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Strengthening community partnerships to promote adolescent school engagement and prevent problems such as alcohol misuse

Not Applicable
Completed
Conditions
ptake of alcohol by adolescents, and alcohol consumption by adolescents
Uptake of alcohol by adolescents, and alcohol consumption by adolescents
Public Health - Health promotion/education
Registration Number
ACTRN12612000384853
Lead Sponsor
Deakin University
Brief Summary

Methods: This study evaluated a multicomponent community intervention that included community mobilisation, social marketing, and the monitoring of alcohol sales to minors. Evaluation was a clustered randomised trial design with 14 intervention and 14 control communities. Prior to randomisation, communities were matched on socioeconomic status and location. Intervention communities were not blinded. Participants: 3545 Year 8 students (M=12 years) were surveyed at baseline from 75 schools; 3377 students were surveyed post intervention in 2013 from 54 schools. Outcomes: It was hypothesised that the primary outcome, individual alcohol consumption in last 30 days, after the intervention would be 15% lower in intervention communities. Secondary outcomes were consumption in the past year and intention not to drink before age 18. Results: The intervention communities showed larger relative reductions compared to the controls in last 30-day consumption and past year (10%), but not significantly different. A significantly lower proportion of participants in the intervention community (63%), compared to the controls (71%), reported intending to drink before 18 years old. Subgroup analysis identified regional and state differences for some secondary measures. Conclusions: Intervention assignment was associated with lower adolescent intention to drink before the age of 18. However, more intensive and longer-term intervention may be required to measure significant differences in behaviour.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
3377
Inclusion Criteria

The key inclusion criteria are as follows:

(i) regions with large numbers of children and adolescents; (ii) no proximal boundaries;
(iii) a representation of Australia’s national variation in socioeconomic disadvantage; and
(iv) variation in metropolitan versus non-metropolitan location.

A large survey of primary and secondary school students in these communities (N=8,500) was used to inform 14 matched community pairs, random assignment was then used to allocate half into the intervention. The design accords with the CONSORT guidelines for non-pharmacological trials.

Exclusion Criteria

None.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Reduction in the reported number of standard alcoholic drinks by Adolescents in the last week and last 30 days.<br><br>This information will be gathered by a questionnaire.[Baseline measures in each of the communities have been done between 2006 and 2009. Measures will be repeated in all the communities, after the intervention in 2013.<br><br>The questionnaire used in 2013 (after the intervention), will be the same one that has been used to assess baseline measures for the communities between 2006-2009.]
Secondary Outcome Measures
NameTimeMethod
A reduction in the self-report of adolescents receiving alcohol from parents.<br><br>This information will be gathered by a questionnaire.[Baseline measures in each of the communities have been done between 2006 and 2011. Measures will be repeated in all the communities, after the intervention in 2013.<br><br>The questionnaire used in 2013 (after the intervention), will be the same one that has been used to assess baseline measures for the communities between 2006-2009.];A reduction in the intention to consume alcohol before the age of 18.<br><br>This information will be gathered by a questionnaire.[Baseline measures in each of the communities have been done between 2006 and 2011. Measures will be repeated in all the communities, after the intervention in 2013.<br><br>The questionnaire used in 2013 (after the intervention), will be the same one that has been used to assess baseline measures for the communities between 2006-2009.]
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