"I never realized how hard recovery is." A quasi-experimental evaluation of a youth participatory action research project for opioid prevention.

Youth participatory action research (YPAR) has been effectively used for substance use prevention. Yet, YPAR has not been evaluated for opioids, which negatively impact individuals and communities across the United States. The current study evaluated an opioid-focused YPAR project. YPAR participants (n = 28) completed a pre- and post-survey capturing psychological empowerment and opioid knowledge and behavior. A non-YPAR comparison group (n = 18) provided post-survey data. Mean comparisons were conducted to identify changes among participants and between intervention and comparison groups. YPAR participants demonstrated increased psychological empowerment and opioid knowledge and behaviors. In contrast to the comparison group, YPAR participants reported increased psychological empowerment and opioid knowledge, but not behaviors. Evaluation of this opioid-focused YPAR project indicated positive outcomes. Findings expand research on YPAR effectiveness for substance use prevention. Engaging youth is an effective approach for individual and community change and a promising strategy to address the opioid epidemic.