Lions Quest Skills for Adolescence

Lions Quest Skills for Adolescence is a universal school-based intervention for children aged between 11 to 14 years old. It is delivered by trained teachers or youth workers to groups of children for nine months.

The information above is as offered/supported by the intervention provider.

Population characteristics as evaluated

11 to 12 years old

Level of need: Universal
Race and ethnicities: African American, American Indian, Asian American, Hispanic American, Mixed ethnic background, Other minoritised ethnic groups, White

Model characteristics

Group

Setting: Secondary school, Primary school, Community centre.
Workforce: Teachers
Evidence rating:
Cost rating:

Child outcomes:

  • Preventing substance abuse
    • Reduced substance misuse

UK available

UK tested

Published: April 2025
Last reviewed: February 2018

Model description

Lions Quest Skills for Adolescence (SFA) is a universal school-based intervention for children aged between 11 to 14 years old. It is delivered by trained teachers or youth workers to groups of children for nine months.

SFA is a multicomponent life skills intervention that teaches cognitive-behavioural skills for building self-esteem and personal responsibility, communicating effectively, making better decisions, resisting social influences, and increasing knowledge with regards to drug use and consequences to children in the school setting.

Delivered through workbooks and activities like role-play, group work, and self-reflection, lessons follow a structured four-phase approach: Discovering, Connecting, Practising, and Applying. This method ensures children understand, apply, and practise the skills in real-life contexts.

Intervention content is separated into 5 units; Unit 1: Connecting with Others, Unit 2: Exploring My Values and Goals, Unit 3: Understanding my Emotions, Unit 4: Respecting Myself and Others and Unit 5: Making Responsible Decisions. Of note, while the intervention units remain consistent the lessons within each unit vary dependent on the year group receiving the intervention.

Age of child

11 to 14 years old

Target population

This intervention is a universal intervention targeting the general population of adolescents.

Disclaimer: The information in this section is as offered/supported by the intervention provider.

Why?

Science-based assumption

Adolescent substance misuse, mental health, and behavioural problems are multi-determined by processes occurring at the level of the child, parent, family, and community.

Science-based assumption

Prosocial behaviours and a positive sense of self can be increased using social influence and social cognitive approaches, leading to a reduction in negative behaviours including drug use, violence, and discipline problems.

Who?

Science-based assumption

All children aged 11 to 14 years old.

How?

Intervention

Prosocial behaviours are promoted by using social influence and social cognitive approaches to teach cognitive behavioural skills for building self-esteem and personal responsibility, communicating effectively, making decisions, resisting social influences and asserting rights, and increasing drug-use knowledge and consequences.

What?

Short-term

Improved positive prosocial behaviours, including self-discipline, responsibility to self and others, good judgement, and the ability to get along with others.

Medium-term

Stronger social connections

Better self-understanding.

Long-term

Reduced drug use, violence, and discipline problems.

Who is eligible?

All children aged 11 to 14 years in secondary school classrooms.

How is it delivered?

Lions Quest Skills for Adolescence is delivered in 36 sessions of 45 minutes’ duration each by one practitioner to groups of children.

What happens during the intervention?

Children are taught the skills necessary to cope with physical, emotional, and social challenges of early adolescence.

Various themes are covered throughout the intervention, including strengthening self-confidence; dealing with feelings; relationships with friends; dealing with temptations and peer pressure; and decision-making.

Teachers (or youth work teams) and children are provided with workbooks to help guide them through the intervention content, which is taught using a combination of role-play, group work, discussion, and self-reflection.

Each lesson is divided into four phases of learning: (1) Discovering (explicit instruction defining the concepts addressed during the lesson); (2) Connecting (individual work applying the concepts of the lesson); (3) Practising (students role-play using the learned skills); and (4) Applying (students apply skills to a new situation).

Who can deliver it?

The practitioner who delivers this intervention is a teacher

What are the training requirements?

The practitioners have between eight and 16 hours of intervention training. Booster training of practitioners is recommended.

How are the practitioners supervised?

It is recommended that practitioners are supervised by one host-agency supervisor, with 12 hours of intervention training.

