html5-img
1 / 14

Effectiveness of substance abuse prevention

Effectiveness of substance abuse prevention. Dr. Anneke Bühler IFT Institut für Therapieforschung, München, Germany Pompidou Group Conference „Families, lifestyles and drugs – reaching families in prevention“, Porto, Portugal 19-20 November 2007.

masako
Download Presentation

Effectiveness of substance abuse prevention

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Effectiveness of substance abuse prevention Dr. Anneke Bühler IFT Institut für Therapieforschung, München, Germany Pompidou Group Conference „Families, lifestyles and drugs – reaching families in prevention“, Porto, Portugal 19-20 November 2007 Anneke Bühler, IFT München: Expertise Suchtprävention

  2. Report on prevention of substance abuse (Bühler & Kröger, 2006)* • Aim: up-to-date record of research results on substance abuse prevention • Method: Systematic search and analysis of 49 high-quality reviews and meta-analyses • Results: Evidence-based conclusions about effectiveness of preventive measures (avoidance, delay, or reduction of substance use behaviour) • status quo, mean , mainly US research *in cooperation and with financial support of the BZgA Anneke Bühler, IFT München: Expertise Suchtprävention

  3. Strength of evidence rating Conclusion is based on... °°°°° meta-analyses including high-quality studies (M) °°°° systematic review including high-quality studies (S) °°° meta-analyses or systematic review including all types of studies °° unsystematic review (U), expert interview (E) or best practice survey(BP) ° generalized empirical result which does not directly inform about or test the assumption - contradictory body of evidence Anneke Bühler, IFT München: Expertise Suchtprävention

  4. Family • Comprehensive family-oriented approaches (training with parents, children and whole families) have preventive effects on consumption behaviour (in relation to alcohol). °°° • Measures to involve hard-to-reach families are successful. °° • Preventive measures for pre-school children (aged 3-5 years) should be family orientated. ° Anneke Bühler, IFT München: Expertise Suchtprävention

  5. School • Interactive school-based programmes have preventive effects on consumption behaviour (for tobacco, alcohol, cannabis and other illegal drugs). °°°°° • Social influence model and life skills approach • Non-interactive programmes are not effective: Information giving alone, affective education alone, value clarification and decision-making alone. °°°°° Anneke Bühler, IFT München: Expertise Suchtprävention

  6. Peers/Leisure time • No aggregated information available in report • For selective approach • Springer et al., 2004 : National Cross-Site Evaluation of High-Risk Youth Programs with 48 programs with over 10.500 youths at high risk • Behavioral life skills and recreation focused programs are effective.(°°°°°) Anneke Bühler, IFT München: Expertise Suchtprävention

  7. Media campaigns • Mass-media campaigns in combination with other components (school-based, community-based and national programmes) have preventive effects on consumption behaviour (in relation to tobacco). °°° • Isolated mass-media campaigns have no preventive effects on consumption (of tobacco). °°°° Anneke Bühler, IFT München: Expertise Suchtprävention

  8. Community Collaboration • Capacity building • Integrating services • Influencing policy • Collaborative initiatives aimed at getting policies or regulations introduced are effective because of the effectiveness of policy measures.°° Anneke Bühler, IFT München: Expertise Suchtprävention

  9. Community Multi-level approach • Measures in different settings (school, media, family, community) • Inconclusive: Multi-level projects have preventive effects on consumption behaviour. (pro: °°°°°; inconclusive: °°°°) Anneke Bühler, IFT München: Expertise Suchtprävention

  10. Policy and regulations • Higher tobacco prices reduce the prevalence and quantity of tobacco consumption. °°° • Isolated measures to prevent the sale of tobacco to young people under the legal age do not reduce consumption. °°° Anneke Bühler, IFT München: Expertise Suchtprävention

  11. Policy and regulations • Raising the minimum legal drinking age reduces alcohol consumption. °°°° • Higher ´full‘ alcohol prices (including indirect costs) have effects on alcohol consumption.°° Anneke Bühler, IFT München: Expertise Suchtprävention

  12. Selective prevention • Selective prevention measures have preventive effects on consumption behaviour if they are implemented in the form of • school-based social-skills programmes or • mentoring programmes.°°°°° • Behavioral life skills and recreation focused programs are effective.(°°°°°) • Characteristics of effectiveness: • Life skills development content • Intense contact (>3h per week) • Connection-Building methods • Instrospection methods • Coherence of program theory Anneke Bühler, IFT München: Expertise Suchtprävention

  13. What can be learnt so far... • Personal and environmental measures can be effective. • Certain measures are ineffective. • Effective measures • are based on a coherent program theory • include general and specific content • use interactive measures • have a certain intensity Anneke Bühler, IFT München: Expertise Suchtprävention

  14. Thank you! Anneke Bühler, IFT München: Expertise Suchtprävention

More Related