Parent-based interventions on adolescent alcohol use outcomes: A systematic review and meta-analysis

Bo, Ai; Hai, Audrey Hang; Jaccard, James

doi:10.1016/j.drugalcdep.2018.05.031

Cited by 52 publications

(42 citation statements)

References 63 publications

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“…In line with previous systematic reviews, this study provides evidence to support the efficacy of parent alcohol programs in preventing or reducing adolescent alcohol consumption [1,13,14] by focusing on parent specific outcome measures. However, improvements in study quality would extend confidence in reported findings.…”

Section: Efficacy Of Parent Alcohol Programssupporting

confidence: 80%

“…While evidence of the protective role that parents can play in delaying or reducing the amount of alcohol consumed by adolescents, and effectiveness of parent alcohol programs exists [1,13], less is known about the effectiveness of programs from a parent's perspective, stakeholder engagement during program design and theory utilization. A recent meta-analytic study identified evidence of parent alcohol programs efficacy in preventing or reducing alcohol use [14]. Other systematic reviews have examined the efficacy of parent alcohol programs on preventing alcohol misuse in adolescents [see for example 1,13,15,16].…”

Section: Introductionmentioning

confidence: 99%

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

Hurley

Dietrich

Rundle‐Thiele

2019

Preprint

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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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Section: Efficacy Of Parent Alcohol Programssupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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

Hurley

Dietrich

Rundle‐Thiele

2019

Preprint

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“…Considering signi cant association between self-harm and drinking behaviors, with the nding speci c among younger girls, programs to prevent youth drinking may reduce self-harm among adolescents. The measures, such as legislating age restrictions on purchases of alcoholic beverages [28], I.D registration in the bar and combination of general and alcohol-speci c parent-based intervention [60], may not only control drinking behaviors but also prevent self-harm. Moreover, the psychological care should be provided to girls who are drinking, especially for younger girls.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in self-harm and drinking behaviors among high school students in Beijing, China

ZHANG

et al. 2020

Preprint

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Background Self-harm and drinking were both serious problems in adolescents and many studies presented evidence of their association. However, gender differences in this association was seldom deeply discussed. Our study was aimed to evaluate the prevalence of self-harm and explore its association with drinking behaviors by gender and investigate the extent to which the gender differences exist in the association between self-harm and drinking. Methods A total of 32362 students in grades 7 to 12 were anonymously surveyed and included in our study using two-stage, stratified probability proportion sampling in Beijing, China. Self-harm, drinking behaviors and other basic information were obtained from anonymous questionnaire. Demographic variables, self-harm as well as drinking behaviors were analyzed with Chi-square test and Gamma test between genders and the gender differences in this association was analyzed by log-binomial regression. Results The total prevalence of self-harm was 13.7% with no significant gender difference (=0.352, P=0.553). The prevalence of self-harm decreased with age in girls (G=-0.163, P<0.001). Self-harm was associated with drinking behaviors in both boys and girls. The Log-binomial regression demonstrated that girls in 16-19 years were at lower risk of self-harm than girls in 12-15 years while this association was weaker in boys (1.493 vs 1.128). The higher OR for self-harm was found among girls with early drinking experiences compared with boys (2.565 vs 1.863). Girls who ever drunk (2.211 vs 1.636), were currently drinking (3.400 vs 2.122) and binged drinking (6.357 vs 3.924) were of greater risk for self-harm than boys. Conclusion Self-harm has significant positive association with drinking among high school students and girls with drinking behaviors were at higher risk of suffering self-harm. Identifying adolescents’ drinking behaviors is of vital importance to self-harm prevention and special attention should be focused on younger girls.

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“…personal characteristics, environmental, social and cultural factors (Koning et al, 2009;Maggs and Staff, 2017;Velleman et al, 2005). Finally, the main focus of the programme was on alcohol, while several researchers (Bo et al, 2018;Foxcroft and Tsertsvadze, 2011a;Kuntsche and Kuntsche, 2016;Robertson et al, 2003;Stocking et al, 2016) have suggested that increasing awareness of substance use is very common, but prevention should be universal in its content and focus more on reducing risk factors and enhancing protective factors.…”

Section: Key Considerationsmentioning

confidence: 99%

“…However, not only witnessing parents' drinking influences drinking behaviour (Rossow et al, 2016;Yap et al, 2017); several other parental factors are related, including the provision of alcohol, attitudes, the quality of parent-child relationship, parenting style, monitoring, support and involvement (Čablová et al, 2014;Kaynak et al, 2014;Sharmin et al, 2017;Yap et al, 2017). Targeting parents and related factors in programmes to prevent and reduce adolescents' alcohol use has shown positive lasting results (Bo et al, 2018;Foxcroft and Tsertsvadze, 2011a;Smit et al, 2008), in comparison to student-oriented programmes that in general have not shown effectiveness (Foxcroft and Tsertsvadze, 2011b;Jones et al, 2007). Favourable aspects covered in effective parentfocused interventions include rule-setting, monitoring and parent-child communication (Kuntsche and Kuntsche, 2016).…”

Section: Introductionmentioning

confidence: 99%

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

Naughton

Sutton

2019

Drug and Alcohol Dependence

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Aim: To evaluate the effectiveness of a universal parent-oriented alcohol prevention programme ("Effekt") in Estonia. The main objective of the programme was to delay and reduce adolescents' alcohol consumption by maintaining parental restrictive attitudes towards adolescents' alcohol use over time.Methods: A matched-pair cluster randomised controlled trial with a three-year assessment period (baseline (T1), 18-months (T2) and 30-months (T3) follow-ups) was undertaken in 2012-2015 among 985 fifth grade adolescents and 790 parents in sixty-six schools (34 intervention, 32 control). The primary outcome measure was adolescents' alcohol use initiation. Secondary outcome measures were lifetime drunkenness and alcohol use in the past year. Intermediate outcomes were restrictive parental attitudes towards adolescents' alcohol use reported by parents and perceived restrictive parental attitudes and parental alcohol supply reported by adolescents.Results: There were no significant differences in adolescents' alcohol use initiation, lifetime drunkenness, alcohol use in the past year, parental alcohol supply, and adolescent's perception of parental restrictive attitudes between intervention and control school participants at T2 and T3. There were significant differences in parental attitudesthe odds of having restrictive attitudes were 2.05 (95% confidence interval (CI)=1.32-3.17) times higher at T2 and 1.92 (95% CI=1.31-2.83) times higher at T3 in the intervention group than in the control group.Conclusions: The Estonian version of the "Effekt" programme had a positive effect on parental attitudes, but it did not succeed in delaying or reducing adolescents' alcohol consumption.

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Parent-based interventions on adolescent alcohol use outcomes: A systematic review and meta-analysis

Cited by 52 publications

References 63 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

Gender differences in self-harm and drinking behaviors among high school students in Beijing, China

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

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