The Örebro prevention programme revisited: a cluster-randomized effectiveness trial of programme effects on youth drinking

Addiction. 2011 Dec;106(12):2134-43. doi: 10.1111/j.1360-0443.2011.03540.x. Epub 2011 Sep 21.

Abstract

Aims: This study aimed to assess the effectiveness of the Örebro prevention programme (ÖPP), an alcohol misuse prevention programme that aims to reduce youth drinking by changing parental behaviour.

Design: Cluster-randomized trial, with schools assigned randomly to the ÖPP or no intervention.

Setting: Forty municipal schools in 13 counties in Sweden.

Participants: A total of 1752 students in the 7th grade and 1314 parents were assessed at baseline. Students' follow-up rates in the 8th and 9th grades were 92.1% and 88.4%, respectively.

Measurements: Classroom questionnaires to students and postal questionnaires to parents were administered before randomization and 12 and 30 months post-baseline.

Findings: Two-level logistic regression models, under four different methods of addressing the problem of loss to follow-up, revealed a statistically significant programme effect for only one of three drinking outcomes under one loss-to-follow-up method, and that effect was observed only at the 12-month follow-up.

Conclusions: The Örebro prevention programme as currently delivered in Sweden does not appear to reduce or delay youth drunkenness.

Trial registration: ClinicalTrials.gov NCT01213108.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / prevention & control*
  • Alcohol Drinking / psychology
  • Alcoholic Beverages / statistics & numerical data
  • Alcoholic Intoxication / epidemiology
  • Alcoholic Intoxication / prevention & control*
  • Alcoholic Intoxication / psychology
  • Analysis of Variance
  • Attitude*
  • Female
  • Humans
  • Logistic Models
  • Male
  • Parent-Child Relations
  • Parenting*
  • Parents / education
  • Parents / psychology
  • Program Evaluation
  • Schools
  • Students / psychology*
  • Sweden / epidemiology

Associated data

  • ClinicalTrials.gov/NCT01213108