Literature Search: Messaging to parents (health communication campaigns) about low risk drinking behaviours (alcohol use) in youth ages 10-14 and 15-19.

For: Suzanne White

Hastings, Prince Edward County District Health Unit

Databases Searched: Medline, Embase, CINAHL, Academic Search Premier, Canadian Health Research Collection, Health Evidence.org

Keywords/Subject Headings: Health promotion/methods, health communication campaign, social marketing, mass media, persuasive communication, messaging for parents; alcohol use, alcohol drinking, substance abuse, risk taking behavior, drinking behaviour; parent, parent and child; adolescent, youth, teenager.

Years searched: approx. 10 years

****************************

Books (Background reading)

Adolescent Health:

DiClemente RJ, Santelli JS, Crosby RA (editors). Adolescent health: understanding and preventing risk behaviors. San Francisco, Calif.: Jossey-Bass, c2009.

Resources on Communication Campaigns (Background reading)

THUC Resources:

Overview of health communication campaigns (THCU)

Books:

Cho, Hyunyi (ed.). Health communication message design: theory and practice. Thousand Oaks, Calif.: Sage, 2012.

Rice, Ronald E; Atkin, Charles K (eds). Public communication campaigns.3rd edition. Thousand Oaks, Calif.: Sage, 2001.

Grey Literature:

Public Health Unit Resources:

Halton Region Public Health

Parent Drug Awareness Guide (2008)

KFL&A Public Health

It starts here: a conversation about alcohol in the city of Kingston(2012)

Government of Canada:

Help Prevent Drug Use by Your Teen: Tips on Developing their Resiliency

How to Talk to Your Teen About Drugs: Communication Tips for Parents

Preventing Substance Abuse Problems Among Young People: A Compendium of Best Practices

Talking with Your Teen About Drugs [booklet]

Talking with Your Teen about Drugs is available on Internet at the following address: [website]

Other:

Alberta Alcohol and Drug Abuse Commission. Kids and drugs: a parent’s guide to prevention [parent’s booklet]. AADAC/RCMP, 2008.

Alcohol & young people: a toolkit: supporting young people at risk of alcohol related harm. The South West Alcohol Improvement Programme and Alcohol Concern, 2010. [Public Health England]

(see p. 50)

From Drug Education Forum series [UK], 2012.

Interventions to reduce substance misuse among vulnerable young people. National Institute for Health and Clinical Excellence, March 2007 [NICE public health guidance 4]

Koning I. Preventino of alcohol use in early adolescents: a joint venture of school and parents [thesis]

Morrish, J., Kennedy, P. and Groff, P. (2011).Parental influence over teen

risk-taking: A review of the literature. SMARTRISK: Toronto, ON.

Copyright 2011

LIBRARIAN’ NOTE: VERB CAMPAIGN: VERB campaign was directed at physical activity not alcohol use, but an example of a large campaign that did, as one of its components, target parents.

The VERB campaign logic model: a tool for planning and evaluation.

Huhman M. Heitzler C. Wong F.

Preventing Chronic Disease. 1(3):A11, 2004 Jul.

[Journal Article]

ABSTRACT: The VERB campaign uses a logic model as a tool to share information, to facilitate program planning, and to provide direction for evaluation. Behavior change and communication theories are incorporated to help hypothesize how behavior change might occur. Evaluation of the campaign follows the process of the logic model. The elements of the logic model are described and further explanation "pops up" as the reader rolls over the graphic of the logic model.

Status

MEDLINE

Institution

VERB Campaign, Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mail Stop K-85, Atlanta, GA 30341, USA.

Comments

Comment in: Prev Chronic Dis. 2004 Jul;1(3):A01; PMID: 15670422

Influencing the parents of children aged 9-13 years: findings from the VERB campaign.Price SM; Huhman M; Potter LD; American Journal of Preventive Medicine, 2008 Jun; 34 (6 Suppl): S267-74. (journal article - research) ISSN: 0749-3797 PMID: 18471607 CINAHL AN: 2010011123

Database: CINAHL Plus with Full Text

JOURNAL LITERATURE:

Marketing a Hard-to-Swallow Message: Recommendations for the Design of Media Campaigns to Increase Awareness about the Risks of Binge Drinking

Author: Jack, Susan M; L Michelle Sangster Bouck; Beynon, Charlene E; Ciliska, Donna K; Martha (Mitchell) J Lewis

Canadian Journal of Public Health 96.3 (May/Jun 2005): 189-93.

