prevention

Rating: Likely to be beneficial

Community-based interventions showed some impact in a systematic review (Stockings et al, 2018, 24 trials, n=249 125, samples subject to high-risk bias) in:

  • reducing risky drinking (AUDIT ˃8, 3 trials, RR 0.78, 95% CI 0.62 to 0.99).

Name of response option

  • Community-based prevention programmes

Desired outcome(s)

  • reduce risk behaviours

Area(s)

  • Prevention

Specific substance or pattern of use

alcohol,
not-drug specific

Target group(s) or setting(s)

communities
Rating: Unknown effectiveness

Community-based interventions showed no significant impact in a systematic review (Stockings et al, 2018, 24 trials, n=249 125, samples subject to high-risk bias) in:

  • reducing binge-drinking (5 trials, RR 0.97, 95% CI 0.98 to 1.06); and
  • reducing 12 month marijuana use (2 trials, RR 0.98, 95% CI 0.86 to 1.11).

Name of response option

  • Community-based prevention programmes

Desired outcome(s)

  • reduce harms

Area(s)

  • Prevention

Specific substance or pattern of use

alcohol,
not-drug specific,
cannabis

Target group(s) or setting(s)

communities
Rating: Unknown effectiveness

A recent systematic review (MacArthur et al 2018) of 70 RCTs addressing two or more risk behaviours (with a follow-up period of at least six months) and targetting children up to 18 years of age, found that:

  • universal school-based multiple risk behaviour interventions may be effective in preventing illicit drug use (OR 0.74, 95% CI 0.55 to 1.00; n=5 studies; 11,058 participants; low-quality evidence) at up to 12 months' follow-up

Name of response option

  • School-based interventions

Desired outcome(s)

  • reduce substance use

Area(s)

  • Prevention

Specific substance or pattern of use

not-drug specific

Target group(s) or setting(s)

young people
Rating: Unknown effectiveness

A recent systematic review (MacArthur et al 2018) of 70 RCTs addressing two or more risk behaviours (with a follow-up period of at least six months) and targetting children up to 18 years of age, found:

  • little or no effect of family- or individual-level multiple risk behaviour interventions to prevent cannabis use (moderate to low-quality evidence, with few studies available for comparisson, n≤ 4)

Name of response option

  • family- or individual-level interventions

Desired outcome(s)

  • reduce substance use

Area(s)

  • Prevention

Specific substance or pattern of use

cannabis

Target group(s) or setting(s)

young people
Rating: Beneficial

A recent systematic review (MacArthur et al 2018) of 70 RCTs addressing two or more risk behaviours (with a follow-up period of at least six months) and targetting children up to 18 years of age, found that:

  • universal school-based multiple risk behaviour  interventions were beneficial in preventing alcohol use (OR 0.72, 95% CI 0.56 to 0.92; n=8 studies; 8751 participants; bothmoderate-quality evidence) at up to 12 months' follow-up

Name of response option

  • School-based interventions

Desired outcome(s)

  • reduce substance use

Area(s)

  • Prevention

Specific substance or pattern of use

alcohol

Target group(s) or setting(s)

young people
Rating: Unknown effectiveness

A recent systematic review (MacArthur et al 2018) of 70 RCTs addressing two or more risk behaviours (with a follow-up period of at least six months) and targetting children up to 18 years of age, found:

  • little or no effect of family- or individual-level multiple risk behaviour interventions to prevent illicit drug use (moderate to low-quality evidence, with few studies available for comparisson, n≤ 4)

Name of response option

  • family- or individual-level interventions

Desired outcome(s)

  • reduce substance use

Area(s)

  • Prevention

Specific substance or pattern of use

not-drug specific

Target group(s) or setting(s)

young people
Rating: Unknown effectiveness

A recent systematic review (MacArthur et al 2018) of 70 RCTs addressing two or more risk behaviours (with a follow-up period of at least six months) and targetting children up to 18 years of age found:

  • little or no effect of family- or individual-level multiple risk behaviour interventions to prevent tobacco use (moderate to low-quality evidence, with few studies available for comparisson, n≤ 4)

Name of response option

  • family- or individual-level interventions

Desired outcome(s)

  • reduce substance use

Area(s)

  • Prevention

Specific substance or pattern of use

tobacco

Target group(s) or setting(s)

young people
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