Prevention Sciences, School of Psychology and Centre for Mental Health and Wellbeing Research, Deakin University, Geelong, Victoria, Australia; Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
J Adolesc Health. 2013 Dec;53(6):778-84. doi: 10.1016/j.jadohealth.2013.07.005. Epub 2013 Aug 20.
Two-year longitudinal follow-up data evaluated the behavioral impact of Resilient Families, a universal intervention that aimed to prevent early initiation and frequent and heavy adolescent alcohol use in secondary schools in Melbourne, Australia.
Of 24 secondary schools (62% of those approached), 12 were randomly assigned to intervention and 12 as controls. Intervention students received a social relationship curriculum; their parents received parent education handbooks and invitations to parent education events outlining strategies to encourage healthy adolescent development and reduce adolescent alcohol misuse. At Wave 1 (2004), students were in Year 7 secondary school (mean age, 12.3 years). Data were imputed for students completing at least two of three annual surveys (N = 2,354). Wave 3 (2006; mean, 14.5 years) main outcome measures for alcohol use were "any," "frequent" (at least monthly), and "heavy" (five or more drinks in a session at least once in the prior fortnight). Multivariate logistic regression assessed intervention exposure effects, adjusting for school classroom clustering and baseline measures.
Relative to controls, intervention students showed significant reductions in any lifetime use (adjusted odds ratio [AOR], .78; 95% confidence interval [CI], .62-.97), and reduced progression to frequent (AOR, .69; CI, .56-.86) and heavy use (AOR, .75; CI, .60-.94).
Randomized assignment to Resilient Families was associated with a significant reduction in adolescent alcohol use among families volunteering for the evaluation. Family-school-based interventions appear promising as a strategy to contribute to population reductions in currently high rates of adolescent alcohol misuse.
对韧性家庭（Resilient Families）进行为期两年的纵向随访数据分析，该项目为一项普遍性干预措施，旨在预防澳大利亚墨尔本中学青少年早期开始频繁且大量饮酒。
在 24 所中学（占目标学校的 62%）中，12 所被随机分配到干预组，12 所作为对照组。干预组学生接受社会关系课程；其家长则收到家长教育手册，并受邀参加家长教育活动，活动介绍了鼓励青少年健康发展和减少青少年酗酒的策略。在第 1 波（2004 年），学生处于中学 7 年级（平均年龄为 12.3 岁）。至少完成三次年度调查中的两次的学生数据被纳入（N=2354）。第 3 波（2006 年；平均年龄为 14.5 岁）的主要饮酒结果测量指标为“任何”（有过饮酒行为）、“频繁”（至少每月一次）和“重度”（过去两周内至少一次一次性饮酒五杯或以上）。多变量逻辑回归评估了干预暴露的效果，同时调整了学校课堂聚类和基线测量值。
与对照组相比，干预组学生的任何终身饮酒率显著降低（调整后的优势比 [AOR]，0.78；95%置信区间 [CI]，0.62-0.97），且向频繁饮酒（AOR，0.69；CI，0.56-0.86）和重度饮酒（AOR，0.75；CI，0.60-0.94）的进展也有所减少。
随机分配到韧性家庭的学生与参与评估的家庭青少年饮酒率显著降低有关。基于家庭和学校的干预措施似乎是减少目前青少年酗酒率较高的一种有前途的策略。
