Universal school-based prevention programs for alcohol misuse in young people

Foxcroft, David; Tsertsvadze, Alexander

doi:10.1002/14651858.cd009113

Cited by 259 publications

(269 citation statements)

References 137 publications

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“…Given the prevalence of MI approaches, understanding their effectiveness is clearly important for the field. The review authors have a notable history of producing systematic reviews instrumental to understanding the effectiveness of various alcohol preventive interventions for young people 6, 7, 8, 9, 10, 11, 12. Similarly, Cochrane is methodologically exemplary in setting international standards for conducting systematic reviews 13.…”

Section: Introductionmentioning

confidence: 99%

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

et al. 2015

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BackgroundCochrane recently published a systematic review on motivational interviewing (MI) for alcohol misuse in young adults. The review authors concluded that ‘there are no substantive, meaningful benefits of MI interventions for the prevention of alcohol misuse’ (p. 2), as effect sizes were ‘small and unlikely to be of any meaningful benefit in practice’ (p. 27). As most of these interventions were quite brief, we wish to open a dialogue about interpreting effect sizes in this review and of (brief) alcohol interventions more generally.AnalysisWe analyze four methodological aspects of the review that likely influenced the author's conclusions about intervention effects: (1) risk of bias assessments, (2) search strategies, (3) assessing the quality of the body of evidence and (4) definitions of sustainability and clinical significance.ConclusionsWe interpret the effect sizes found in this review to indicate modest yet beneficial and potentially meaningful effects of these interventions, given their brevity and low cost. This interpretation is consistent with other reviews on brief, MI‐based interventions and brief interventions more generally. We therefore encourage the field to re‐open dialogue about the clinical importance of the effects of MI on alcohol misuse by young adults. Rather than dismissing interventions with small effects, we believe a more fruitful way forward for the field would be to catalogue effect sizes for various alcohol interventions. Such a catalogue would help stakeholders themselves to choose which interventions meet their minimum desired impact, and thus may be suitable given their targeted populations, setting and resources.

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Section: Introductionmentioning

confidence: 99%

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

et al. 2015

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“…School-based programs shown to be most effective in preventing drug-related problems have their content based on a social influence approach and are delivered in an interactive manner [4]. Despite these programs having demonstrated small effects in modifying drug use [5][6][7], the effectiveness of such programs is often compromised by implementation failure [8].…”

Section: Introductionmentioning

confidence: 99%

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Vogl¹,

Teesson²,

Newton³

et al. 2012

OJPM

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Although effective school-based alcohol prevention programs do exist, the overall efficacy of these programs has been compromised by implementation failure. The CLIMATE Schools: Alcohol Module was developed to overcome some of the obstacles to high fidelity program implementation. This paper details this development of the CLIMATE Schools: Alcohol Module. The development involved two stages, both of which were considered essential. The first stage, involved reviewing the literature to ensure the program was based on the most effecttive pedagogy and health promotion practice and the second stage involved collaborating with teachers, students and specialists in the area of alcohol and other drugs, to ensure these goals were realised. The final CLIMATE Schools: Alcohol Module consists of computer-driven harm minimisation program which is based on a social influence approach. The program consists of six lessons, each with two components. The first component involves students completing an interactive computer-based program, with the second consisting of a variety of individual, small group and class-based activities. This program was developed to provide an innovative new platform for the delivery of drug education and has proven to be both feasible and effective in the school environment. The success of this program is considered to be testament to this collaborative development approach.

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“…While health education delivered in classrooms is effective in improving knowledge and attitudes, effects on behaviour are inconsistent and often unsustained (Faggiano et al, 2008, Foxcroft and Tsertsvadze, 2011. Hence there is increasing interest in interventions to modify the school environment, addressing some of the multiple upstream determinants of young people's health, with emerging evidence that such interventions can be effective (Langford et al, 2014b).…”

Section: Where Next With Theory and Research On How The School Enviromentioning

confidence: 99%

Where next with theory and research on how the school environment influences young people's substance use?

Bonell

Fletcher

Jamal³

et al. 2016

Health & Place

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Universal school-based prevention programs for alcohol misuse in young people

Abstract: Foxcroft, D and Tsertsvadze, A Universal school-based prevention programs for alcohol misuse in young people. Foxcroft, D and Tsertsvadze, A (2011) Universal school-based prevention programs for alcohol misuse in young people. Cochrane Database of Systematic Reviews, 5 (CD009113).

Cited by 259 publications

References 137 publications

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

Developing a school-based drug prevention program to overcome barriers to effective program implementation: The CLIMATE schools: Alcohol module

Where next with theory and research on how the school environment influences young people's substance use?

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