Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: cluster-randomised controlled trial

  title={Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: cluster-randomised controlled trial},
  author={Rebecca Kate Hodder and Megan Freund and Jennifer A. Bowman and Luke Wolfenden and Elizabeth Campbell and Julia Dray and Christophe Lecathelinais and Christopher Oldmeadow and John Richard Attia and John Henry Wiggers},
  journal={BMJ Open},
Objectives Initiation of tobacco, alcohol and illicit substance use typically occurs during adolescence, with the school setting recommended to reduce adolescent substance use. Strengthening individual (eg, problem solving) and environmental (eg, caring relationships at school) resilience protective factors of adolescents has been suggested as a strategy for reducing substance use by adolescents; however, few studies have examined this potential. A study was conducted to investigate the… 
Differential intervention effectiveness of a universal school-based resilience intervention in reducing adolescent substance use within student subgroups: exploratory assessment within a cluster-randomised controlled trial
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Smoking behaviours and other substance use among Indigenous and non-Indigenous Australian secondary students, 2017.
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Since 2005, the Project P.A.T.H.S., a large-scale youth enhancement program, was implemented for 14 years in over 300 secondary schools in Hong Kong. While systematic evaluation findings have
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The rate of alcohol, cigarette, and illicit substance use in Poland is high and increasing, despite globally designed preventative actions, and parents’ awareness of children’s alcohol,cigarette, or illicit substances use is low, and schools hardly fulfil their educational and protective role.


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This is the first randomised controlled trial to evaluate the effectiveness of a comprehensive school-based resilience intervention, inclusive of explicit adoption strategies, in decreasing tobacco, alcohol and illicit drug use of adolescents attending disadvantaged secondary schools.
A school-based resilience intervention to decrease tobacco, alcohol and marijuana use in high school students
The results suggest that the intervention has the potential to increase resilience and protective factors, and to decrease the use of tobacco, alcohol and marijuana by adolescents, and more rigorous research is required to confirm this potential.
Reduction of adolescent alcohol use through family-school intervention: a randomized trial.
Adolescent substance use outcomes in the Raising Healthy Children project: a two-part latent growth curve analysis.
Findings provide support for preventive interventions that take a social development perspective in targeting empirically supported risk and protective factors and demonstrate the use of 2-part models in adolescent substance use research.
Outcomes from a randomized controlled trial of a multi-component alcohol use preventive intervention for urban youth: project northland Chicago.
The study results indicate the importance of conducting evaluations of previously validated programs in contexts that differ from the original study sample, and highlight the need for further research with urban, low-income adolescents from different ethnic backgrounds to identify effective methods to prevent and reduce alcohol use.
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The study provides support for prevention strategies in schools that move beyond health education to promoting positive social environments and reduces among students health risk behaviors and improving emotional well-being.
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Results revealed a beneficial effect of the intervention on participants’ frequency of use of alcohol and marijuana, but no effect for violent behavior.