|Titre :||The effectiveness of a school-based substance abuse prevention program: EU-Dap cluster randomised controlled trial (2008)|
|Auteurs :||F. FAGGIANO ; M. R. GALANTI ; K. BOHRN ; G. BURKHART ; F. VIGNA-TAGLIANTI ; L. CUOMO ; L. FABIANI ; M. PANELLA ; T. PEREZ ; R. SILIQUINI ; P. VAN DER KREEFT ; M. VASSARA ; G. WIBORG ; EU-Dap Study Group|
|Type de document :||Article : Périodique|
|Dans :||Preventive Medicine (Vol.47, n°5, November 2008)|
|Article en page(s) :||537-543|
|Discipline :||PRE (Prévention - RdRD / Prevention - Harm reduction)|
Thésaurus TOXIBASEMILIEU SCOLAIRE ; PREVENTION ; PROGRAMME ; EFFICACITE ; ETUDE RANDOMISEE ; PRODUIT ILLICITE ; ALCOOL ; TABAC ; CANNABIS ; MODELE ; INFLUENCE ; PREVALENCE ; INTERVENTION
OBJECTIVE: To evaluate the effectiveness of the school-based drug abuse prevention program developed in the EU-Dap study (EUropean Drug Abuse Prevention trial) in preventing the use of tobacco, alcohol and drugs at the post-test.
METHODS: Cluster Randomised Controlled Trial. Seven European countries participated in the study; 170 schools (7079 pupils 12-14 years of age) were randomly assigned to one of three experimental conditions or to a control condition during the school year 2004/2005. A pre-test survey assessing past and current substance use was conducted before the implementation of the program. The program consisted in 12-hour class-based curriculum based on a comprehensive social-influence approach. A post-test survey was carried out in all participating schools, 3 months after the end of the program. The association between program condition and change in substance use at post-test was expressed as adjusted Prevalence Odds Ratio (POR), estimated by multilevel regression model.
RESULTS: Program effects were found for daily cigarette smoking (POR=0.70; 0.52-0.94) and episodes of drunkenness in the past 30 days (POR=0.72; 0.58-0.90 for at least one episode, POR=0.69; 0.48-0.99 for three or more episodes), while effects on Cannabis use in the past 30 days were of marginal statistical significance (POR=0.77; 0.60-1.00). The curriculum was successful in preventing baseline non-smokers or sporadic smokers from moving onto daily smoking, but it was not effective in helping baseline daily smokers to reduce or stop smoking.
CONCLUSION: School curricula based on a comprehensive social-influence model may delay progression to daily smoking and episodes of drunkenness.
|Domaine :||Alcool / Alcohol ; Drogues illicites / Illicit drugs ; Tabac / Tobacco|
|Affiliation :||Department of Clinical and Experimental Medicine - Avogadro University, Novara, Italy|