School-based alcohol education: results of a cluster-randomized controlled trial

Addiction. 2009 Mar;104(3):402-12. doi: 10.1111/j.1360-0443.2008.02471.x.

Abstract

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.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Alcoholism / epidemiology
  • Alcoholism / prevention & control*
  • Child
  • Cluster Analysis
  • Female
  • Germany / epidemiology
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Schools* / statistics & numerical data
  • Single-Blind Method