Long-Term Effects of a Parent and Student Intervention on Alcohol Use in Adolescents A Cluster Randomized Controlled Trial
Long-Term Effects of a Parent and Student Intervention on Alcohol Use in Adolescents A Cluster Randomized Controlled Trial
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DOI：
10.1016/j.amepre.2010.12.030
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发表时间：
2011-05-01
影响因子：
5.5
通讯作者：
Vollebergh, Wilma A.
中科院分区：
文献类型：
--
作者：
Koning, Ina M.;van den Eijnden, Regina J.;Vollebergh, Wilma A.
背景：荷兰青少年早开始饮酒是非常普遍的。较低的发病年龄与若干发展和社会风险有关。目的：评价针对高三学生重度饮酒的两种预防干预措施的长期效果。设计：采用四种情况的聚类随机对照试验，将两种积极干预（分别和同时）与对照组进行比较。设置/参与者：荷兰19所高中152个班级；3490名高中一年级学生及其父母（M = 12.6 years, SD = 0.49）。干预：(1)父母干预，旨在鼓励父母制定有关子女饮酒的限制性规则；(2)基于计划行为理论和社会认知理论的四门数字课程，旨在提高学生自我控制能力和健康的酒精态度；(3)干预措施1和干预措施2相结合；(4)常规课程作为对照条件。主要结果测量：基线测量（2006年）后34个月（2009年）每周（重度）饮酒的发生率。结果：有2937名学生符合本研究的分析条件。在随访中，只有学生-家长联合干预对每周酗酒和每周酗酒表现出实质性和显著的影响。结论：本研究发现的短期效应进一步支持青少年及其父母应该有针对性地延迟（重度）饮酒的发生。
Background: Early onset of drinking among Dutch adolescents is highly prevalent. A lower age of onset is associated with several developmental and social risks.Purpose: To evaluate the long-term effectiveness of two preventive interventions targeting heavy drinking in third-year high school students.Design: Cluster RCT using four conditions for comparing two active interventions (separately and simultaneously) with a control group.Setting/participants: 152 classes of 19 high schools in the Netherlands; 3490 first-year high school students (M = 12.6 years, SD = 0.49) and their parents.Intervention: (1) parent intervention aimed at encouraging restrictive parental rule-setting concerning their children's alcohol consumption; (2) student intervention aimed at increasing self-control and healthy attitudes toward alcohol, consisting of four digital lessons based on the principles of the theory of planned behavior and social cognitive theory; (3) interventions 1 and 2 combined; and (4) the regular curriculum as control condition.Main outcome measures: Incidence of (heavy) weekly alcohol use at 34 months (2009) after baseline measurement (2006).Results: There were 2937 students eligible for analyses in this study. At follow-up, only the combined student-parent intervention showed substantial and significant effects on heavy weekly and weekly drinking.Conclusions: The short-term effects found in the present study further support that adolescents as well as their parents should be targeted in order to delay the onset of (heavy) drinking.