Does integrated academic and health education prevent substance use? <scp>S</scp>ystematic review and meta‐analyses

Melendez‐Torres, G. J.; Tancred, Tara; Fletcher, Adam; Thomas, James; Campbell, Rona; Bonell, Chris

doi:10.1111/cch.12558

Cited by 12 publications

(7 citation statements)

References 41 publications

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“…From a preventive perspective, one can conclude from these results that school is a highly relevant setting and that social networks of parents and friends should be considered. Recent scientific reviews have shown that parent-based interventions seem to have an effect on adolescent alcohol use ( Bo, Hai, & Jaccard, 2018 ; Kuntsche & Kuntsche, 2016 ), and a systematic review of school-based health education showed a small but significant effect ( Melendez-Torres et al, 2018 ). Additionally, more general school environment interventions that aim to improve relationships between staff and students, classroom engagement and students’ involvement in decision-making seem to have a positive, or even more positive, effect on students’ health and health-related behaviours ( Bonell, Parry, et al, 2013 ; Bonell, Wells, et al, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

Declining alcohol consumption among adolescents and schools in Stockholm, 2010–2016

Carlson

2019

Nordic Studies on Alcohol and Drugs

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Aims: The principle aim of this study was to investigate changes in alcohol consumption among adolescents in Stockholm from 2010 to 2016. A further aim was to investigate whether there are divergent or similar trends in alcohol consumption among elementary schools in Stockholm from 2010 to 2016 and, if there are diverging trends, to examine how the differences might be explained. Methods: Data were analysed using multilevel mixed effects linear regression, in which individual students represented one level and schools the second level. Data: Student-level data were derived from the Stockholm School Survey for the years 2010, 2012, 2014 and 2016 ( n = 15481). School-level data ( n = 132) were derived from registries of the Swedish National Agency for Education. Results: The results showed that there was an almost 45% decline in total alcohol consumption among ninth-grade students in Stockholm between 2010 and 2016. The decline was similar among all analysed consumption groups. Two factors were found to statistically explain some of the general decline: more restrictive parental attitudes towards alcohol and, more importantly, decreasing alcohol consumption among the students’ peers. The downward trends among schools between 2010 and 2016 were universal but not identical, but when parental attitudes towards alcohol and peers’ alcohol behaviour were controlled for, the diverging school trends in alcohol consumption were considerably more equal. Conclusions: School constitutes a social context for the student of which both parents and peers are important parts, and the diverging changes may be due to the norms and behaviours, influenced by parents and peers, characterising these schools.

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Section: Discussionmentioning

confidence: 99%

Declining alcohol consumption among adolescents and schools in Stockholm, 2010–2016

Carlson

2019

Nordic Studies on Alcohol and Drugs

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“…The overall confidence in the results of 56 out of 72 reviews was rated ‘critically low’, 32–34,37,40–48,61–73,77–81,83–91,94–96,99–101,103–113 10 reviews were rated ‘low’, 60,74–76,82,92,93,98,102 one was rated ‘moderate’, 39 while six reviews were rated ‘high’ 4,35,…”

Section: Resultsmentioning

confidence: 99%

“…Seventy two reviews were included. Of these 34 investigated interventions based in an educational setting (pre-school, school and higher education), 4,34,35,39–41,44,46,48,60–84 three in a family setting, 85–87 three in a community setting, 37,88,89 one in a church 90 and 31 in multiple settings. 32,33,36,38,42,43,45,47,91…”

Section: Resultsmentioning

confidence: 99%

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Adverse and other unintended consequences of setting-based interventions to prevent illicit drug use: A systematic review of reviews

