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预防药物滥用:英国强化家庭计划10 - 14岁阶段(SFP 10 - 14 UK)随机对照试验的研究方案

Preventing substance misuse: study protocol for a randomised controlled trial of the Strengthening Families Programme 10-14 UK (SFP 10-14 UK).

作者信息

Segrott Jeremy, Gillespie David, Holliday Jo, Humphreys Ioan, Murphy Simon, Phillips Ceri, Reed Hayley, Rothwell Heather, Foxcroft David, Hood Kerenza, Roberts Zoe, Scourfield Jonathan, Thomas Claire, Moore Laurence

机构信息

Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff School of Social Sciences, Cardiff University, 1-3 Museum Place, CF10 3BD Cardiff, UK.

出版信息

BMC Public Health. 2014 Jan 17;14:49. doi: 10.1186/1471-2458-14-49.

Abstract

BACKGROUND

Prevention of alcohol, drug and tobacco misuse by young people is a key public health priority. There is a need to develop the evidence base through rigorous evaluations of innovative approaches to substance misuse prevention. The Strengthening Families Programme 10-14 is a universal family-based alcohol, drugs and tobacco prevention programme, which has achieved promising results in US trials, and which now requires cross-cultural assessment. This paper therefore describes the protocol for a randomised controlled trial of the UK version of the Strengthening Families Programme 10-14 (SFP 10-14 UK).

METHODS/DESIGN: The trial comprises a pragmatic cluster randomised controlled effectiveness trial with families as the unit of randomisation, with embedded process and economic evaluations. Participating families will be randomised to one of two treatment groups - usual care with full access to existing services (control group), or usual care plus SFP 10-14 UK (intervention group). The trial has two primary outcomes - the number of occasions that young people report having drunk alcohol in the last 30 days, and drunkenness during the last 30 days, both dichotomised as 'never' and '1-2 times or more'. The main follow-up is at 2 years past baseline, and short-term and intermediate outcomes are also measured at 9 and 15 months.

DISCUSSION

The results from this trial will provide evidence on the effectiveness and cost-effectiveness of an innovative universal family-based substance misuse prevention programme in a UK context.

TRIAL REGISTRATION

Current Controlled Trials ISRCTN63550893.

摘要

背景

预防年轻人滥用酒精、药物和烟草是公共卫生的一项关键优先事项。需要通过对预防药物滥用创新方法进行严格评估来建立证据基础。“加强家庭计划10 - 14岁版”是一项基于家庭的普遍性酒精、药物和烟草预防计划,在美国试验中取得了有前景的结果,现在需要进行跨文化评估。因此,本文描述了英国版“加强家庭计划10 - 14岁版”(SFP 10 - 14 UK)随机对照试验的方案。

方法/设计:该试验包括一项以家庭为随机单位的实用整群随机对照有效性试验,并嵌入了过程和经济评估。参与的家庭将被随机分配到两个治疗组之一——可充分利用现有服务的常规护理组(对照组),或常规护理加SFP 10 - 14 UK组(干预组)。该试验有两个主要结局——年轻人报告在过去30天内饮酒的次数,以及过去30天内醉酒的情况,两者均分为“从未”和“1 - 2次或更多次”。主要随访在基线后2年进行,短期和中期结局也在9个月和15个月时测量。

讨论

该试验的结果将为一项创新的基于家庭的普遍性药物滥用预防计划在英国背景下的有效性和成本效益提供证据。

试验注册

当前受控试验ISRCTN63550893。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/605f/3902023/05907d8f4fef/1471-2458-14-49-1.jpg

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