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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >The effectiveness of a school-based substance abuse prevention program: EU-Dap cluster randomised controlled trial.
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The effectiveness of a school-based substance abuse prevention program: EU-Dap cluster randomised controlled trial.

机译：基于学校的药物滥用预防计划的有效性：EU-Dap整群随机对照试验。

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OBJECTIVE: To evaluate the effectiveness of the school-based drug abuse prevention program developed in the EU-Dap study (EUropean Drug Abuse Prevention trial) in preventing the use of tobacco, alcohol and drugs at the post-test. METHODS: Cluster Randomised Controlled Trial. Seven European countries participated in the study; 170 schools (7079 pupils 12-14 years of age) were randomly assigned to one of three experimental conditions or to a control condition during the school year 2004/2005. A pre-test survey assessing past and current substance use was conducted before the implementation of the program. The program consisted in 12-hour class-based curriculum based on a comprehensive social-influence approach. A post-test survey was carried out in all participating schools, 3 months after the end of the program. The association between program condition and change in substance use at post-test was expressed as adjusted Prevalence Odds Ratio (POR), estimated by multilevel regression model. RESULTS: Program effects were found for daily cigarette smoking (POR=0.70; 0.52-0.94) and episodes of drunkenness in the past 30 days (POR=0.72; 0.58-0.90 for at least one episode, POR=0.69; 0.48-0.99 for three or more episodes), while effects on Cannabis use in the past 30 days were of marginal statistical significance (POR=0.77; 0.60-1.00). The curriculum was successful in preventing baseline non-smokers or sporadic smokers from moving onto daily smoking, but it was not effective in helping baseline daily smokers to reduce or stop smoking. CONCLUSION: School curricula based on a comprehensive social-influence model may delay progression to daily smoking and episodes of drunkenness.
机译：目的：评估欧盟-Dap研究（欧盟药物滥用预防试验）中制定的基于学校的药物滥用预防计划在预防测试后使用烟草，酒精和毒品方面的有效性。方法：聚类随机对照试验。七个欧洲国家参加了研究;在2004/2005学年，将170所学校（7079名12-14岁的学生）随机分配到三种实验条件之一或对照条件中。在实施该计划之前，进行了一项测试前调查，以评估过去和当前的物质使用情况。该计划包括基于综合社会影响力方法的12小时基于课程的课程。计划结束后三个月，对所有参与的学校进行了测试后调查。程序状态与测试后物质使用变化之间的关联表示为调整的患病几率（POR），由多级回归模型估算。结果：发现每天吸烟（POR = 0.70; 0.52-0.94）和过去30天的醉酒发作（POR = 0.72; 0.58-0.90至少发作1次，POR = 0.69; 0.48-0.99）的程序效果3次或以上），而过去30天内对大麻使用的影响在统计学上无统计学意义（POR = 0.77; 0.60-1.00）。该课程成功地防止了基线不吸烟者或零星的吸烟者转移到日常吸烟中，但是它不能有效地帮助基线不吸烟者减少或停止吸烟。结论：基于综合社会影响力模型的学校课程可能会延迟日常吸烟和醉酒发作的进程。

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