Newton Nicola C, Vogl Laura E, Teesson Maree, Andrews Gavin
National Drug and Alcohol Research Centre, University of New South Wales, Randwick, NSW, Australia.
Aust N Z J Psychiatry. 2009 Mar;43(3):201-7. doi: 10.1080/00048670802653364.
The aim of the present study was to conduct a cross-validation trial of the efficacy of a computerized school-based intervention for alcohol misuse in adolescents.
A cluster randomized control trial was carried out. Intervention and control groups were assessed at baseline, immediately after and 6 months after the intervention. A total of 764 Year 8 students from 10 independent secondary schools in Sydney, Australia participated in the study. Half of the schools were randomly allocated to the computerized prevention programme (n=397), and half to their usual classes (n=367). The six-lesson computerized intervention was evidence and curriculum based while having a focus on harm-minimization. Knowledge, expectancies, alcohol consumption (frequency, quantity and binging), patterns of use, and harms associated with one's own use of alcohol were assessed.
There were significant improvements in knowledge regarding alcohol use at immediate and 6 month follow up. Average weekly alcohol consumption was reduced immediately after the intervention. No differences between groups were found on alcohol expectancies, frequency of drinking to excess and harms related to alcohol use over time.
The present results support the Climate Management and Treatment Education (CLIMATE) Schools: alcohol module as an effective intervention in increasing alcohol knowledge and reducing alcohol use in the short term.
本研究旨在对一项针对青少年酒精滥用问题的计算机化校本干预措施的疗效进行交叉验证试验。
开展了一项整群随机对照试验。在基线、干预结束后即刻以及干预后6个月对干预组和对照组进行评估。共有来自澳大利亚悉尼10所独立中学的764名八年级学生参与了该研究。一半学校被随机分配到计算机化预防项目组（n = 397），另一半则分配到常规课程组（n = 367）。这一为期六节课的计算机化干预措施以证据和课程为基础，同时侧重于危害最小化。对知识、预期、酒精消费（频率、数量和暴饮）、使用模式以及与自身饮酒相关的危害进行了评估。
在干预结束后即刻以及6个月随访时，关于酒精使用的知识有显著改善。干预后即刻平均每周酒精消费量有所减少。随着时间推移，在酒精预期、过度饮酒频率以及与酒精使用相关的危害方面，两组之间未发现差异。
目前的结果支持气候管理与治疗教育（CLIMATE）学校：酒精模块作为一种在短期内增加酒精知识和减少酒精使用的有效干预措施。
