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

@article{Hodder2017EffectivenessOA,
  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},
  year={2017},
  volume={7}
}
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… 
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References

SHOWING 1-10 OF 125 REFERENCES
A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: study protocol
TLDR
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
TLDR
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.
TLDR
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.
TLDR
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.
Evaluating Mediators of the Impact of the Linking the Interests of Families and Teachers (LIFT) Multimodal Preventive Intervention on Substance Use Initiation and Growth Across Adolescence
TLDR
The LIFT intervention had a significant effect on reducing the rate of growth in use of tobacco and illicit drugs, particularly for girls, and had an overall impact on average levels of use of Tobacco, alcohol, and illicitdrugs.
Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being.
TLDR
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.
The BRAVE (Building Resiliency and Vocational Excellence) Program: Evaluation Findings for a Career-Oriented Substance Abuse and Violence Preventive Intervention
TLDR
Results revealed a beneficial effect of the intervention on participants’ frequency of use of alcohol and marijuana, but no effect for violent behavior.
...
...