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School-based alcohol education: results of a cluster-randomized controlled trial
Matthis Morgenstern1, Gudrun Wiborg, Barbara Isensee
1Institute for Therapy and Health Research, IFT-Nord, Kiel, Germany.
Objective:
This study aimed to examine the effects of a school-based alcohol education intervention.
Design:
Two-arm three-wave cluster-randomized controlled trial, with schools as the unit for randomization. Surveys were conducted prior to intervention implementation, then 4 and 12 months after baseline.
Setting:
A total of 30 public schools in Schleswig-Holstein, Germany. Participants Baseline data were obtained from 1686 7th graders. The retention rate was 85% over 12 months. Intervention The intervention consisted of four interactive lessons conducted by teachers, booklets for students and booklets for parents.
Measures:
Knowledge, attitudes, life-time alcohol consumption (ever use alcohol without parental knowledge, ever been drunk and ever binge drinking) and past-month alcohol use.
Results:
Intention-to-treat analyses revealed that intervention status was associated with more general knowledge about alcohol and lower levels of life-time binge drinking. No effects were found with respect to students' self-reported attitudes, intentions to drink, life-time alcohol use and past-month alcohol use.
Conclusions:
The results indicate that this brief school-based intervention had a small short-term preventive effect on alcohol misuse.
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