Whole‐of‐community interventions to reduce population‐level harms arising from alcohol and other drug use: a systematic review and meta‐analysis

Stockings, Emily; Bartlem, Kate; Hall, Alix; Hodder, Rebecca K; Gilligan, Conor; Wiggers, John; Sherker, Shauna; Wolfenden, Luke

doi:10.1111/add.14277

Cited by 22 publications

(19 citation statements)

References 44 publications

(247 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Public health interventions are designed to address a range of modifiable risk factors of non-communicable disease; however, they often yield modest improvements in population health [1][2][3][4]. Furthermore, the effectiveness of interventions is often reduced as interventions are evaluated in more naturalistic contexts.…”

Section: Introductionmentioning

confidence: 99%

Optimisation: defining and exploring a concept to enhance the impact of public health initiatives

Wolfenden

Bolsewicz

Grady

et al. 2019

Health Res Policy Sys

Self Cite

View full text Add to dashboard Cite

Background: Repeated, data-driven optimisation processes have been applied in many fields to rapidly transform the performance of products, processes and interventions. While such processes may similarly be employed to enhance the impact of public health initiatives, optimisation has not been defined in the context of public health and there has been little exploration of its key concepts. Methods: We used a modified, three-round Delphi study with an international group of researchers, public health policy-makers and practitioners to (1) generate a consensus-based definition of optimisation in the context of public health and (2i) describe key considerations for optimisation in that context. A pre-workshop literature review and elicitation of participant views regarding optimisation in public health (round 1) were followed by a daylong workshop and facilitated face-to-face group discussions to refine the definition and generate key considerations (round 2); finally, post-workshop discussions were undertaken to refine and finalise the findings (round 3). A thematic analysis was performed at each round. Study findings reflect an iterative consultation process with study participants. Results: Thirty of 33 invited individuals (91%) participated in the study. Participants reached consensus on the following definition of optimisation in public health: "A deliberate, iterative and data-driven process to improve a health intervention and/or its implementation to meet stakeholder-defined public health impacts within resource constraints". A range of optimisation considerations were explored. Optimisation was considered most suitable when existing public health initiatives are not sufficiently effective, meaningful improvements from an optimisation process are anticipated, quality data to assess impacts are routinely available, and there are stable and ongoing resources to support it. Participants believed optimisation could be applied to improve the impacts of an intervention, an implementation strategy or both, on outcomes valued by stakeholders or end users. While optimisation processes were thought to be facilitated by an understanding of the mechanisms of an intervention or implementation strategy, no agreement was reached regarding the best approach to inform decisions about modifications to improve impact.

show abstract

Section: Introductionmentioning

confidence: 99%

Optimisation: defining and exploring a concept to enhance the impact of public health initiatives

Wolfenden

Bolsewicz

Grady

et al. 2019

Health Res Policy Sys

Self Cite

View full text Add to dashboard Cite

show abstract

“…Interventions actively involving the target community and employing multi-level salt reduction intervention strategies have documented effectiveness in reducing dietary salt intake, urinary sodium excretion, blood pressure, and the amount of sodium in purchased foods and improving health outcomes [26,27,28,29,30,31,32]. In this project, community-based organizations (CBOs), such as churches, temples, and senior care centers, are essential settings for environmental and organizational change, especially for underserved populations.…”

Section: Introductionmentioning

confidence: 99%

The Evaluation of IDEAL-REACH Program to Improve Nutrition among Asian American Community Members in the Philadelphia Metropolitan Area