Biallas¹,

Rehfuess²,

Stratil³

2022

Journal of Public Health Research

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This article explores adverse and unintended consequences (AUCs) of setting-based public health interventions to prevent illicit drug use, including the mechanisms leading to these AUCs. Additionally, the reporting of AUCs in systematic reviews was assessed. Therefore, we conducted a systematic review of reviews and searched four big databases were searched. We included systematic reviews concerned with setting-based interventions to prevent illicit drug use. We used AMSTAR 2 to rate the overall confidence of the results presented in the reviews. Data on study characteristics, types and mechanisms of AUCs were extracted. An a priori categorisation of consequences drew on the WHO-INTEGRATE framework, and the categorisation of mechanisms on the Behaviour Change Wheel. For reviews reporting AUCs, the same information was also retrieved from relevant primary studies. Findings were synthesised narratively and in tables. Finally, we included 72 reviews, of which 18 reported on AUCs. From these, 11 primary studies were identified. Most of the reviews and primary studies were conducted in educational settings. The most prevalent AUCs reported in systematic reviews and primary studies were paradoxical health effects (i.e. increase of drug use). Potential mechanisms discussed primarily focussed on the change though social norms and practices. Changes of knowledge and perception were also mentioned. Concluding, the identified reviews and primary studies paid insufficient attention to AUCs of public health interventions to prevent illicit drug use. Where reported, it was mostly as an afterthought and narrowly framed as health related. No mentions of potential broader social consequences were found.

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“…Other systematic reviews and meta-analyses have found similar results on school-based prevention programs. For example, the systematic review by Tremblay et al (2020) found that 70% of the programs demonstrated reductions in the use of substances, including both alcohol and drugs; and the systematic review and meta-analysis by Melendez-Torres et al (2018) concludes that this type of intervention was broadly effective for reducing specific alcohol and drug use. However, opposite results have also been found.…”

Section: Discussionmentioning

confidence: 99%

Prevention of Alcohol Consumption Programs for Children and Youth: A Narrative and Critical Review of Recent Publications

et al. 2022

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BackgroundYouth substance use is a public health problem globally, where alcohol is one of the drugs most consumed by children, and youth prevention is the best intervention for drug abuse.ObjectiveReview the latest evidence of alcohol use prevention programs in empirical research, oriented to all fields of action among children and youth.MethodsA narrative and critical review was carried out within international databases (PsychInfo, Pubmed, Web of Science, and Scopus) in August 2021 and was limited to empirical studies that appeared in the last five years (2017–2021). A flow diagram was used according to the PRISMA statements. Empirical research articles in English with RCTs and quasi-experimental design that included alcohol, children, and young people up to 19 years of age (universal, selective, or indicated programs) were included. The authors examined the results and conceptual frameworks of the Prevention programs by fields of action.ResultsTwenty-two articles were found from four fields of action: school (16), family (2), community (2), and web-based (2), representing 16 alcohol prevention programs. School-based alcohol prevention programs are clinically relevant [Theory of Planned Behavior, Refuse, Remove, Reasons, Preventure, The GOOD Life, Mantente REAL, Motivational Interviewing (BIMI), Primavera, Fresh Start, Bridges/Puentes], they are effective in increasing attitudes and intentions toward alcohol prevention behavior, while decreasing social norms and acceptance of alcohol, reducing intoxication, and increasing perceptions with regards to the negative consequences of drinking.DiscussionThis narrative and critical review provides an updated synthesis of the evidence for prevention programs in the school, family, community, and web-based fields of action, where a more significant number of programs exist that are applied within schools and for which would have greater clinical relevance. However, the prevention programs utilized in the other fields of action require further investigation.

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Does integrated academic and health education prevent substance use? Systematic review and meta‐analyses

Abstract: Background: Prevention of substance (alcohol, tobacco, illegal/legal drug) use in adolescents

Cited by 12 publications

References 41 publications

Declining alcohol consumption among adolescents and schools in Stockholm, 2010–2016

Declining alcohol consumption among adolescents and schools in Stockholm, 2010–2016

Adverse and other unintended consequences of setting-based interventions to prevent illicit drug use: A systematic review of reviews

Prevention of Alcohol Consumption Programs for Children and Youth: A Narrative and Critical Review of Recent Publications

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