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 including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application. Method. A systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Results. In total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten 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 three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong. Conclusion. Future studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.

Download Full-text

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

10.21203/rs.2.12701/v3 ◽

2019 ◽

Author(s):

Erin Hurley ◽

Timo Dietrich ◽

Sharyn Rundle-Thiele

Keyword(s):

Systematic Review ◽

Alcohol Consumption ◽

Stakeholder Engagement ◽

Parental Attitudes ◽

Study Quality ◽

Education Programs ◽

Alcohol Education ◽

Strong Conclusion ◽

Theory Application ◽

Rule Setting

Download Full-text

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

BMC Public Health ◽

10.1186/s12889-019-7733-x ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Erin Hurley ◽

Timo Dietrich ◽

Sharyn Rundle-Thiele

Keyword(s):

Systematic Review ◽

Alcohol Consumption ◽

Stakeholder Engagement ◽

Parental Attitudes ◽

Study Quality ◽

Education Programs ◽

Alcohol Education ◽

Positive Effects ◽

Theory Application ◽

Rule Setting

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 including parental attitudes, parent-child communication, alcohol specific rule setting and parental monitoring; study quality, the extent of stakeholder engagement in program design and the level of theory application. Method A systematic review of electronic databases EBSCO, Emerald, ProQuest, PubMed, Ovid, ScienceDirect, Taylor and Francis and Web of Science was conducted from database inception to August 2019. A total of 4288 unique records were retrieved from the eight databases. Studies were included if they evaluated school based alcohol education programs that included a parent component and detailed outcome measures associated with parent data. The methodological quality of the included studies was assessed using the Effective Public Health Practice Project (EPHPP) quality assessment tool. Results In total 17 studies qualified for assessment, detailing 13 individual parent programs. Of these, ten 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 three programs applying theory, five testing theory and none building theory. According to the EPHPP tool, overall ten programs were rated as weak, three as moderate and none as strong. Conclusion Future studies are recommended to further enhance the effectiveness of parental programs by improving study quality, increasing stakeholder engagement and increasing the level of theory application and reporting.

Download Full-text

A systematic review of parent based programs to prevent or reduce alcohol consumption in adolescents

10.21203/rs.2.12701/v1 ◽

2019 ◽

Author(s):

Erin Hurley ◽

Timo Dietrich ◽

Sharyn Rundle-Thiele

Keyword(s):

Alcohol Consumption ◽

Program Design ◽

Design Method ◽

Stakeholder Involvement ◽

Education Programs ◽

Alcohol Education ◽

Positive Effects ◽

Theory Application ◽

Theory Use ◽

Parent Component

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.

Download Full-text

The Effects of Fear Appeal and Communication upon Attitudes toward Alcohol Consumption

Journal of Drug Education ◽

10.2190/ng73-ljga-6n6f-pf6t ◽

1975 ◽

Vol 5 (2) ◽

pp. 171-181 ◽

Cited By ~ 11

Author(s):

Robert D. Fritzen ◽

Gil E. Mazer

Keyword(s):

Alcohol Consumption ◽

Educational Programs ◽

Alcoholic Beverages ◽

Fear Appeal ◽

Education Programs ◽

Alcohol Education ◽

Information Retention ◽

Independent Variables ◽

The Relationship ◽

Two Independent Variables

The purpose of the study was to clarify principles of communication pertinent to alcohol and drug educational programs. Specifically the relationship between two independent variables, the fear appeal of the message and the character of the communicator, and the attitudes, behavior and information retention of seventh and eighth grade pupils with respect to the consumption of alcoholic beverages was explored. A number of significant findings are reported and their implications for alcohol education programs are discussed.

Download Full-text

A systematic review of alcohol education programs for young people: do these programs change behavior?

