The 7-Year Effectiveness of School-Based Alcohol Use Prevention From Adolescence to Early Adulthood: A Randomized Controlled Trial of Universal, Selective, and Combined Interventions

Newton, Nicola; Stapinski, Lexine; Slade, Tim; Sunderland, Matthew; Barrett, Emma; Champion, Katrina; Chapman, Cath; Smout, Anna; Lawler, Siobhan; Mather, Marius; Debenham, Jennifer; Castellanos‐Ryan, Natalie; Conrod, Patricia J.; Teesson, Maree

doi:10.1016/j.jaac.2021.10.023

Cited by 39 publications

(38 citation statements)

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“…Another group of interventions targeting self-awareness provides feedback and normative information which indicates deviation of one’s behavior (i.e., amount of drinking and cannabis use) from the peer norms (Geisner et al, 2007; Larimer & Cronce, 2002; Lee et al, 2010; Pischke et al, 2021b; Riggs et al, 2018) The second category encompasses interventions that teach social skills (e.g., communication skills, developing healthy relationships (Griffin et al, 2006a). Life Skills Training (Griffin et al, 2006b), Unplugged (Faggiano et al, 2010), the Rational Addiction Prevention Program (RAPP) (López-Ramírez et al, 2021), the Climate Schools program (Newton et al, 2022; Newton et al; 2020) are some well-known examples of preventive programs developed based on social theoretical models and focus on social competence in adolescents.…”

Section: Classification Of the Preventive Interventions Based On The ...mentioning

confidence: 99%

Neuroscience-Informed Classification of Prevention Interventions in Substance Use Disorders: An RDoC-based Approach

Rezapour

Rafei

Baldacchino

et al. 2022

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Neuroscience has contributed to uncover the mechanisms underpinning substance use disorders (SUD). The next frontier is to leverage these mechanisms as active ingredients to create more effective interventions for SUD. Recent large-scale cohort studies are generating multiple levels of neuroscience-based information with potential to inform the development and refinement of future preventive strategies. However, there is still no available well-recognized frameworks to guide the integration of these complex datasets into prevention trial protocols. The Research Domain Criteria (RDoC) provides a neuroscience-based multi-system framework that is well suited to facilitate translation of neurobiological mechanisms into behavioural domains amenable to preventative interventions. We propose a novel RDoC-based framework for prevention science that organizes and advances the integration of technologies and findings from neuroscience into the refinement of current and construction of future preventive and early interventions. This neuroscience-informed framework categorizes addiction risk factors within the dysfunction of the five major RDoC constructs (Negative Valence Systems, Positive Valence Systems, Cognitive Systems, Arousal and Regulatory Systems, and Social Processes). We adapted the framework for the existing preventive interventions and categorized their components using RDoC constructs. From a systematic review of randomized controlled trials using a person-centered drug/alcohol preventive approach for adolescents (13-18 years), we identified 98 trials on 37 preventive interventions. We categorized them within this framework based on their potential target(s). By using this neuroscience-informed framework, distinct neurocognitive trajectories which have been recognized as precursors or risk factors for SUDs, can be targeted, and more importantly, the change processes can be evaluated to inform causal hypotheses. This framework can also inform individualized assessment, intervention development and outcome measurement in preventive interventions.

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Section: Classification Of the Preventive Interventions Based On The ...mentioning

confidence: 99%

Neuroscience-Informed Classification of Prevention Interventions in Substance Use Disorders: An RDoC-based Approach

Rezapour

Rafei

Baldacchino

et al. 2022

Preprint

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“…Moreover, Teesson et al's 29 review focused on universal prevention (delivered to the entire year group regardless of risk for alcohol and drug use) and could be expanded to include the growing number of selective prevention programmes (delivered to students at risk of substance use) demonstrating successful prevention effects in schools. 30 Similarly, although digital school-based prevention programmes were captured in Champion et al's 2013 review, 31 this requires an update in the Australian environment. Other reviews and metaanalyses conducted more recently, do not focus on the unique Australian context, 20 tend to include studies from 2013 or earlier, 20 exclusively focus on alcohol [32][33][34] or drug use outcomes 35 or include universal programmes only.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Updated systematic review of Australian school-based prevention programmes for alcohol and other drugs: a review protocol

