A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents
Abstract Background. Adolescent alcohol consumption is an issue of ongoing concern and programs targeting parents have been identified as an important component in minimizing and preventing alcohol related harm in adolescents. This paper aims to evaluate existing parent based alcohol education programs with a focus on understanding parent specific outcomes; the level of theory application and the extent of stakeholder involvement in program design. Method. A total of seven databases were searched to identify relevant studies published between January 2000 and November 2018. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. Results. In total 15 studies qualified for assessment, detailing 11 individual parent programs. Of these, nine programs demonstrated positive effects in at least one parent reported outcome measure. Stakeholder engagement during the design of programs was lacking with the majority of programs. One third of the programs did not report theory use and when theory was used reporting was weak with one program informed by theory, two programs applying theory and four testing theory. Conclusion. Future studies are recommended to further enhance the effectiveness of parental programs. Given stakeholder involvement can increase levels of engagement, increasing levels of stakeholder involvement in the design of parental programs is recommended to extend parental participation in programs developed. Inclusion of theory in program design and evaluation will further extend understanding of the mechanisms leading to change.