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GMS Health Technol Assess. 2011;7:Doc04. doi: 10.3205/hta000095. Epub 2011 Jul 22.

Prevention of alcohol misuse among children, youths and young adults.

Author information

1
GP Forschungsgruppe, Institut für Grundlagen- und Programmforschung, Munich, Germany.

Abstract

BACKGROUND:

Despite many activities to prevent risky alcohol consumption among adolescents and young adults there is an increase of alcohol intoxications in the group of ten to twenty year old juveniles.

OBJECTIVES:

This report gives an overview about the recent literature as well as the German federal prevention system regarding activities concerning behavioral and policy prevention of risky alcohol consumption among children, adolescents and young adults. Furthermore, effective components of prevention activities are identified and the efficiency and efficacy of ongoing prevention programs is evaluated.

METHODS:

A systematic literature review is done in 34 databases using Bool'sche combinations of the key words alcohol, prevention, treatment, children, adolescents and young adults.

RESULTS:

401 studies were found and 59 studies were selected for the health technology assessment (HTA). Most of the studies are done in USA, nine in Germany. A family strengthening program, personalized computer based intervention at schools, colleges and universities, brief motivational interventions and policy elements like increase of prices and taxes proved effective.

DISCUSSION:

Among the 59 studies there are three meta-analyses, 15 reviews, 17 randomized controlled trials (RCT) and 18 cohort studies. Despite the overall high quality of the study design, many of them have methodological weaknesses (missing randomization, missing or too short follow-ups, not clearly defined measurement parameters). The transferability of US-results to the German context is problematic. Only a few prevention activities reach a sustainable reduction of frequency and/or amount of alcohol consumption.

CONCLUSION:

The HTA-report shows the need to develop specific and target group focused prevention activities for the German situation. Essential for that is the definition of target goals (reduction of consumption, change of behaviour) as well as the definition and empirical validation of risky alcohol consumption. The efficacy of prevention activities should be proven before they are launched. At present activities for the reduction or prevention of risky alcohol consumption are not sufficiently evaluated in Germany concerning their sustainable efficacy.

KEYWORDS:

EBM; HTA; HTA report; HTA-report; RCT; abstinence from alcohol; academic review; accident; adolescent; aggressiveness; alcohol abuse; alcohol addiction; alcohol consumption; alcohol dependence; alcohol dependency; alcohol drinking; alcohol intervention; alcohol misuse; alcohol policy; alcohol prevention programs; alcohol taxation; alcohol use; alcohol use disorder; alcohol-related disorders; alcohol-related problems; alcoholic intoxication; alcoholism; at-risk college drinkers; at-risk drinking; behavior therapy; behavioral measures; behaviour therapy; benefit; binge drinking; binge-drinking; biomedical technology assessment; blinded; blinded study; blinded trial; blinding; blood alcohol; blood alcohol concentration; blood alcohol level; boy; brief motivational intervention; care; child; clinical study; clinical trial; clinical trials as topic; cognitive behavior therapy; cognitive behavioural therapy; community; community-based prevention; controlled clinical study; controlled clinical trial; controlled clinical trials as topic; cost; cost analysis; cost control; cost effectiveness; cost reduction; cost-benefit analyses; cost-cutting; cost-effectiveness; costs; costs and cost analysis; cross-over; cross-over studies; cross-over trials; crossover; decision making; diagnosis; drinking; drinking behavior; drinking behaviour; early adulthood; economic aspect; economic evaluation; economics; economics, medical; effectiveness; efficacy; efficiency; ethical aspects; ethics; evaluation studies as topic; evidence based medicine; evidence-based medicine; extraordinary tax; family; family therapy; hazardous drinking; health; health economic studies; health economics; health policy; health problem; health technology assessment; high school; humans; indicative prevention; inebriation; infant; intoxication; intoxication, alcoholic; judgment; juridical; kids; law; media campaign; medical assessment; medical costs; medical evaluation; meta analysis; meta analysis as topic; meta-analysis; methods; models, economic; motivation programme; mulitcentre; multicenter; multicenter studies as topic; multicenter trial; parents; peer review; pharmaeconomics; placebo; placebo effect; placebos; potential of aggressiveness; pre-teen; prevention; prevention campaign; primary prevention; program evaluation; prohibition; prophylaxis; prospective studies; protection; psychologic disorder; psychotherapy; random; random allocation; randomisation; randomised clinical study; randomised clinical trial; randomised controlled study; randomised controlled trial; randomised study; randomised trial; randomization; randomized clinical study; randomized clinical trial; randomized controlled study; randomized controlled trial; randomized controlled trials as topic; randomized study; randomized trial; rehabilitation; report; research article; research-article; review; review literature; review literature as topic; rights; risk assessment; school; school culture; school-based prevention; schools; sector-based prevention; selective prevention; sensitivity; sickness costs; social aspects; social care; social economic factors; social skills; social therapy; socioeconomic factors; socioeconomics; specifity; students; systematic review; tax increase; tax on alcohol; technical report; technology; technology assessment; technology assessment, biomedical; technology evaluation; technology, medical; teenager; therapy; treatment; trial, cross-over; trial, crossover; underage; undergraduates; universal prevention; universities; validation studies; validation studies as topic; young adult; youth; youth alcoholism

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