Health Education Research ◽

10.1093/her/cyaa049 ◽

2020 ◽

Author(s):

Hannah L M Calverley ◽

Lauren A Petrass ◽

Jennifer D Blitvich

Keyword(s):

Systematic Review ◽

Young People ◽

Best Practice ◽

Quality Criteria ◽

Behavior Changes ◽

Education Programs ◽

Alcohol Education ◽

Term Outcome ◽

Long Term Outcome ◽

Change Behavior

Abstract Numerous education programs have addressed young peoples’ alcohol use. To date, no peer-reviewed publication has evaluated the effectiveness of such programs delivered across a range of contexts to change alcohol-related behaviors, attitudes and/or knowledge. This systematic review aimed to identify alcohol education programs addressing young people, and determine whether they changed alcohol-related behavior, knowledge and attitudes; and, ascertain components of successful programs. Studies were identified, guided by the PRISMA review process, from the earliest records until June 2020. Included studies (N = 70) comprised an alcohol education program which focused on young people (15–24 years). Forty programs reported behavior changes, and these programs were the highest quality. Others impacted attitudes and/or knowledge only (n = 12); or reported no impacts (n = 17). Recent programs were more likely than older programs to feature online delivery and report behavior changes. To enhance alcohol education, future programs should include the identified quality criteria, alongside process and long-term outcome evaluations, to better monitor effectiveness. Findings indicated some education programs have capacity to positively change alcohol-related behavior; however, outcome consistency varied even in high-quality programs. Alcohol education programs should be designed alongside health education/promotion models and best-practice recommendations, to improve the likelihood of desirable behavior-related outcomes.

Download Full-text

Identification of Behaviour Change Techniques from successful online interventions targeting Alcohol Consumption, Emotional Eating and Gambling. (Preprint)

10.2196/preprints.22694 ◽

2020 ◽

Author(s):

Gabrielle Humphreys ◽

Rebecca Evans ◽

Harriet Makin ◽

Laura Bijkerk ◽

Richard Cooke ◽

...

Keyword(s):

Systematic Review ◽

Alcohol Consumption ◽

Behaviour Change ◽

Emotional Eating ◽

Alcohol Misuse ◽

Behaviour Change Techniques ◽

Study Quality ◽

Online Interventions ◽

Post Intervention ◽

Self Monitoring

BACKGROUND Completely online interventions are thought to overcome barriers to treatment, such as accessibility and geographical location, that can undermine the effectivness of traditional face-to-face interventions. Due to these features, researchers are increasingly testing the efficacy of online interventions as ways to reduce alcohol misuse, emotional eating and gambling. However, many online interventions have poorly defined mechanisms of action, meaning it is often uncertain how they propose to bring about behaviour change. OBJECTIVE The systematic review aimed to identify effective Behaviour Change Techniques (BCTs) present in online interventions which aimed to reduce alcohol consumption, emotional eating, or gambling. METHODS The systematic review covered research conducted in the last 20 years. Inclusion criteria for interventions were (1) online administration (2) target alcohol use, emotional eating and/or gambling and (3) report baseline and post-intervention mesures of behaviour. PRISMA guidelines were followed. We coded intervention effectiveness, study quality and BCTs present in the interventions. RESULTS Following removal of 4,152 ineligible articles, 45 were included in the review: 32 targeted alcohol misuse; six for emotional eating; seven for gambling. The five most commonly used BCTs present across interventions were identified. When intervention success and study quality were controlled for, results differed slightly. Results from all frequency counts were integrated to identify seven commonly used BCTs. These BCTs were Problem solving, Feedback on behaviour, Self-monitoring of behaviour, Self-monitoring of outcomes, Instruction on how to perform a behaviour, Information about social and health consequences and Social comparison. CONCLUSIONS This systematic review identified seven of the most frequently used behaviour change techniques used in online interventions focused on alcohol misuse, emotional eating and gambling interventions. These results can inform the development of evidence-based e-health interventions which have the potential to lead to effective, positive behaviour change in all three areas.