et al. 2022

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IntroductionAdolescent onset substance use is associated with neurodevelopmental, social and psychological harms. Thus, alcohol and other drug prevention programmes are essential to promote health and well-being during this period. Schools are uniquely positioned to deliver such prevention programmes. The last decade has seen a large expansion of school-based alcohol and drug prevention programmes in Australia, warranting an update of the comprehensive review conducted by Teessonet alin 2012. This proposed review aims to (1) identify school-based substance use prevention programmes that have been trialled in Australia since 2011, (2) evaluate their efficacy and (3) identify intervention components associated with effectiveness. This will assist schools in identifying and adopting effective evidence-based programmes and inform future programme development, evaluation and policy.Methods and analysisStudies published from 2011 will be identified by searching the electronic databases PubMed, PsycINFO, Medline, Embase, ProQuest and Cochrane Library in addition to grey literature searches. Eligible studies will be controlled trials (including randomised controlled trials, cluster randomised controlled trials and quasi-experimental trials) of programmes measuring drug and alcohol related outcomes that are conducted in a school setting and have been trialled within Australia. Records will be independently screened for eligibility by two review authors, with disagreements being resolved by consensus or a third review author where necessary. Data extraction, risk of bias and study quality will also be completed independently by two review authors. A qualitative synthesis of all eligible studies will be presented. In addition, if there are sufficient data to combine studies, a random-effects meta-analysis will be conducted.Ethics and disseminationThis research is exempt from ethics approval as no primary data are collected, with work instead being carried out on published documents. The findings of this proposed review will be disseminated in a peer-reviewed journal and at conferences.PROSPERO registration numberCRD42021272959.

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“…Although programme efficacy varies, overall, prior systematic reviews have revealed that school-based prevention approaches can be effective at improving tobacco, alcohol and/or other drug use outcomes among adolescents,28 29 with some interventions demonstrating lasting effects into early adulthood 30. When considering school-based preventive interventions targeting tobacco smoking in particular, the most effective programmes incorporate a social competence and social influence approach to prevention,28 with similar findings for broader substance use prevention programmes 31.…”

Section: Introductionmentioning

confidence: 99%

School-based preventive interventions targeting e-cigarette use among adolescents: a systematic review protocol

et al. 2022

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IntroductionElectronic cigarette (e-cigarette) use has drastically increased in recent years, particularly among adolescents. This poses several acute and chronic harms to young people, including poisonings, burns, serious lung injury and—where nicotine e-liquid is used—the potential to impact healthy brain development and precipitate future nicotine addiction. School-based prevention programmes have the potential to address this growing public health concern by reaching large numbers of young people during a critical period for intervention; however, the efficacy of such interventions has not been systematically explored. This systematic review aims to determine the existence and efficacy of school-based preventive interventions targeting e-cigarette use.Methods and analysisA systematic search of MEDLINE, Embase, PsycINFO, Scopus, CINAHL, Cochrane Database of Systematic Reviews and international clinical trials registries will be conducted from 2000 to April 2022 to identify eligible studies (randomised controlled trials, cluster randomised controlled trials and quasiexperimental studies) evaluating school-based interventions to prevent e-cigarette use among adolescents. Two reviewers will independently screen title, abstract and full text of all studies for eligibility. Both reviewers will independently extract the data and assess the risk of bias. Any discrepancies will be resolved by a third reviewer. Results will be summarised in a narrative synthesis and data will be meta-analysed if appropriate. Heterogeneity in findings will be assessed narratively, and using the I2 statistic (where meta-analysis is feasible), meta-regression will be used to explore potential factors associated with programme efficacy, where data permit.Ethics and disseminationThis research is conducted on published work and does not require ethics approval. The findings will be published in a peer-reviewed journal and used to guide the development of new school-based e-cigarette preventive interventions.Trial registration numberCRD42022323352.

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The 7-Year Effectiveness of School-Based Alcohol Use Prevention From Adolescence to Early Adulthood: A Randomized Controlled Trial of Universal, Selective, and Combined Interventions

Cited by 39 publications

References 37 publications

Neuroscience-Informed Classification of Prevention Interventions in Substance Use Disorders: An RDoC-based Approach

Neuroscience-Informed Classification of Prevention Interventions in Substance Use Disorders: An RDoC-based Approach

Updated systematic review of Australian school-based prevention programmes for alcohol and other drugs: a review protocol

School-based preventive interventions targeting e-cigarette use among adolescents: a systematic review protocol

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