A parent-oriented alcohol prevention program “Effekt” had no impact on adolescents’ alcohol use: Findings from a cluster-randomized controlled trial in Estonia

Tael-Öeren, Mariliis; Naughton, Felix; Sutton, Stephen

doi:10.1016/j.drugalcdep.2018.10.024

“…Two programs were culturally adapted. Project Northland was culturally adapted for Russia [55], and Orebro (later named Effekt) was culturally adapted for Estonia [68]. The Orebro program was trialed on two separate occasions in Sweden [69, 70].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

Hurley

¹

,

Dietrich

²

,

Rundle‐Thiele

³

2019

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BackgroundAdolescent alcohol consumption is an issue of ongoing concern and programs targeting parents have been identified as an important component in minimizing and preventing alcohol related harm in adolescents. This paper aims to evaluate existing parent based alcohol education programs with a focus on understanding parent specific outcomes including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application.MethodA systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool.ResultsIn total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten programs demonstrated positive effects in at least one parent reported outcome measure. Stakeholder engagement during the design of programs was lacking with the majority of programs. One third of the programs did not report theory use and when theory was used reporting was weak with three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong.ConclusionFuture studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.

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“…Two programs were culturally adapted. Project Northland was culturally adapted for Russia [55], and Orebro (later named Effekt) was culturally adapted for Estonia [68]. The Orebro program was trialed on two separate occasions in Sweden [69,70].…”

Section: Description Of Included Studiesmentioning

confidence: 99%

“…The majority of the identified parent alcohol programs reported limited levels of stakeholder engagement during program design. Specifically, over half of the programs (n = 8, 61%) reported methods used to inform stakeholders [68,71,73,74,79,81,82,84]. For example, studies reporting on the Orebro [84] and PDFY [82] programs do not mention any form of stakeholder input during program design, reporting instead that an extensive review of the literature was conducted to inform the development of the respective programs.…”

Section: Level Of Stakeholder Engagementmentioning

confidence: 99%

“…In terms of data collection methods, almost half (n = 6, 46%) [55, 73-75, 78, 80] of the included studies provided evidence of the validity and reliability of the reported outcomes measures and were therefore assessed as strong. The remaining programs were assessed as either moderate (n = 3) [69,76,79] for reporting validity only or weak (n = 4) [68,71,72,77] as they did not report validity. Regarding the retention rates of parents, only two programs were assessed as strong with more than 80% of parents completing the program.…”

Section: Quality Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

Hurley

¹

,

Dietrich

²

,

Rundle‐Thiele

³

2019

Preprint

0

View full text Add to dashboard Cite

Background. Adolescent alcohol consumption is an issue of ongoing concern and programs targeting parents have been identified as an important component in minimizing and preventing alcohol related harm in adolescents. This paper aims to evaluate existing parent based alcohol education programs with a focus on understanding parent specific outcomes including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application. Method. A systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Results. In total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten programs demonstrated positive effects in at least one parent reported outcome measure. Stakeholder engagement during the design of programs was lacking with the majority of programs. One third of the programs did not report theory use and when theory was used reporting was weak with three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong. Conclusion. Future studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.

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“…Parent based programs are typically delivered through means of; workshops[73][74][75]; posting materials via mail[69,72]; and take home materials from school[55,76,77]. The majority of programs focused on reducing parents permissive norms towards underage drinking[68,69,[72][73][74]; encouraged parents to set clear alcohol specific rules[71,72,74,77,78] and aimed to increase parent-child communication[55,72,74,79].…”

mentioning

confidence: 99%

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

Hurley

¹

,

Dietrich

²

,

Rundle‐Thiele

³

2019

Preprint

View full text Add to dashboard Cite

Background. Adolescent alcohol consumption is an issue of ongoing concern and programs targeting parents have been identified as an important component in minimizing and preventing alcohol related harm in adolescents. This paper aims to evaluate existing parent based alcohol education programs with a focus on understanding parent specific outcomes including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application. Method. A systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Results. In total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten programs demonstrated positive effects in at least one parent reported outcome measure. Stakeholder engagement during the design of programs was lacking with the majority of programs. One third of the programs did not report theory use and when theory was used reporting was weak with three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong. Conclusion. Future studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.

show abstract

A parent-oriented alcohol prevention program “Effekt” had no impact on adolescents’ alcohol use: Findings from a cluster-randomized controlled trial in Estonia

Cited by 5 publications

References 54 publications

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

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