Systematic Review of Interventions Aimed at Preventing Adolescdent's Drug Use

Monday, 31 October 2011

Alicia Alvarez-Aguirre, MNS
Facultad de Enfermería, Universidad Autónoma de Querétaro, Querétaro, Mexico
Maria Magdalena Alonso-Castillo
Facultad de Enfermería, Universidad Autonoma de Nuevo León, Monterrey Monterrey, Mexico
Ana Carolina Guidorizzi-Zanetti, MSN
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Centro Colaborador de la OMS para el Desarrollo de la Investigación en Enfermería, Ribeirão Preto, Brazil

Learning Objective 1: The learner will be able to identify characteristics of effective interventions for prevention of drug abuse

Learning Objective 2: The learner will be able to identify quality attributes to evaluate interventions in addiction prevention

The abuse in drugs consumption is a behavioral problem that demands effective prevention. The aim was to identify gaps methodological interventions that have been implemented to prevent drug use in adolescents from 2000 to 2010.

A literature review was conducted using related descriptors, titles and abstracts of 72 titles identified, 10 interventions met our criteria. We extracted information based on full articles, we organized it using a table with the following columns bibliometric, methodologic, characteristics of interventions, and outcomes.

Results. The interventions were implemented in Mexico (4), Spain (1), United States (4) and Asia (1), under quasi-experiments or experiments designs, by trained health professionals. Intervention doses were reported from 5 to 12 sessions per week, lasting from 1 to 18 months. All used standardized manuals. Measurements in nine studies used pencil and paper instruments, and only one used a biochemical test.

Conclusions.  Some methodological strengths were: (1) control group, (2) baseline data, and (3) manual based treatment. In contrast, the sample size, power, allocation concealment, degree of adherence to treatment, and blinded evaluation are attributes that are recommended to consider in the implementation of future interventions.

References

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Miller, W., Brown, J., Simpson, T., Handmaker, N., Bien, T., Luckie, L., et al. (1995). What works? A methodological analysis of the alcohol treatment outcome literature. In R. Hester &W. Miller (Eds.), Handbook of alcoholism treatment approaches: Effective alternatives (pp. 12–44). Needham Heights, MA: Allyn & Bacon.