Scientific Journal Of King Faisal University: Basic and Applied Sciences

ع

Scientific Journal of King Faisal University: Humanities and Management Sciences

Extracurricular Engagement, Knowledge and Peer Norms: A Moderated Mediation Model of Drug-Risk Awareness

(Tamer Hamdy Ayad and Nadia A. Abdelmegeed Abdelwahed)

Abstract

The growing misuse of drugs among university students poses a major public health concern, particularly when prevention strategies overlook psychosocial and educational determinants of awareness. This study examines how extracurricular engagement (EE) enhances students’ drug-risk awareness (DRA) through the mediating role of drug-risk knowledge (DRK) and under varying levels of perceived peer norms (PPN). Grounded in the Health Belief Model, Social Norms Theoryand the Knowledge-Attitude-Behaviour framework, extracurricular activities are conceptualised as social-learning environments that foster cognitive understanding and preventive awareness of drug harms. Using a quantitative, cross-sectional design, data were collected from 401 students across Saudi public universities through stratified random sampling. Partial Least Squares Structural Equation Modelling was used to test direct, mediating and moderated-mediation effects. Results indicate that DRK significantly mediates the relationship between EE and DRA, whereas PPN exert no significant moderating influence. Awareness accounts for 54.5% of the variance, while knowledge accounts for 27.6%. The study provides new empirical evidence on how educational and extracurricular interventions enhance awareness and build resilience among university students in the Arab context, highlighting the need for integrated prevention strategies that combine knowledge-based and participatory learning approaches.
KEYWORDS
Activity involvement, co-curriculars, drug dangers, drug literacy, peer pressure, social norms
PDF