Abstract: Binge drinking, commonly defined as having more than five drinks on a single occasion, is a public health issue affecting two thirds of Canadian young adults between the ages of 19-24 years. To educate young adults about alcohol poisoning, a network of 16 Ontario Health Units developed and implemented a mass-media campaign. Here, Jack et al report on post-secondary students' perceptions about key media campaign strategies, elements and messages for future campaigns designed to increase awareness about the risks of binge drinking.

Document type: Evaluation Studies

Database: ProQuest Research Library: Health & Medicine

‘Think before you buy under-18s drink’: evaluation of a community alcohol intervention. By: Kypri, Kypros; Dean, Johanna; Kirby, Sandra; Harris, Jennifer; Kake, Tai. Drug & Alcohol Review. Jan2005, Vol. 24 Issue 1, p13-20. 8p.

Abstract: Hazardous consumption of alcohol by teenagers is a significant public health problem in New Zealand. Concern about supply of alcohol to minors motivated ‘Think before you buy under-18s drink’, a campaign to reduce alcohol-related harm by discouraging inappropriate supply of alcohol by adults. Two intervention districts and a comparison district, in the South Island of New Zealand, were selected for the purpose of evaluating the campaign. Primary outcome measures were changes in the prevalence of parent supply to their teenager (13?–?17 years) for unsupervised drinking (SUD), and changes in the prevalence of binge drinking among teenagers. At baseline, 49% of teenagers reported a recent episode of binge drinking. SUD in the past month was reported by 36% of teenagers. Recent purchases of alcohol by under-18s were common (bottle shops: 16%; pubs/bars: 11%). In contrast to teenagers, only 2% of parents reported SUD in the past month. Levels of binge drinking decreased in all three districts. Analysis of data from 474 teenagers who completed questionnaires, at baseline and follow-up, showed decreased SUD in Ashburton and Waitaki relative to Clutha, although this was not significant (OR?=?0.73; 95% CI: 0.43, 1.25). Discrepancies between teenager and parent reports of SUD may be due to the latter providing a socially desirable survey response and to differences in the interpretation of what constitutes adult supervision. The lack of a significant association between changes in SUD and binge drinking may be a consequence of teenagers obtaining relatively small amounts of alcohol from their parents and larger quantities from other sources, e.g. peers (some of whom may be able to purchase alcohol legally) and from licensed premises. [Kypri K, Dean J, Kirby S, Harris J, Kake T. ‘Think before you buy under-18s drink’: evaluation of a community alcohol intervention. Drug Alcohol Rev 2005;24:13?–?20] [ABSTRACT FROM AUTHOR] DOI: 10.1080/09595230500102731. (AN: 17539844)

Database: Academic Search Premier

Dutch launch campaign against drinking. BMJ: British Medical Journal (International Edition). 1/7/2006, Vol. 332 Issue 7532, p6-6. 1/4p.1 Color Photograph.

Abstract: The article focuses on an intensive alcohol campaign launched by the Netherlands, aimed at addressing an increasing problem among young teenage girls. Confrontational images have appeared in national media. The National Institute for Public Health argues that, because of drinking, many young girls go further than intended in sex and are less likely to practise safer sex. Alcohol consumption among young teenagers is sharply increasing, especially in girls. The campaign is targeting parents as well. (AN: 19413394)

Database: Academic Search Premier

Maternal Perceptions of Alcohol Use by Adolescents Who Drink Alcohol. By: Guilamo-Ramos, Vincent; Jaccard, James; Turrisi, Robert; Johansson, Margaret; Bouris, Alida. Journal of Studies on Alcohol. Sep2006, Vol. 67 Issue 5, p730-737. 8p. 2 Charts.

Abstract: Objective: This research examines correlates of mothers' misperceptions of their adolescent children's regular alcohol consumption. Theories of adolescent autonomy, attribution processes, and stereotypes were used to make predictions about the biasing effects on attribution accuracy of maternal age, relationship satisfaction, and supervision of one's adolescent, as well as the adolescent's age, gender, physical development level, and peers. Method: The present research used a nationally representative sample of approximately 20,000 parent-adolescent dyads from the National Longitudinal Study of Adolescent Health (Add Health). Add Health is a school-based sample of 20,745 adolescents in Grades 7–12. Mothers indicated their perceptions of their adolescent children's alcohol use, and adolescents reported their actual use of alcohol. Results: There was a tendency for mothers to underestimate alcohol use, sometimes substantially so. Maternal attributions followed a correlational pattern consistent with the scientific literature. There was evidence, however, that mothers may overgeneralize the applicability of these correlates, resulting in misattributions. Conclusions: Our analyses have important practical implications for parent-based intervention programs aimed at preventing adolescent alcohol use. First, programs should alert parents to the cues that signify adolescent alcohol consumption. Second, intervention programs should appropriately sensitize parents to identifying adolescent alcohol use in cases in which the child may not fit the stereotype of an adolescent drinker. Third, intervention messages should emphasize firm and consistent parental actions that minimize alcohol use independent of the particular cues that an adolescent is projecting. [ABSTRACT FROM AUTHOR] (AN: 21799758)

