuse

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