National Trauma Research Institute, The Alfred, Melbourne, Victoria, Australia.
Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Emerg Med Australas. 2021 Aug;33(4):640-646. doi: 10.1111/1742-6723.13693. Epub 2020 Dec 19.
This retrospective observational study aimed to compare the impact of the Prevent Alcohol and Risk-Related Trauma Youth (P.A.R.T.Y.) Program when delivered as In-hospital or Outreach models to rural and regional students.
The study population were consented participants from regional areas between 2013 and 2017 who completed pre-programme, immediately post-programme and 3-5 months post-programme surveys. Responses from the metropolitan In-hospital programme participants and regional Outreach programme participants were analysed within groups across the three time points. The primary outcome variable was a change in self-reported perception of driving after drinking alcohol. Secondary outcome variables were designating a safe driver after drinking, perception of risk of injury if not wearing a seatbelt, risks of injury if undertaking physical risk-taking activities and likelihood of the programme changing perceptions.
There were 1314 participants invited to participate and 547 (42%) sets of complete surveys were received, of whom 296 (54%) were Outreach participants. Pre-programme, a significantly lower proportion of Outreach participants reported 'definitely not' to driving after drinking (84% vs 91%), and perceived a 'definite' likelihood of sustaining injury if not wearing a seatbelt (57% vs 66%). Outreach participants displayed improvements in likelihood to drive after drinking alcohol immediately post-programme and on follow up (P = 0.028). Responses to all other secondary outcome measures demonstrated some improvement.
Although demographically similar, baseline perceptions toward alcohol, risk-taking and injury differed between groups. Improvements in perception were demonstrated across both models. These findings support P.A.R.T.Y. as an injury prevention initiative for regional youth.
本回顾性观察研究旨在比较预防酒精和相关创伤青少年（PARTY）项目在医院内和社区两种模式下对农村和地区学生的影响。
研究对象为 2013 年至 2017 年期间来自地区的同意参与者，他们完成了项目前、项目后即刻和项目后 3-5 个月的调查。对大都市医院内项目参与者和地区外展项目参与者的大都市内医院内项目参与者和地区外展项目参与者的回答在三个时间点进行了组内分析。主要结局变量是自我报告的酒后驾驶感知变化。次要结局变量是酒后指定安全驾驶员、不系安全带受伤风险感知、进行身体冒险活动的受伤风险以及项目改变感知的可能性。
共邀请了 1314 名参与者参加，其中 547 名（42%）参与者收到了完整的调查，其中 296 名（54%）参与者是外展参与者。在项目前，外展参与者中报告“绝对不”酒后驾车的比例明显较低（84%比 91%），并且认为不系安全带肯定会受伤（57%比 66%）。外展参与者在项目后即刻和随访时显示出酒后驾车的可能性增加（P=0.028）。对所有其他次要结局测量的反应都显示出一些改善。
尽管在人口统计学上相似，但两组对酒精、冒险和伤害的看法存在差异。两种模式都显示出感知的改善。这些发现支持 PARTY 作为地区青少年伤害预防的一项倡议。
