Combined universal and selective prevention for adolescent alcohol use

a cluster randomized controlled trial

M. Teesson*, N. C. Newton, T. Slade, N. Carragher, E. L. Barrett, K. E. Champion, E. V. Kelly, N. K. Nair, L. A. Stapinski, P. J. Conrod

*Corresponding author for this work

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: No existing models of alcohol prevention concurrently adopt universal and selective approaches. This study aims to evaluate the first combined universal and selective approach to alcohol prevention. Method: A total of 26 Australian schools with 2190 students (mean age: 13.3 years) were randomized to receive: universal prevention (Climate Schools); selective prevention (Preventure); combined prevention (Climate Schools and Preventure; CAP); or health education as usual (control). Primary outcomes were alcohol use, binge drinking and alcohol-related harms at 6, 12 and 24 months. Results: Climate, Preventure and CAP students demonstrated significantly lower growth in their likelihood to drink and binge drink, relative to controls over 24 months. Preventure students displayed significantly lower growth in their likelihood to experience alcohol harms, relative to controls. While adolescents in both the CAP and Climate groups demonstrated slower growth in drinking compared with adolescents in the control group over the 2-year study period, CAP adolescents demonstrated faster growth in drinking compared with Climate adolescents. Conclusions: Findings support universal, selective and combined approaches to alcohol prevention. Particularly novel are the findings of no advantage of the combined approach over universal or selective prevention alone.

Original languageEnglish
Pages (from-to)1761-1770
Number of pages10
JournalPsychological Medicine
Volume47
Issue number10
DOIs
Publication statusPublished - 1 Jul 2017
Externally publishedYes

Keywords

  • alcohol
  • prevention
  • school-based programmes
  • selective prevention
  • universal prevention.

Fingerprint Dive into the research topics of 'Combined universal and selective prevention for adolescent alcohol use: a cluster randomized controlled trial'. Together they form a unique fingerprint.

  • Cite this

    Teesson, M., Newton, N. C., Slade, T., Carragher, N., Barrett, E. L., Champion, K. E., ... Conrod, P. J. (2017). Combined universal and selective prevention for adolescent alcohol use: a cluster randomized controlled trial. Psychological Medicine, 47(10), 1761-1770. https://doi.org/10.1017/S0033291717000198