national evidence young people frequency and with no effects. qualitatively. incidence of Six of the 11 trials evaluating of effect programme or Cochrane drunkenness Most commonly observed alcohol-specific interventions showed a co-ordinated Database of positive effects across some evidence of effectiveness Systematic Outcome programs were for compared to a standard curriculum. approach OR measures drunkenness and binge In 14 of the 39 trials evaluating Reviews is related to drinking. generic interventions, the program psychological Current evidence interventions demonstrated suggests that certain significantly greater reductions in nationally Alcohol or generic psychosocial and alcohol use either through a main or prevention on an ad-hoc awareness developmental prevention subgroup effect. Gender, baseline were deemed programs can be effective alcohol use, and ethnicity modified basis as indirect and and could be considered as the effects of interventions. Children and therefore were policy and practice options. Results from the remaining 3 trials young adults not considered. with interventions targeting cannabis, alcohol, and/or tobacco were inconsistent. This C. There is Foxcroft D, Primary Effects of family-based 12 parallel-group trials were outcomes prevention interventions are included. some Tsertsvadze A, intervention is direct small but generally The reporting quality of trials was evidence 2011 implemented reported or consistent and also poor, only 20% of them reporting supporting locally in Universal objective persistent into the medium- adequate method of the use of some areas measures of to longer-term. randomisation and program family-based this alcohol One of the interventions allocation concealment. but does not prevention consumption or included was the Iowa Incomplete data was adequately have a programs for but it is problem Strengthening Families addressed in about half of the trials consistent alcohol misuse not drinking e.g. programme. This was and this information was unclear for national in young conclusive Alcohol use, shown to be significantly about 30% of the trials. programme or quantity and better than the control, but Due to extensive heterogeneity, the
young people Cochrane Database of Systematic Reviews Alcohol prevention Children and young adults frequency and incidence of drunkenness Outcome measures related to psychological or awareness were deemed as indirect and therefore were not considered. with no effects. Most commonly observed positive effects across programs were for drunkenness and binge drinking. Current evidence suggests that certain generic psychosocial and developmental prevention programs can be effective and could be considered as policy and practice options. qualitatively. Six of the 11 trials evaluating alcohol-specific interventions showed some evidence of effectiveness compared to a standard curriculum. In 14 of the 39 trials evaluating generic interventions, the program interventions demonstrated significantly greater reductions in alcohol use either through a main or subgroup effect. Gender, baseline alcohol use, and ethnicity modified the effects of interventions. Results from the remaining 3 trials with interventions targeting cannabis, alcohol, and/or tobacco were inconsistent. national programme or a co-ordinated approach OR is nationally on an ad-hoc basis evidence of effect Foxcroft D, Tsertsvadze A, 2011 Universal family-based prevention programs for alcohol misuse in young Primary outcomes direct or objective measures of alcohol consumption or problem drinking e.g. Alcohol use, quantity and Effects of family-based prevention interventions are small but generally consistent and also persistent into the medium- to longer-term. One of the interventions included was the Iowa Strengthening Families programme. This was shown to be significantly better than the control, but 12 parallel-group trials were included. The reporting quality of trials was poor, only 20% of them reporting adequate method of randomisation and program allocation concealment. Incomplete data was adequately addressed in about half of the trials and this information was unclear for about 30% of the trials. Due to extensive heterogeneity, the reported This intervention is implemented locally in some areas but does not have a consistent national programme or C. There is some evidence supporting the use of this but it is not conclusive
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