Historique
Article de Périodique
Parent-based interventions on adolescent alcohol use outcomes: A systematic review and meta-analysis (2018)
Auteur(s) :
BO, A. ;
HAI, A. H. ;
JACCARD, J.
Année
2018
Page(s) :
98-109
Sous-type de document :
Méta-analyse / Meta-analysis ; Revue de la littérature / Literature review
Langue(s) :
Anglais
Domaine :
Alcool / Alcohol
Thésaurus mots-clés
ALCOOL
;
ADOLESCENT
;
PARENT
;
INTERVENTION
;
PREVENTION
;
REDUCTION DE CONSOMMATION
;
EFFICACITE
Résumé :
Background: The effects of parent-based interventions on adolescent alcohol use are unclear, including what factors moderate intervention effects. This study examines the effects of parent-based interventions on adolescent alcohol use and whether the treatment effects vary by participants' characteristics and intervention characteristics.
Methods: Eleven electronic databases and relevant studies' references were searched for eligible studies published before March 2017. Randomized controlled trials investigating the efficacy of any parent-based intervention for alcohol use outcomes among adolescents up to 18 years old were eligible for review. Two reviewers independently conducted screening, data extraction, and risk of bias assessment. Robust variance estimation in meta-regression was used to analyze treatment effect size estimates and to conduct moderator analysis.
Results: Twenty studies were included in the meta-analysis. The average treatment effect size across all drinking outcomes, with 44 effect sizes from 20 studies, was g = -0.23 with a 95% confidence interval [-0.35, -0.10] which is statistically significant. Parent-based interventions appreared to have larger mean effect sizes on adolescent drinking intention than binge drinking. Interventions targeting both general and alcohol-specific parenting strategies had larger average effect sizes than interventions targeting alcohol-specific parenting only.
Conclusions: This meta-analysis found evidence of parent-based interventions' efficacy in preventing or reducing adolescent alcohol use.
Highlights:
This study reviewed RCTs of parent-based interventions for adolescent alcohol use.
Parent-based interventions are efficacious in reducing adolescent alcohol use.
Treatment effects differ by type of drinking outcomes and main intervention content.
Methods: Eleven electronic databases and relevant studies' references were searched for eligible studies published before March 2017. Randomized controlled trials investigating the efficacy of any parent-based intervention for alcohol use outcomes among adolescents up to 18 years old were eligible for review. Two reviewers independently conducted screening, data extraction, and risk of bias assessment. Robust variance estimation in meta-regression was used to analyze treatment effect size estimates and to conduct moderator analysis.
Results: Twenty studies were included in the meta-analysis. The average treatment effect size across all drinking outcomes, with 44 effect sizes from 20 studies, was g = -0.23 with a 95% confidence interval [-0.35, -0.10] which is statistically significant. Parent-based interventions appreared to have larger mean effect sizes on adolescent drinking intention than binge drinking. Interventions targeting both general and alcohol-specific parenting strategies had larger average effect sizes than interventions targeting alcohol-specific parenting only.
Conclusions: This meta-analysis found evidence of parent-based interventions' efficacy in preventing or reducing adolescent alcohol use.
Highlights:
This study reviewed RCTs of parent-based interventions for adolescent alcohol use.
Parent-based interventions are efficacious in reducing adolescent alcohol use.
Treatment effects differ by type of drinking outcomes and main intervention content.
Affiliation :
Silver School of Social Work, New York University, New York, NY, USA