|Titre :||Universal school-based prevention for illicit drug use (2014)|
|Auteurs :||F. FAGGIANO ; S. MINOZZI ; E. VERSINO ; D. BUSCEMI|
|Type de document :||Article : Périodique|
|Dans :||Cochrane Database of Systematic Reviews (n°12, 2014)|
|Article en page(s) :||CD003020 ; 167 p.|
|Note générale :||
Cochrane Database Syst Rev. 2005;(2):CD003020.
|Discipline :||PRE (Prévention / Prevention)|
Thésaurus TOXIBASEPREVENTION ; MILIEU SCOLAIRE ; PRODUIT ILLICITE ; CANNABIS ; INTERVENTION ; COMPETENCES PSYCHOSOCIALES ; COMPARAISON ; EVALUATION ; EFFICACITE ; ADOLESCENT ; INFLUENCE
BACKGROUND: Drug addiction is a chronic, relapsing disease. Primary interventions should aim to reduce first use or to prevent the transition from experimental use to addiction. School is the appropriate setting for preventive interventions.
OBJECTIVES: To evaluate the effectiveness of universal school-based interventions in reducing drug use compared to usual curricular activities or no intervention.
SEARCH METHODS: We searched the Cochrane Drugs and Alcohol Group's Trials Register (September 2013), the Cochrane Central Register of Controlled Trials (2013, Issue 9), PubMed (1966 to September 2013), EMBASE (1988 to September 2013) and other databases. We also contacted researchers in the field and checked reference lists of articles.
SELECTION CRITERIA: Randomised controlled trials (RCT) evaluating school-based interventions designed to prevent illicit drugs use.
DATA COLLECTION AND ANALYSIS: We used the standard methodological procedures expected by The Cochrane Collaboration.
MAIN RESULTS: We included 51 studies, with 127,146 participants. Programmes were mainly delivered in sixth and seventh grade pupils. Most of the trials were conducted in the USA. Social competence approach versus usual curricula or no intervention Marijuana use at AUTHORS' CONCLUSIONS: School programmes based on a combination of social competence and social influence approaches showed, on average, small but consistent protective effects in preventing drug use, even if some outcomes did not show statistical significance. Some programmes based on the social competence approach also showed protective effects for some outcomes.Since the effects of school-based programmes are small, they should form part of more comprehensive strategies for drug use prevention in order to achieve a population-level impact.
|Domaine :||Drogues illicites / Illicit drugs|
|Sous-type de document :||Revue de la littérature / Literature review|
|Affiliation :||Department of Translational Medicine, Universita del Piemonte Orientale, Novara, NO, Italy|
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