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基于学校的酒精教育:一项整群随机对照试验的结果

School-based alcohol education: results of a cluster-randomized controlled trial.

作者信息

Morgenstern Matthis, Wiborg Gudrun, Isensee Barbara, Hanewinkel Reiner

机构信息

Institute for Therapy and Health Research, IFT-Nord, Kiel, Germany.

出版信息

Addiction. 2009 Mar;104(3):402-12. doi: 10.1111/j.1360-0443.2008.02471.x.

DOI:10.1111/j.1360-0443.2008.02471.x
PMID:19207348
Abstract

OBJECTIVE

This study aimed to examine the effects of a school-based alcohol education intervention.

DESIGN

Two-arm three-wave cluster-randomized controlled trial, with schools as the unit for randomization. Surveys were conducted prior to intervention implementation, then 4 and 12 months after baseline.

SETTING

A total of 30 public schools in Schleswig-Holstein, Germany. Participants Baseline data were obtained from 1686 7th graders. The retention rate was 85% over 12 months. Intervention The intervention consisted of four interactive lessons conducted by teachers, booklets for students and booklets for parents.

MEASURES

Knowledge, attitudes, life-time alcohol consumption (ever use alcohol without parental knowledge, ever been drunk and ever binge drinking) and past-month alcohol use.

RESULTS

Intention-to-treat analyses revealed that intervention status was associated with more general knowledge about alcohol and lower levels of life-time binge drinking. No effects were found with respect to students' self-reported attitudes, intentions to drink, life-time alcohol use and past-month alcohol use.

CONCLUSIONS

The results indicate that this brief school-based intervention had a small short-term preventive effect on alcohol misuse.

摘要

目的

本研究旨在探讨一项以学校为基础的酒精教育干预措施的效果。

设计

双臂三波整群随机对照试验,以学校作为随机分组单位。在干预实施前、基线后4个月和12个月进行调查。

地点

德国石勒苏益格-荷尔斯泰因州的30所公立学校。参与者 基线数据来自1686名七年级学生。12个月期间的保留率为85%。干预措施 干预包括由教师开展的4节互动课程、给学生的手册和给家长的手册。

测量指标

知识、态度、终生饮酒情况(曾在未经父母知晓的情况下饮酒、曾喝醉和曾暴饮)以及过去一个月的饮酒情况。

结果

意向性分析显示,干预状态与更多关于酒精的一般知识以及较低水平的终生暴饮相关。在学生自我报告的态度、饮酒意向、终生饮酒情况和过去一个月饮酒情况方面未发现效果。

结论

结果表明,这项简短的以学校为基础的干预措施对酒精滥用有较小的短期预防效果。

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