Home > Interventions for adolescent substance abuse: an overview of systematic reviews.

Das, Jai K and Salam, Rehana and Arshad, Ahmed and Finkelstein, Yaron and Bhutta, Zulfiqar A . (2016) Interventions for adolescent substance abuse: an overview of systematic reviews. Elsevier. Journal of Adolescent Health, 59 (4 supp) S61–75.

URL: http://www.jahonline.org/article/S1054-139X(16)301...

Many unhealthy behaviors often begin during adolescence and represent major public health challenges. Substance abuse has a major impact on individuals, families, and communities, as its effects are cumulative, contributing to costly social, physical, and mental health problems. We conducted an overview of systematic reviews to evaluate the effectiveness of interventions to prevent substance abuse among adolescents. We report findings from a total of 46 systematic reviews focusing on interventions for smoking/tobacco use, alcohol use, drug use, and combined substance abuse.

Our overview findings suggest that among smoking/tobacco interventions, school-based prevention programs and family-based intensive interventions typically addressing family functioning are effective in reducing smoking. Mass media campaigns are also effective given that these were of reasonable intensity over extensive periods of time. Among interventions for alcohol use, school-based alcohol prevention interventions have been associated with reduced frequency of drinking, while family-based interventions have a small but persistent effect on alcohol misuse among adolescents. For drug abuse, school-based interventions based on a combination of social competence and social influence approaches have shown protective effects against drugs and cannabis use. Among the interventions targeting combined substance abuse, school-based primary prevention programs are effective. Evidence from Internet-based interventions, policy initiatives, and incentives appears to be mixed and needs further research.

Future research should focus on evaluating the effectiveness of specific interventions components with standardized intervention and outcome measures. Various delivery platforms, including digital platforms and policy initiative, have the potential to improve substance abuse outcomes among adolescents; however, these require further research.


Item Type:Evidence resource
Publication Type:Review
Drug Type:Alcohol, Alcohol or other drugs in general, Cannabis, CNS depressants, CNS stimulants, Cocaine, Inhalents and solvents, Opioid, New psychoactive substance, Prescription/Over the counter
Intervention Type:AOD disorder, AOD disorder drug therapy, AOD disorder treatment method, AOD disorder harm reduction, Psychosocial treatment method, Rehabilitation/Recovery
Date:October 2016
Pages:S61–75
Publisher:Elsevier
Volume:59
Number:4 supp
EndNote:View
Subjects:J Health care, prevention and rehabilitation > Drugs and alcohol prevention
J Health care, prevention and rehabilitation > Prevention outcome
J Health care, prevention and rehabilitation > Basic prevention categories > Universal prevention
J Health care, prevention and rehabilitation > Basic prevention categories > Targeted prevention
J Health care, prevention and rehabilitation > Prevention programme or service
J Health care, prevention and rehabilitation > Prevention by sponsor or setting > School-based prevention
J Health care, prevention and rehabilitation > Prevention by sponsor or setting > Youth-club / cafe based prevention
J Health care, prevention and rehabilitation > Prevention approach > Family-focused prevention
J Health care, prevention and rehabilitation > Prevention approach > Prevention through information and education
T Demographic characteristics > Adolescent / youth (teenager / young person)
T Demographic characteristics > Prevention worker

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