What are the systems for maintaining fidelity?

Intervention fidelity is maintained through the following processes:

  • Face-to-face training
  • Fidelity monitoring and assessment
  • Teacher and student workbooks
  • Implementation toolkit for users.

Is there a licensing requirement?

No

Contact details*

Contact person: Matthew Kiefer
Organisation: Lions Quest Programmes
Email address: Matthew.kierfer@lionsclubs.org
Website: https://www.lionslifeskills.co.uk

*Please note that this information may not be up to date. In this case, please visit the listed intervention website for up to date contact details.

Lions Quest Skills for Adolescence’s most rigorous evidence comes from one cluster RCT conducted in the United States consistent with Foundations’ Level 3 evidence strength threshold.

This study identified statistically significant reductions in recent and lifetime marijuana use.

Lions Quest for Adolescence can be described as evidence-based: it has evidence from at least one rigorously conducted RCT or QED demonstrating a statistically significant positive impact on at least one child outcome.

Child outcomes

Reduced lifetime marijuana use

Long term: A year later

Improvement index

+4

Interpretation

3.26-percentage point decrease in proportion of participants with lifetime marijuana use (measured using a selfreport measure adapted from Monitoring the Future Survey)

Study

1

Reduced recent marijuana use

Long term: A year later

Improvement index

+5

Interpretation

2.47-percentage point decrease in proportion of participants with recent marijuana use (measured using a selfreport measure adapted from Monitoring the Future Survey)

Study

1

Search and review

Identified in search6
Studies reviewed1
Meeting the L2 threshold0
Meeting the L3 threshold1
Contributing to the L4 threshold0
Ineligible5

Study 1

Study designCluster RCT
CountryUnited States
Sample characteristics

7,426 children aged 11 to 12 from 34 middle schools in metropolitan areas across Los Angeles, Detroit, Washington, D.C., and Boston. Over half of the sample were female (52%) with 34% Hispanic, 18% African American, and 7% Asian American students.

Race, ethnicities, and nationalities
  • 34% Hispanic
  • 7% White
  • 18% African American
  • 7% Asian American
  • 9% Mixed ethnic background
  • 3% Other
  • 1.4% American Indian.
Population risk factors

None reported

Timing
  • Baseline
  • Post-intervention (12-month follow-up)
  • One-year post-intervention (24-month follow-up).
Child outcomes
  • Lifetime marijuana use (Child report, 24-month follow-up)
  • Recent marijuana use (Child report, 24-month follow-up).
Other outcomes

None

Study rating3
Citations

Eisen, M., Zellman, G. L. & Murray, D. M. (2003) Evaluating the Lions-Quest Skills for Adolescence drug education program. Addictive Behaviors. 28, 883–897.

The following studies were identified for this intervention but did not count towards the intervention’s overall evidence rating. An intervention receives the same rating as its most robust study or studies.

Kahnert, H. (2002) Evaluation of the Lions Quest program ‘Erwachsen Werden’ (German version of Skills for Adolescence). University of Bielefeld.

Kidron, Y., Garibaldi, M. & Osher, D. (2016) Lions Quest Skills for Adolescence: Implementation and outcome study in Wood County, West Virginia.

Malmin, G. (2007). It is my CHOICE (Lions Quest) evaluation part 5: The impact on the behavior of the students. Unpublished evaluation report.

Matischek-Jauk, M., Krammer, G. & Reicher, H. (2017) The life-skills program Lions Quest in Austrian schools: Implementation and outcomes. Health Promotion International.

Switzer, J. L. (2016) Evaluation of the intervention efficacy of Lions Quest Skills for Adolescence. Walden University, Walden Dissertation and Doctoral studies.

Note on provider involvement: This provider has agreed to Foundations’ terms of reference (or the Early Intervention Foundation's terms of reference), and the assessment has been conducted and published with the full cooperation of the intervention provider.

Cost ratings:

Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.

Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.

Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.

Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.

Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.

Set up and delivery cost is not applicable, not available, or has not been calculated.

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Child Outcomes:

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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.

Evidence ratings:

Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.

Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.

Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.

Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.

Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.

Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.

Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.

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