Author:
Newton Nicola C.,Chapman Cath,Slade Tim,Birrell Louise,Healy Annalise,Mather Marius,McBride Nyanda,Hides Leanne,Allsop Steve,Mewton Louise,Andrews Gavin,Teesson Maree
Abstract
AbstractBackgroundThe burden of disease attributable to alcohol and other drug (AOD) use in young people is considerable. Prevention can be effective, yet few programs have demonstrated replicable effects. This study aimed to replicate research behind Climate Schools: Alcohol and Cannabis course among a large cohort of adolescents.MethodsSeventy-one secondary schools across three States participated in a cluster-randomised controlled trial. Year 8 students received either the web-based Climate Schools: Alcohol and Cannabis course (Climate, n = 3236), or health education as usual (Control, n = 3150). Outcomes were measured via self-report and reported here for baseline, 6- and 12-months for alcohol and cannabis knowledge, alcohol, cannabis use and alcohol-related harms.ResultsCompared to Controls, students in the Climate group showed greater increases in alcohol- [standardised mean difference (SMD) 0.51, p < 0.001] and cannabis-related knowledge (SMD 0.49, p < 0.001), less increases in the odds of drinking a full standard drink[(odds ratio (OR) 0.62, p = 0.014], and heavy episodic drinking (OR 0.49, p = 0.022). There was no evidence for differences in change over time in the odds of cannabis use (OR 0.57, p = 0.22) or alcohol harms (OR 0.73, p = 0.17).ConclusionsThe current study provides support for the effectiveness of the web-based Climate Schools: Alcohol and Cannabis course in increasing knowledge and reducing the uptake of alcohol. It represents one of the first trials of a web-based AOD prevention program to replicate alcohol effects in a large and diverse sample of students. Future research and/or adaptation of the program may be warranted with respect to prevention of cannabis use and alcohol harms.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Applied Psychology
Reference50 articles.
1. Developing the Climate Schools: Alcohol and Cannabis Module: A Harm-Minimization, Universal Drug Prevention Program Facilitated by the Internet
2. Kaur, N. , Keyes, K. M. , Hamilton, A. , Chapman, C. , Livingston, M. , Slade, T. , & Swift, W. (under review). Trends in cannabis use and attitudes towards legalization and use among Australians from 2001-2016: An age-period-cohort analysis, Addiction.
3. Applying Computer Technology to Substance Abuse Prevention Science: Results of a Preliminary Examination
4. Guerin, N. , & White, V. (2018). ASSAD 2017 Statistics & Trends: Australian Secondary Students’ Use of Tobacco, Alcohol, Over-the-counter Drugs, and Illicit Substances. Retrieved from https://www.health.gov.au/resources/publications/secondary-school-students-use-of-tobacco-alcohol-and-other-drugs-in-2017
5. Measuring Quality of Delivery in a Substance Use Prevention Program
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献