Download Full-text

Combining school and family alcohol education: a systematic review of the evidence

Health Education ◽

10.1108/he-12-2013-0066 ◽

2014 ◽

Vol 114 (6) ◽

pp. 451-472 ◽

Cited By ~ 7

Author(s):

Georgina Cairns ◽

Richard Purves ◽

Jennifer McKell

Keyword(s):

Systematic Review ◽

Alcohol Misuse ◽

Parental Attitudes ◽

Alcohol Education ◽

Effective Prevention ◽

Content Type ◽

Positive Effects ◽

School Based ◽

Programme Design ◽

Education Interventions

Purpose – The purpose of this paper is to map and identify evidence for effective components of combined school and family alcohol education interventions. The paper describes current practice, evaluative evidence of its effects, and highlights specific elements of school and family linked education associated with effective prevention or reduction of alcohol misuse by young people aged 11-18 years. Design/methodology/approach – This paper takes the form of a systematic review. Findings – The review found evidence of small positive effects for interventions delivered over short and longer term duration and low and higher levels of direct contact with students and families. Family-based elements that correlated with positive effects were targeting information and skills development, family communications, and stricter parental attitudes to alcohol misuse. School-based components which involved life skills and social norms approaches were associated with reductions in risky behaviours. Weaker evidence indicated that peer-led programmes, external delivery agents and linkages of school-based components to community-level change may strengthen combined school and family intervention programmes. Research limitations/implications – The heterogeneity of the studies precluded the option to perform meta-analysis. Practical implications – There is a need for more focused use of planning and evaluation tools, and especially more explicit articulation of behaviours and/or behavioural determinants targeted; the methods that will be employed and the conceptual basis for the programme design could contribute to deeper understanding amongst the intervention community of how and why impact is or is not achieved. Social implications – Few studies provide information on the concepts, assumptions or change objectives that shape programme design. The potential benefits of combining school and family education interventions warrants further exploration. Originality/value – The authors believe this is the first review to systematically examine objectives, design and impact of combined school and family alcohol education interventions.

Download Full-text

Parent Education in Studies With Nonverbal and Minimally Verbal Participants With Autism Spectrum Disorder: A Systematic Review

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-19-00007 ◽

2020 ◽

Vol 29 (2) ◽

pp. 890-902

Author(s):

Lynn Kern Koegel ◽

Katherine M. Bryan ◽

Pumpki Lei Su ◽

Mohini Vaidya ◽

Stephen Camarata

Keyword(s):

Systematic Review ◽

Autism Spectrum Disorder ◽

Parent Education ◽

Autism Spectrum ◽

Verbal Communication ◽

Fidelity Of Implementation ◽

Spectrum Disorder ◽

Education Programs ◽

Minimally Verbal ◽

Parent Education Programs

Purpose The purpose of this systematic review was to identify parent education procedures implemented in intervention studies focused on expressive verbal communication for nonverbal (NV) or minimally verbal (MV) children with autism spectrum disorder (ASD). Parent education has been shown to be an essential component in the habilitation of individuals with ASD. Parents of individuals with ASD who are NV or MV may particularly benefit from parent education in order to provide opportunities for communication and to support their children across the life span. Method ProQuest databases were searched between the years of 1960 and 2018 to identify articles that targeted verbal communication in MV and NV individuals with ASD. A total of 1,231 were evaluated to assess whether parent education was implemented. We found 36 studies that included a parent education component. These were reviewed with regard to (a) the number of participants and participants' ages, (b) the parent education program provided, (c) the format of the parent education, (d) the duration of the parent education, (e) the measurement of parent education, and (f) the parent fidelity of implementation scores. Results The results of this analysis showed that very few studies have included a parent education component, descriptions of the parent education programs are unclear in most studies, and few studies have scored the parents' implementation of the intervention. Conclusions Currently, there is great variability in parent education programs in regard to participant age, hours provided, fidelity of implementation, format of parent education, and type of treatment used. Suggestions are made to provide both a more comprehensive description and consistent measurement of parent education programs.

Download Full-text