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Prevention of alcohol misuse among children, youths and young adults

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Názov: Prevention of alcohol misuse among children, youths and young adults
Autori: Korczak, D, Steinhauser, G, Dietl, M
Zdroj: GMS Health Technol Assess
GMS Health Technology Assessment; VOL: 7; DOC04 /20110722/
Informácie o vydavateľovi: German Medical Science GMS Publishing House, 2011.
Rok vydania: 2011
Predmety: economic evaluation, universal prevention, TECHNOLOGY ASSESSMENT, BIOMEDICAL, drinking, validation studies as topic, Methodik, models, economic, Meta-Analyse, randomisierte kontrollierte Studie, ECONOMICS, MEDICAL, Effizienz, Koma-Trinken, judgment, specifity, youth, HTA, ALCOHOLIC INTOXICATION, Diagnose, kontrollierte klinische Studien, medical evaluation, behaviour therapy, CLINICAL TRIALS AS TOPIC, Jugendliche, methods, placebos, multicenter studies as topic, ökonomische Bewertung, prospektive Studien, HTA report, alkoholinduzierte Störungen, SINGLE-BLIND METHOD, Genauigkeitsstudie, MULTICENTER STUDIES AS TOPIC, YOUNG ADULT, health economic studies, DOPPELBLINDMETHODE, alcohol drinking, systematische Übersicht, MULTIZENTRISCHE STUDIEN, META-ANALYSIS AS TOPIC, ADOLESZENT, PSYCHOTHERAPY, GROUP, meta analysis, school-based prevention, evidence based medicine, blood alcohol level, costs, randomized controlled study, ADOLESCENT, randomised clinical trial, gesundheitsökonomische Studien, Alkoholbesteuerung, Methoden, psychologic disorder, Jugendalkoholismus, cost-benefit analyses, cross-over trials, high school, Programmbewertung, alcoholism, cost effectiveness, HEALTH POLICY, Rehabilitation, early adulthood, Beurteilung, health, cognitive behavioural therapy, protection, controlled clinical trials as topic, ELTERN, Saufen, DOUBLE-BLIND METHOD, Kosten und Kostenanalyse, Kosten-Nutzen-Analyse, community, young adult, GESUNDHEITSPOLITIK, randomisierter Versuch, Alkoholprävention, universelle Prävention, review, trial, cross-over, Kurzintervention, effectiveness, Alkoholpräventionsprogramme, socioeconomic factors, PSYCHOTHERAPIE, Prävention, health problem, Schutz, Entscheidungsfindung, PLAZEBOS, VALIDIERUNGSSTUDIEN, ECONOMICS, Verhältnisprävention, MENSCH, Delirium, PROSPECTIVE STUDIES, PLACEBO EFFECT, binge drinking, meta-analysis, sektorübergreifende Prävention, PROSPEKTIVE STUDIEN, PROGRAMMEVALUIERUNG, Jugend, evaluation studies as topic, alcohol policy, Eltern, alcohol abuse, mulitcentre, medizinische Beurteilung, 0302 clinical medicine, intoxication, prevention, Kostenanalyse, cost analysis, ALCOHOL-RELATED DISORDERS, Schulen, Halbwüchsige, Multicenter, law, cross-over studies, SOCIOECONOMIC FACTORS, benefit, Prophylaxe, risk assessment, program evaluation, 3. Good health, Kosten, kontrollierte klinische Versuche, cost-cutting, HEALTH, media campaign, cost reduction, Alkoholabusus, primäre Prävention, COST-BENEFIT ANALYSIS, Alkoholabstinenz, alcohol consumption, school, boy, STUDENTS, rehabilitation, blinding, DECISION MAKING, crossover, undergraduates, Präventionsprogramme, Verhaltensprävention, Cross-over-Studien, STUDENTEN, Technologiebewertung, Plazeboeffekt, aggressiveness, technology assessment, economic