The Efficacy of Primavera, a Prevention Programme on Alcohol and Tobacco Use among 10-12-Year-Old Schoolchildren: A Randomized Controlled Cluster Study.

Alcohol and tobacco use is a major health problem and one of the first causes of the burden of disease and mortality. School-based alcohol and tobacco use prevention programmes that have demonstrated efficacy are most often based on psychosocial skill development, individuals' experiential learning strategies, and community resources. Furthermore, early and prolonged interventions have been recommended. Primavera is a pluri-annual, generic, multimodal, experiential-oriented prevention program. It runs over a three-year period from the last year of primary school to the second year of secondary school. This randomized controlled cluster study aimed at assessing the effects of the Primavera programme compared to a control prevention intervention among schoolchildren from 10 to 12 years in eight secondary schools in a particular French geographical area. The primary outcomes were lifetime tobacco use and past-month alcohol use. Data were collected at baseline and over three follow-up time points. In all, 287 and 266 questionnaires, respectively, were collected at baseline from the Primavera group and from the control group. Attrition was 45% and 41%, respectively. The SARS-COV2 pandemic crisis made it impossible for questionnaires to be collected during the final year. After adjustment, children from the Primavera group were less likely to report current alcohol use at the end of the first year (odds ratio = 0.39, 95% CI: 0.18-0.78) and past-month alcohol use at the end of the second year (odds ratio = 0.07, 95% CI: 0.01-0.66) compared to those from the control group. The results for psychosocial skills and alcohol and tobacco use denormalization were contrasted. Primavera is shown to be effective in reducing alcohol use among schoolchildren.

Effect of a brief motivational intervention in reducing alcohol consumption in the emergency department: a randomized controlled trial.

BACKGROUND: Introduction to alcohol consumption early in life increases the risk of alcohol dependency and hence motivational interventions are needed in young patients visiting the emergency department (ED). AIM: This study aims to investigate the efficacy of a brief motivational intervention in reducing alcohol consumption among young ED patients. PATIENTS AND METHODS: This was a blind randomized controlled trial with follow-up at 3 months. Patients were stratified on the basis of age and blood alcohol level of 0.5 g/l or more. A total of 263 patients aged 16-24 were randomized, with 132 patients in the brief motivational intervention group and 131 in the control group, with data collection at 3 months. From September 2011 to July 2012, a psychologist performed the brief motivational intervention 5 days after the patients' discharge. A phone call was made at 1 and 2 months. The control group received a self-assessment leaflet. The reduction in consumption was determined on the basis of the number of drinks consumed in the last week prior to the survey. RESULTS: The mean reduction between number of drinks at baseline and number of drinks at 3 months in the control group was 0.3 and that in the intervention group was 0.9. This reduction in alcohol use in the brief motivational intervention group was not significant. The study did not show an association between brief motivational intervention and repeated drunkenness [relative risk (RR): 0.99, 95% confidence interval (CI): 0.79-1.24], alcohol consumption at least once a month (RR: 0.81, 95% CI: 0.31-2.10) and alcohol consumption at least 10 times during the month (RR: 1.1, 95% CI: 0.96-1.26). CONCLUSION: We did not observe a significant decrease in alcohol consumption among the youth. Further studies are needed to confirm the positive impact of a brief motivational intervention in the ED.

[The impact of a mass media promotion campaign about youth addiction outpatient clinic visits] / Impact d'une campagne nationale de promotion des Consultations Jeunes Consommateurs.

AIM: By means of a personalized consultation with a professional, the Consultations Jeunes Consommateurs (CJC) provide the opportunity to young people and their family to take stock of the consumption level and a potential addiction. A mass-media promotion campaign of this service was released twice in 2015. This article aims to evaluate the impact of this campaign on the visibility of the CJC among adolescents' parents and on the access to CJC. METHODS: Three sources were used: 1/ a study with three independent phases (before the campaign, after the first release, after the second one) by phone with 500, 500 and 531 parents and adolescents in order to evaluate the impact on the CJC visibility among the targets, 2/ the request data from the help line and web service (Drogues Info Service), connected to the campaign, to observe the evolution of profiles and numbers, 3/ a study of the CJC, gathering information from 3747 consultations, to compare profiles of consultants who came thanks to the campaign or not. RESULTS: Before the campaign, 15.98% of parents had already heard of the CJC. After the releases, this part was unchanged among parents non-exposed to the campaign and greater than 60% among exposed parents. The other sources showed a greater implication of parents and a diversification of consultations' reasons. CONCLUSION: The campaign offered an increase in awareness of the service among parents (the target audience). Secondary analyses suggest that the campaign has made the use of CJCs easier for parents, but also for cocaine users.