The Effectiveness of Community Action in Reducing Risky Alcohol Consumption and Harm: A Cluster Randomised Controlled Trial

Abstract

In a cluster randomized controlled trial, Anthony Shakeshaft and colleagues measure the effectiveness of a multi-component community-based intervention for reducing alcohol-related harm.

Prevalence of depression and its associations with cardio-metabolic control in Aboriginal and Anglo-Celt patients with type 2 diabetes: The Fremantle Diabetes Study Phase II

“…Whether depression is a particular risk factor for heavy drinking in Aboriginals with diabetes requires further study, but it is possible that effective antidepressant treatment could reduce alcohol use, especially if ethanol is a form of selfmedication [36]. Other strategies designed to promote community action, including better training and involvement of primary care physicians, may have limited effectiveness in limiting risk-associated consumption by Aboriginal Australians [37].…”

Reducing Harm Through Evidence‐Based Alcohol Policies: Challenges and Options

“…Interventions may be too focused on a single area when a more comprehensive approach is needed. Local staff may decide to implement only parts of a multidimensional policy approach or choose less effective programs, or fail to implement the program with fidelity to proven protocols (Hallgren & Andréasson, ; Shakeshaft et al, ). The intervention may also be out‐of‐step with other developments in the policy landscape in the jurisdiction.…”

Practitioner Review: School‐based interventions in child mental health

“…A number of school‐based, interactive, computer‐ or Internet‐based prevention programmes have been developed and deployed in school settings, e.g. against smoking (Andrews et al., ; Cremers, Mercken, Oenema, & de Vries, ; Sussman, ), alcohol (Korczak, Steinhauser, & Dietl, ; Shakeshaft et al., ) and/or drug misuse (Champion, Newton, Barrett, & Teesson, ; Williams, Grifin, Macaulay, West, & Gronewold, ), obesity (Ajie & Chapman‐Novakofski, ; Jones et al., ; Mauriello et al., ; Verrotti, Penta, Zenzeri, Agostinelli, & De Feo, ), anxiety and/or depression (Davies, Morriss, & Glazebrook, ; Khanna & Kendall, ; Spence, Holmes, & Donovan, ) and violence (Bossworth, Espelage, DuBay, Dahlberg, & Daytner, ). Results indicate that the majority of these programmes are implemented with high fidelity, efficacious and easily accessible.…”