aspect, ethics, randomised trial, psychotherapy, kids, HUMAN RIGHTS, METAANALYSE, Werbung, alkoholbedingte Störungen, juristische Aspekte, TRINKVERHALTEN, Kostenreduktion, Krankheitskosten, psychische Störung, alcohol dependence, efficacy, Konsum, randomized controlled trials as topic, Aggressionspotential, Pharmaökonomie, multicenter, ENTSCHEIDUNGSFINDUNG, community-based prevention, HTA-Bericht, behavior therapy, Gesetz, cross-over, KOSTEN UND KOSTENANALYSE, social aspects, alcoholic intoxication, child, controlled clinical study, TECHNOLOGIE, MEDIZINISCHE, Modelle, ökonomische, clinical trials as topic, treatment, alcohol-related problems, HUMANS, Gesundheitsproblem, medizinische Technologie, alcohol misuse, social economic factors, Recht, ddc: 610, problematischer Alkoholkonsum, Gesundheitspolitik, Komasaufen, Wirksamkeit, prophylaxis, Motivationsintervention, universities, Plazebos, pre-teen, alcohol use disorder, randomized clinical study, at-risk college drinkers, TECHNOLOGY, medical assessment, Alkoholmissbrauch, Gesundheit, Universität, random, social care, BEHAVIOR THERAPY, alcohol dependency, adolescent, Alkoholpolitik, Risikotrinker, CROSS-OVER-STUDIEN, ETHICS, Effektivität, behavioral measures, Rausch, alcohol-related disorders, Risikoabschätzung, blood alcohol, Motivierungsprogramm, biomedical technology assessment, RISK ASSESSMENT, KOGNITIVE THERAPIE, Pflege, humans, report, Schulkultur, ALKOHOLGENUß, Ökonomie, Übersichtsliteratur, review literature as topic, clinical trial, health policy, Rechte, technology, family therapy, Kostensenkung, randomisierte kontrollierte Studien, SOZIALÖKONOMISCHE FAKTOREN, Sozialmedizin, Alkoholmißbrauch, Aggressionspotenzial, randomisierte Zuordnung, Minderjährige, Jugendschutzgesetz, Komatrinken, schools, Alkoholsucht, Metaanalyse, Article, Adoleszent, multizentrische Studien, 03 medical and health sciences, Blutalkohol, Zufall, Behandlung, FAMILIE, selective prevention, health technology assessment, HTA-report, validation studies, Gesundheitsökonomie, Alkoholzufuhr, COGNITIVE THERAPY, KIND, alcohol use, FAMILIENTHERAPIE, Psychotherapie, randomized clinical trial, sensitivity, riskanter Alkoholkonsum, TECHNOLOGIE, MODELS, ECONOMIC, randomized controlled trial, DRINKING BEHAVIOR, REVIEW LITERATURE AS TOPIC, KONTROLLIERTE KLINISCHE STUDIEN, PRIMARY PREVENTION, underage, PROGRAM EVALUATION, Trunksucht, Nutzen, PLACEBOS, tax on alcohol, sozioökonomische Faktoren, PARENTS, alkoholbezogene Probleme, VERHALTENSTHERAPIE, SCHULEN UND AUSBILDUNGSSTÄTTEN, Studenten, health economics, motivation programme, schulbasierte Prävention, ALKOHOLVERGIFTUNG, sozialökonomische Faktoren, EbM, ALKOHOLISMUS, COSTS AND COST ANALYSIS, randomised controlled study, Teenager, parents, RANDOMISIERUNG, Sensitivität, PSYCHOTHERAPIE, GRUPPEN, randomised clinical study, RANDOM ALLOCATION, research article, technology evaluation, JUDGMENT, alcohol addiction, evidence-based medicine, UNIVERSITÄTEN, Alkoholintoxikation, CT, sozio-ökonomische Faktoren, potential of aggressiveness, EFFICIENCY, EBM, TECHNIKFOLGEN-ABSCHÄTZUNG, BIOMEDIZINISCHE, Forschungsartikel, EVALUATION STUDIES AS TOPIC, Placeboeffekt, Multikomponentenprogramm, blood alcohol concentration, costs and cost