Database: Academic Search Premier

Parents conscripted in underage drinking prevention campaign. Alcoholism & Drug Abuse Weekly, 2005 Nov 7; 17 (43): 4-5. (journal article) ISSN: 1042-1394 CINAHL AN: 2009188833

Database: CINAHL Plus with Full Text

Full Text Database: Academic Search Premier

[brief report]

Parent attitudes, family dynamics and adolescent drinking: qualitative study of the Australian Parenting Guidelines for Adolescent Alcohol Use.

Gilligan C. Kypri K.

BMC Public Health. 12:491, 2012.

[Journal Article. Research Support, Non-U.S. Gov't]

UI: 22747699

ABSTRACT: BACKGROUND: Parents play a critical role in their children's introduction to alcohol. A range of parenting factors have been associated with the progression to risky drinking among adolescents, and have recently formed the basis of the Australian 'Parenting Guidelines for Adolescent Alcohol Use' designed to help parents delay or reduce their adolescents' alcohol use.

METHODS: This study aimed to explore the experiences and attitudes of parents of adolescents to gain insight into: (1) the extent to which the behaviours of parents follow the recommendations made in the guidelines; and (2) approaches to reduce hazardous drinking among adolescents. Thirty-two telephone and face-to-face interviews were conducted with parents, and the content of discussions was examined using thematic analysis.

RESULTS: Parents used approaches they thought would minimise harm and promote healthy development in their children. The guidelines address key areas of concern for parents but their adherence to these approaches is low in certain areas. Many parents provided some alcohol to their adolescents and often cited the social norm of drinking among their adolescents' peers as a source of pressure to supply.

CONCLUSIONS: Further dissemination of the guidelines may be the first step in a public health strategy, but it is likely that parents will require support to effectively adopt the recommendations. Understanding the influences on parents' beliefs about their children's drinking and the functions of social networks in the creation of behavioural norms relating to alcohol consumption and supply may be necessary to address adolescent risky drinking.

MEDLINE

Institution

Discipline of Health Behaviour Science and Priority Research Centre for Health Behaviour, School of Medicine and Public Health, University of Newcastle, University Drive Callaghan, Newcastle, 2308 NSW, Australia.

A randomized, controlled trial to test the efficacy of an online, parent-based intervention for reducing the risks associated with college-student alcohol use.

Donovan E. Wood M. Frayjo K. Black RA. Surette DA.

Addictive Behaviors. 37(1):25-35, 2012 Jan.

[Journal Article. Randomized Controlled Trial. Research Support, N.I.H., Extramural]

UI: 21963316

ABSTRACT: Alcohol consumption among college students remains a major public health concern. Universal, Web-based interventions to reduce risks associated with student alcohol consumption have been found to be effective in changing their alcohol-related behavior. Recent studies also indicate that parent-based interventions, delivered in booklet form, are effective. A parent-based intervention that is also Web-based may be well suited to a dispersed parent population; however, no such tool is currently available. The purpose of this study was to test the efficacy of an online parent-based intervention designed to (1) increase communication between parents and students about alcohol and (2) reduce risks associated with alcohol use to students. A total of 558 participants, comprising 279 parent-teen dyads, were enrolled in the study. The findings suggested that parents who participated in the online intervention were more likely to discuss protective behavioral strategies, particularly those related to manner of drinking and stopping/limiting drinking, with their teens, as compared with parents in an e-newsletter control group. Moreover, students whose parents received the intervention were more likely to use a range of protective behavioral strategies, particularly those related to manner of drinking and stopping/limiting drinking, as compared with students whose parents did not receive the intervention. A universal, online, parent-based intervention to reduce risks associated with student alcohol consumption may be an efficient and effective component of a college's overall prevention strategy. Copyright 2011 Elsevier Ltd. All rights reserved.

