A parent-oriented alcohol prevention program "Effekt" had no impact on adolescents' alcohol use: Findings from a cluster-randomized controlled trial in Estonia.
Drug and alcohol dependence
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Tael-Öeren, M., Naughton, F., & Sutton, S. (2019). A parent-oriented alcohol prevention program "Effekt" had no impact on adolescents' alcohol use: Findings from a cluster-randomized controlled trial in Estonia.. Drug and alcohol dependence, 194 279-287. https://doi.org/10.1016/j.drugalcdep.2018.10.024
Aim: To evaluate the effectiveness of a universal parent-oriented alcohol prevention programme (“Effekt”) in Estonia. The main objective of the programme was to delay and reduce adolescents’ alcohol consumption by maintaining parental restrictive attitudes towards adolescents’ alcohol use over time. Methods: A matched-pair cluster randomised controlled trial with a three-year assessment period (baseline (T1), 18-months (T2) and 30-months (T3) follow-ups) was undertaken in 2012‒2015 among 985 fifth grade adolescents and 790 parents in sixty-six schools (34 intervention, 32 control). The primary outcome measure was adolescents’ alcohol use initiation. Secondary outcome measures were lifetime drunkenness and alcohol use in the past year. Intermediate outcomes were restrictive parental attitudes towards adolescents’ alcohol use reported by parents and perceived restrictive parental attitudes and parental alcohol supply reported by adolescents. Results: There were no significant differences in adolescents’ alcohol use initiation, lifetime drunkenness, alcohol use in the past year, parental alcohol supply, and adolescent’s perception of parental restrictive attitudes between intervention and control school participants at T2 and T3. There were significant differences in parental attitudes – the odds of having restrictive attitudes were 2.05 (95% confidence interval (CI)=1.32‒3.17) times higher at T2 and 1.92 (95% CI=1.31‒2.83) times higher at T3 in the intervention group than in the control group. Conclusions: The Estonian version of the “Effekt” programme had a positive effect on parental attitudes, but it did not succeed in delaying or reducing adolescents’ alcohol consumption.
Humans, Alcoholic Intoxication, Cluster Analysis, Follow-Up Studies, Adolescent Behavior, Parents, Adolescent, Child, Estonia, Female, Male, Underage Drinking
Estonian National Institute for Health Development, Archimedes Foundation
External DOI: https://doi.org/10.1016/j.drugalcdep.2018.10.024
This record's URL: https://www.repository.cam.ac.uk/handle/1810/286891
Attribution-NonCommercial-NoDerivatives 4.0 International
Licence URL: http://creativecommons.org/licenses/by-nc/4.0/