analysis, ALKOHOLBEDINGTE STÖRUNGEN, decision making, socioeconomics, teenager, Alkoholkonsum, Mensch, Evaluationsstudien, Sozioökonomie, care, ÖKONOMIE, ÄRZTLICHE, cost control, therapy, controlled clinical trial, Technologie, medizinische, blinded trial, Alkoholismus, economics, infant, hazardous drinking, Alkoholvergiftung, CONTROLLED CLINICAL TRIALS AS TOPIC, Familie, placebo, research-article, random allocation, randomized study, family, intoxication, alcoholic, diagnosis, ÖKONOMIE, Alkoholsteuer, Technologie, sector-based prevention, technology assessment, biomedical, JUNGER ERWACHSENER, multicenter trial, CHILD, Kostenminimierung, social therapy, alcohol intervention, Interventionsprogramme, extraordinary tax, TECHNOLOGY, MEDICAL, Vorsorge, youth alcoholism, prohibition, Health Technology Assessment, technical report, 610 Medical sciences, Medicine, brief motivational intervention, meta analysis as topic, Ökonomie, ärztliche, KLINISCHE STUDIEN, MENSCHENRECHTE, evidenzbasierte Medizin, JURISPRUDENCE, binge-drinking, tax increase, Intervention, PLAZEBOEFFEKT, Plazebo, randomization, verblindet, medical costs, Jugendkriminalität, SCHOOLS, HTA Bericht, Alkoholabhängigkeit, soziale Aspekte, trial, crossover, Aggressivität, alcohol prevention programs, Gemeinschaft, klinische Studien, sickness costs, randomisation, junger Erwachsener, EINFACHBLINDMETHODE, Alkoholgenuss, blinded study, accident, clinical study, prospective studies, CCT, ALCOHOL DRINKING, inebriation, rights, randomised controlled trial, randomisierte klinische Studie, EVIDENCE-BASED MEDICINE, indikative Prävention, primary prevention, Kind, verhaltenbezogene Maßnahmen, Randomisierung, indicative prevention, systematic review, medizinische Bewertung, cost, EVALUATIONSSTUDIEN, PRIMÄRE PRÄVENTION, randomized trial, EFFIZIENZ, gemeindenahe Prävention, students, technology, medical, RISIKOABSCHÄTZUNG, juridical, CROSS-OVER STUDIES, drinking behavior, FAMILY THERAPY, Kosteneffektivität, Kosten-Effektivität, FAMILY, Technologiebeurteilung, BEURTEILUNG, RECHTSPRECHUNG, economics, medical, at-risk drinking, randomisierte Studie, ALCOHOLISM, Therapie, prevention campaign, RCT, RANDOMIZED CONTROLLED TRIALS AS TOPIC, Ethik, cognitive behavior therapy, ÜBERSICHTSLITERATUR, Alkoholverbrauch, 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Popis: 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.
GMS Health Technology Assessment; 7:Doc04; ISSN 1861-8863
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1861-8863
DOI: 10.3205/hta000095
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/21808659
http://europepmc.org/abstract/MED/21808659
https://www.ncbi.nlm.nih.gov/pubmed/21808659
https://www.scienceopen.com/document/id/23c4c425-e415-4264-a21e-f755cd3109b7
https://www.safetylit.org/citations/index.php?fuseaction=citations.viewdetails&citationIds[]=citjournalarticle_308332_23
https://www.ncbi.nlm.nih.gov/pmc/articles/3145353/
https://pubmed.ncbi.nlm.nih.gov/21808659/
Rights: CC BY NC ND
Prístupové číslo: edsair.doi.dedup.....73246f3e7d908e82f6de541383371fa9
Databáza: OpenAIRE
Popis
Abstrakt: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.<br />GMS Health Technology Assessment; 7:Doc04; ISSN 1861-8863
ISSN:18618863
DOI:10.3205/hta000095