Community prevention of alcohol problems

Holder, Harold D.

doi:10.1016/s0306-4603(00)00121-0

Cited by 87 publications

(50 citation statements)

References 20 publications

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“…46 These interventions have been somewhat limited in that most have implemented standardized programs and/or brought about structural changes related to access to substances, and few have been rigorously evaluated. [47][48][49][50] In one of the few studies that reported outcome data, a substance use prevention intervention that included church community mobilization involving parent and youth training, early intervention services, and case management was implemented in five communities over 5 years. 42 Repeated measures gathered over a one-year period in each community revealed that the program moderated effects of the onset and frequency of alcohol and other drug use among high-risk youth between the ages of 12 and 14.…”

Section: Community Mobilization and Hiv Preventionmentioning

confidence: 99%

Laying the Foundation for Connect to Protect ®: A Multi-Site Community Mobilization Intervention to Reduce HIV/AIDS Incidence and Prevalence among Urban Youth

et al. 2006

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Despite the considerable resources that have been dedicated to HIV prevention interventions and services over the past decade, HIV incidence among young people in the United States remains alarmingly high. One reason is that the majority of prevention efforts continue to focus solely on modifying individual behavior, even though public health research strongly suggests that changes to a community's structural elements, such as their programs, practices, and laws or policies, may result in more effective and sustainable outcomes. Connect to Protect is a multi-city community mobilization intervention that focuses on altering or creating community structural elements in ways that will ultimately reduce youth HIV incidence and prevalence. The project, which spans 6 years, is sponsored by the Adolescent Medicine Trials Network for HIV/AIDS Interventions at multiple urban clinical research sites. This paper provides an overview of the study's three phases and describes key factors in setting a firm foundation for the initiation and execution of this type of undertaking. Connect to Protect's community mobilization approach to achieving structural change represents a relatively new and broad direction in HIV prevention research. To optimize opportunities for its success, time and resources must be initially placed into laying the groundwork. This includes activities such as building a strong overarching study infrastructure to ensure protocol tasks can be met across sites; tapping into local site and community expertise and knowledge; forming collaborative relationships between sites and community organizations and members; and fostering community input on and support for changes at a structural level. Failing to take steps such as these may lead to insurmountable implementation problems for an intervention of this kind.

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Section: Community Mobilization and Hiv Preventionmentioning

confidence: 99%

Laying the Foundation for Connect to Protect ®: A Multi-Site Community Mobilization Intervention to Reduce HIV/AIDS Incidence and Prevalence among Urban Youth

et al. 2006

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“…This study adds to the growing evidence that community-level efforts are equally important (Holder, 2000(Holder, , 2002Toomey et al, 2007). Zoning regulations that limit the number of bars, mandate responsible beverage service, and mandate strict adherence to underage drinking laws have all been demonstrated effective in community-level interventions and should be embraced by campus offi cials (Toomey and Wagenaar, 2002).…”

Section: Discussionmentioning

confidence: 87%

An Ecological Analysis of Alcohol-Outlet Density and Campus-Reported Violence at 32 U.S. Colleges

Scribner¹,

Mason²,

Simonsen³

et al. 2010

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The purpose of this study was to assess the relationships among campus violence, student drinking levels, and the physical availability of alcohol at off-campus outlets in a multisite design. Method: An ecological analysis of on-campus violence was conducted at 32 U.S. colleges. Dependent variables included campusreported rates of rape, robbery, assault, and burglary obtained from a U.S. densities were associated with the campus rape-offense rate but not with the assault or robbery rates. Student drinking level was associated with both campus rape and assault rates but not with the campus robbery rate. The apparent effect of on-premise outlet density on campus rapeoffense rates was reduced when student drinking level was included in the model, suggesting that the effect of on-premise outlet density may be mediated by student drinking level. Separate analyses revealed a similar mediational role for off-premise outlet density. Conclusions: These fi ndings demonstrate that there is a campus-level association between sexual violence and the campus-community alcohol environment. (J.

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“…The more parts of the system related to alcohol consumption that are addressed, the more effective the programme will be (Holder, 1998). Previous research has shown that local initiatives aimed at policy change can be effective (Anderson, Chisholm, & Fuhr, 2009;Holder, 2000;Wagenaar, Murray, & Toomey, 2000;Holder, 2000).…”

Section: The Multicomponent Responsible Beverage Service Programmementioning

confidence: 99%

Implementation of a Multicomponent Responsible Beverage Service Programme in Sweden – A Qualitative Study of Promoting and Hindering Factors

Haggård¹,

Trolldal²,

Kvillemo³

et al. 2014

Nordic Studies on Alcohol and Drugs

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AIMS -The objective of this study was to identify factors that either promote or hinder implementation of a multicomponent Responsible Beverage Service programme in Swedish municipalities. DESIGN -Forty semi-structured interviews were conducted in six municipalities and directed content analysis, guided by the Consolidated Framework for Implementation Research (CFIR), was performed. RESULTS -The CFIR framework was useful as an underlying theoretical model in this study. Importance of the following factors, described in the five domains of CFIR, was empirically supported in this study: local needs, evidence strength and advantages of the intervention, costs and available resources, clear goals, evaluation and feedback, access to knowledge and information, clear role definitions and cooperation, and enthusiastic key persons with high confidence in the effectiveness of the intervention. Hindering factors listed by the informants were lack of enthusiasm and opportunities to specialise, low degree of self-efficacy, unengaged decision-makers, complexities of the programme, and a top-down approach. CONCLUSIONS -This study indicates that previously identified factors shown to promote and hinder implementation processes are also valid in the context of multicomponent community action programmes like RBS. Suggestions on how to elude some of the hindering factors are proposed, e.g. to develop long-time financial plans, to provide better information about the RBS program in full, and to stress the importance of collaboration between representatives from the municipalities, police authorities and owners of on-licenced premises.

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Community prevention of alcohol problems

Cited by 87 publications

References 20 publications

Laying the Foundation for Connect to Protect ®: A Multi-Site Community Mobilization Intervention to Reduce HIV/AIDS Incidence and Prevalence among Urban Youth

Laying the Foundation for Connect to Protect ®: A Multi-Site Community Mobilization Intervention to Reduce HIV/AIDS Incidence and Prevalence among Urban Youth

An Ecological Analysis of Alcohol-Outlet Density and Campus-Reported Violence at 32 U.S. Colleges

Implementation of a Multicomponent Responsible Beverage Service Programme in Sweden – A Qualitative Study of Promoting and Hindering Factors

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