References

Aiken, L.S. and West, S.G. (1991). Multiple Regression: Testing and Interpreting Interactions. Newbury Park, CA: Sage.
Alenazi, I., Alanazi, A., Alabdali, M., Alanazi, A. and Alanazi, S. (2023). Prevalence, knowledge, and attitude toward substance abuse, alcohol intake, and smoking among male high school students in Riyadh, Saudi Arabia. Cureus, 15(1), e33457 DOI:10.7759/cureus.33457
Al Rasheed, F., Naqvi, A.A., Ahmad, R. and Ahmad, N. (2017). Academic stress and prevalence of stress-related self-medication among undergraduate female students of health and non-health cluster colleges of a public sector university in Dammam, Saudi Arabia. Journal of Pharmacy and Bioallied Sciences, 9(4), 251–8. DOI: 10.4103/jpbs.JPBS_189_17
AlSayyari, A. and AlBuhairan, F. (2018). Relationship of media exposure to substance use among adolescents in Saudi Arabia: Results from a national study. Drug and Alcohol Dependence, 191(n/a), 174–80. DOI:10.1016/j.drugalcdep.2018.01.025
Alshehri, F.S., Ashour, A.M., Bafhaid, H.S., Algarni, A.S., Harbi, M.H. and Alorfi, N.M. (2025). University students’ knowledge and attitudes toward substance abuse: A cross-sectional study from Saudi Arabia. Healthcare, 13(10), 1122. DOI:10.3390/healthcare13101122
Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.
Becker, M.H. (1974). The health belief model and personal health behaviour. Health Education Monographs, 2(4), 324–508. DOI:10.1177/109019817400200407
Borsari, B., and Carey, K.B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13(4), 391–424. 
DOI: 10.1016/S0899-3289(01)00098-0
Cohen, J. (1988). Statistical Power Analysis for the Behavioural Sciences. 2nd edition. Routledge. DOI: 10.4324/9780203771587
Council of Universities’ Affairs. (2025). University and Student Statistics. Available at: https://url-shortener.me/4137 (accessed on 30/10/2025)
Dawson, J.F. (2014). Moderation in management research: What, why, when, and how. Journal of Business and Psychology, 29(1), 1–19. DOI:10.1007/s10869-013-9308-7
Dieterich, S.E., Swaim, R.C. and Beauvais, F. (2013). The normative environment for drug use: Comparisons among American Indian and White adolescents. Journal of Ethnicity in Substance Abuse, 12(2), 107-123. DOI:10.1080/15332640.2013.788892
Eccles, J.S., Barber, B.L., Stone, M. and Hunt, J. (2003). Extracurricular activities and adolescent development. Journal of Social Issues, 59(4), 865–89. DOI:10.1046/j.0022-4537.2003.00095.x
Fernandes, M.N.C. (2019). Development of a scale of participation in extracurricular activities for children. Ciencias Psicologicas, 13(2), 235–48. DOI: 10.22235/cp.v13i2.1879
Fishbein, M. and Ajzen, I. (2010). Predicting and Changing Behaviour: The Reasoned Action Approach. New York: Psychology Press. DOI:10.4324/9780203838020
Fornell, C. and Larcker, D.F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. DOI:10.2307/3151312
Fredricks, J.A. and Eccles, J.S. (2010). Breadth of extracurricular participation and adolescent adjustment among African-American and European-American youth. Journal of Research on Adolescence, 20(2), 307–33. DOI:10.1111/j.1532-7795.2009.00627.x
Hair, J.F., Hult, G.T.M., Ringle, C.M. and Sarstedt, M. (2022). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). 3rd edition. Sage.
Henseler, J., Ringle, C.M. and Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–35. DOI:10.1007/s11747-014-0403-8 
Knifsend, C.A., Green, L.A. and Clifford, K.L. (2020). Extracurricular participation, collective self-esteem, and academic outcomes among college students. Psi Chi Journal of Psychological Research, 25(4), 318–26. DOI:10.24839/2325-7342.JN25.4.318
Ministry of Education. (2024). Annual Report on University Student Engagement and Health Education Initiatives. Riyadh: Ministry of Education.
O’Donnell, A.W., Redmond, G., Gardner, A.A., Wang, J.J. and Mooney, A. (2024). Extracurricular activity participation, school belonging, and depressed mood: A test of the compensation hypothesis during adolescence. Applied Developmental Science, 28(4), 596–611. DOI:10.1080/10888691.2023.2260745
Oluigbo, C., Ebiringa, N. and Ohaegbu, P. (2024). Determination of sample sizes in research using Taro Yamane formula: An overview. Research Methodology Review, 12(1), 14–26. 
Papakonstantinou, T., Flecke, S.L., Edmunds, C.E.R., Cross, R., Tran, A. and Gold, N. (2025). A systematic review and meta-analysis of the effectiveness of social norms messaging approaches for improving health behaviours in developed countries. Nature Human Behaviour, n/a(n/a),1–19. DOI:10.1038/s41562-025-02275-6
Pedersen, E.R., Osilla, K.C., Miles, J.N.V., Tucker, J.S., Ewing, B.A., Shih, R.A. and D’Amico, E.J. (2017). The role of perceived injunctive alcohol norms in adolescent drinking behaviour. Addictive Behaviors, 67(n/a), 1–8. DOI:10.1016/j.addbeh.2016.11.022
Perkins, H.W. (2003). The Social Norms Approach to Preventing School and College-age Substance Abuse: A Handbook for Educators, Counselors, and Clinicians. San Francisco, CA: Jossey-Bass.
Rasouli, S. and Samavi, A. (2025). The relationship between school connectedness and academic engagement: The mediating role of mindfulness. Iranian Journal of Applied Educational Research, 1(1), 11–17. DOI:10.22111/ijaer.2025.49258.1003
Rogers, R.W. (1975). A protection motivation theory of fear appeals and attitude change. Journal of Psychology, 91(1), 93–114. DOI:10.1080/00223980.1975.9915803
Rosenstock, I.M., Strecher, V.J. and Becker, M.H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175–83. DOI:10.1177/109019818801500203
Salmela‐Aro, K., Tang, X., Symonds, J. and Upadyaya, K. (2021). Student engagement in adolescence: A scoping review of longitudinal studies 2010–2020. Journal of Research on Adolescence, 31(2), 256–72. DOI:10.1111/jora.12619 
Sharp, E.H., Coffman, D.L., Caldwell, L.L., Smith, E.A., Wegner, L., Vergnani, T. and Mathews, C. (2011). Predicting substance use behavior among South African adolescents: The role of leisure experiences across time. International Journal of Behavioral Development, 35(4), 343–51. DOI:10.1177/0165025411404494.
Su, X., Fan, T., Quan, Q., Kan, J., Liu, Z., Zhang, B. and Huang, Y. (2025). Burden and trends of drug use disorders in young adults: Global insights from GBD 2021. Frontiers in Psychiatry, 16(n/a), 1503564. DOI:10.3389/fpsyt.2025.1503564
Tarhan, N., Demirsoy, Ç. and Tutgun-Ünal, A. (2023). Measuring awareness levels of individuals with alcohol and substance use disorders: Tertiary prevention standards and development of uskudar result awareness and harm perception scales. Brain Sciences, 13(6), 901. DOI:10.3390/brainsci13060901
United Nations Office on Drugs and Crime (UNODC). (2024). World Drug Report 2024. Vienna: UNODC. Available at: https://www.unodc.org/unodc/data-and-analysis/world-drug-report-2024.html (accessed on 30/10/2025)
Yao, B., Takata, S.C., Mack, W.J. and Roll, S.C. (2023). Modeling extracurricular activity participation with physical and mental health in college students over time. Journal of American College HealtH, 71(4), 1232–40. DOI:10.1080/07448481.2021.1926263
Yamane, T. (1967). Statistics: An Introductory Analysis. 2nd edition. New York: Harper and Row.