Institution

Inflexxion, Inc., 320 Needham Street, Suite 100, Newton, MA 02464,

Why target early adolescents and parents in alcohol prevention? The mediating effects of self-control, rules and attitudes about alcohol use.

Koning IM. van den Eijnden RJ. Engels RC. Verdurmen JE. Vollebergh WA.

Addiction. 106(3):538-46, 2011 Mar.

[Journal Article. Randomized Controlled Trial. Research Support, Non-U.S. Gov't]

UI: 21059187

ABSTRACT: AIMS: To examine the effects of a parent and student intervention offered separately and simultaneously (PAS) on onset of weekly drinking via its putative mediators.

DESIGN: A randomized trial with four conditions; (1) parent intervention, (2) student intervention, (3) combined parent-student intervention and (4) control group.

SETTING: High schools selected randomly, located in different areas.

PARTICIPANTS: A total of 2937 early adolescents (mean age = 12.6, standard deviation = 0.49) and their parents.

MEASUREMENTS: Mediation effects were analysed using pretest data and two follow-up measurements (10 and 22 months after baseline). A path model was estimated (Mplus) to examine the effect of the interventions on adolescent-reported mediators (self-control, perceived parental rules and attitudes about alcohol) and parent-reported mediators (parental rules and attitudes about alcohol). Outcome was onset of weekly drinking.

FINDINGS: The parent intervention modified rules and attitudes about alcohol as reported by parents. An indirect effect of the parent intervention via parental rules was found. The combined intervention affected both adolescent-reported and parent-reported rules and attitudes about alcohol and adolescents' perceived self-control, yet only perceived rules and self-efficacy, as reported by adolescents, and parental attitudes mediated the association between the combined intervention and onset of weekly drinking. No significant effects were found of the separate student intervention on the mediating factors.

CONCLUSIONS: The PAS programme proved to be effective as predicted by the theoretical assumptions underlying the interventions. Interventions with parents and adolescents to prevent adolescent alcohol consumption may usefully target parental rules about alcohol and adolescents' self-confidence. 2010 The Authors, Addiction 2010 Society for the Study of Addiction.

MEDLINE

Institution

Department of Interdisciplinary Social Science, Utrecht University, the Netherlands.

The role of parental alcohol-specific communication in early adolescents' alcohol use.

Van Der Vorst H. Burk WJ. Engels RC.

Drug & Alcohol Dependence. 111(3):183-90, 2010 Oct 1.

[Comparative Study. Journal Article. Research Support, Non-U.S. Gov't]

UI: 20605374

ABSTRACT: Many alcohol prevention programs advocate conversations about alcohol between parents and children because verbal communication is the most direct way for parents to express their thoughts, rules, and concerns about alcohol to their children, so called alcohol-specific communication. Nevertheless, research on the effects of alcohol-specific communication has produced inconsistent findings. This study examined the bidirectional links between frequency of alcohol-specific communication and early adolescents' alcohol use, and the moderating effects on these links of gender and experience with alcohol. The longitudinal sample consisted of 428 Dutch early adolescents who were followed over 3 years. Results of structural equation models indicated that more frequent alcohol-specific communication at time two predicted more adolescent alcohol use at time three. Follow-up multiple-group analyses clearly show that prospective links between alcohol-specific communication and adolescent alcohol use were limited to adolescent males reporting the highest levels of drinking. For this group of drinking males, alcohol use predicted less parent-child communication, and more frequency of alcohol-specific communication predicted an increase in drinking. Alcohol-specific communication and adolescent alcohol use were not prospectively linked for males reporting lower levels of alcohol use or for adolescent females. These findings highlight the need for future research that examines both quantitative and qualitative aspects of how parents communicate with their adolescent children about alcohol. Advocation of specific parent-child communication skills meant to reduce youth alcohol use may be somewhat premature until additional studies refine our understanding of how specific parenting strategies are linked to different patterns of adolescent alcohol use. Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

MEDLINE

Institution

Behavioural Science Institute, Radboud University Nijmegen, 6500 NE Nijmegen, The Netherlands.

Determinants of parental support for governmental alcohol control policies.

Van Hoof JJ. Gosselt JF. de Jong MD.

Health Policy. 97(2-3):195-201, 2010 Oct.

[Journal Article. Multicenter Study]

UI: 20627439

ABSTRACT: AIM: To explore determinants that predict parental support for governmental alcohol control policies in the Netherlands.