Grace

Zhu

Shive

et al. 2019

IJERPH

View full text Add to dashboard Cite

Objective Asian Americans’ food purchasing, cooking, and eating patterns are not well understood. Greater insight into these behaviors is urgently needed to guide public health interventions of dietary behaviors in this population. The present study aims to examine the effects of a community-level intervention on food purchasing and preparation, nutrition knowledge, and health awareness in Asian Americans. Methods From 2015 to 2017, we conducted the Improving Diets with an Ecological Approach for Lifestyle (IDEAL-REACH) intervention to increase access to healthy food or beverage options for the Asian-American population in the Philadelphia metropolitan area. Participants (1110 at pre- and 1098 at post-assessment) were recruited from 31 community-based organizations (CBOs). We assessed Asian Americans’ dietary behaviors, nutrition knowledge, and awareness of heart health. Results The results of pre-post intervention comparisons showed that the IDEAL-REACH intervention was successful in promoting whole grains consumption, reducing sodium consumption, and raising knowledge and awareness related to nutrition and heart health. Conclusions To our knowledge, this is one of the first initiatives in the U.S. to engage CBOs to promote healthier dietary behaviors. The findings show that CBOs serve as a powerful platform for community-level interventions to improve healthy nutrition behaviors in Asian-American communities.

show abstract

“…Although community trials sometimes have been defined as focusing on primary prevention [10], we saw no reason not to include secondary prevention as well: in this case, reduction of risky drinking and alcohol-related harms. Prior alcohol-related community trials that comprise a mix of both primary and secondary prevention strategies include the “Saving Lives Program” [11], “Communities Mobilizing for Change on Alcohol” [12], the “Community Trials” project [13], “Operation Safe Crossing” [14], the “Sacramento Neighborhood Alcohol Prevention Project” [15], the “Stockholm Prevents Alcohol and Drug Problems” program [16,17], the “Safer California Universities Project” [18], the “Alcohol Action in Rural Communities Project” [19], and the “Oregon Reducing Access to Alcohol Project” [20]; for a review, see Stockings and colleagues [21]. Collectively, these studies address reductions in harms in a variety of contexts by using a range of intervention strategies—for example, media advocacy, education, policy enforcement (including sales to minors and drink driving), responsible beverage service, and other strategies to prevent over-consumption.…”

Section: Introductionmentioning

confidence: 99%

“…Most were evaluated using designs that involved comparing matched intervention and comparison communities. The review by Stockings et al [21] indicates that multi-component community interventions have generally achieved only modest effects on harmful alcohol use and related consequences, indicating the need for further research to improve the implementation of population-level evidence-based interventions and the identification of promising prevention strategies. Moreover, almost all multi-component community trials to date have been conducted in high-income countries.…”

Section: Introductionmentioning

confidence: 99%

Design and outcome measures for the AB InBev Global Smart Drinking Goals evaluation

Miller¹,

Ringwalt²,

Grube³

et al. 2019

Contemporary Clinical Trials Communications

View full text Add to dashboard Cite

We describe the rationale for and design of an independent evaluation of the Global Smart Drinking Goals (GSDG) program. The primary purpose of this program, supported by the AB InBev Foundation, is to reduce harms associated with alcohol use by 10%. Our evaluation focuses on the effects of prevention strategies sponsored by the Foundation that are being implemented in six city pilots located in as many countries. These strategies are designed to reduce heavy episodic drinking, underage drinking, drink driving, and alcohol-related violence. Each city pilot has been matched with a comparison city in which the GSDG program will not be implemented. In this quasi-experimental community trial, we will assess each city pilot's progress toward reaching its harm reduction goals, relative to its comparison city, by means of annual adult and youth surveys. We will then supplement these analyses with the use of pertinent local archival data, where available. We discuss several challenges related to this evaluation and its quasi-experimental design. These include operating in a fluid and unpredictable environment in regard to the implementation, adaptation, and (on occasion) abandonment of the prevention strategies selected by each city pilot. We also discuss issues concerning our decision to accept funding from the alcohol industry and the measures we have taken to ensure the independence of our evaluation.

show abstract

Whole‐of‐community interventions to reduce population‐level harms arising from alcohol and other drug use: a systematic review and meta‐analysis

Cited by 22 publications

References 44 publications

Optimisation: defining and exploring a concept to enhance the impact of public health initiatives

Optimisation: defining and exploring a concept to enhance the impact of public health initiatives

The Evaluation of IDEAL-REACH Program to Improve Nutrition among Asian American Community Members in the Philadelphia Metropolitan Area

Design and outcome measures for the AB InBev Global Smart Drinking Goals evaluation

Contact Info

Product

Resources

About