234482 Reducing underage alcohol use county-wide using a comprehensive intervention based on SAMHSA's Strategic Prevention Framework

Tuesday, November 1, 2011

Jennifer Eddy, MD , Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Eau Claire, WI
Mark Gideonsen, MD , Department of Family Medicine, Univesrity of Wisconsin School of Medicine and Public Health, Eau Claire, WI
Francie Peardon , Eau Claire City-County Health Department, Eau Claire, WI
Peggy O'Halloran, MPH , Family Medicine, Universtiy of Wisconsin School of Medicine and Public Health, Eau Claire, WI
Objective: Although there are effective interventions to reduce underage drinking, disseminating evidenced-based alcohol prevention programs into ‘real-world' communities remains a challenge. This purpose of this research is to test the Strategic Prevention Framework advocated by the Substance Abuse and Mental Health Services Administration as a model for such dissemination, and evaluate its effect on alcohol use by youth ages 12-17. Method: Community-based translational research in Eau Claire County, Wisconsin. The Strategic Prevention Framework was used to assess community needs and implement a comprehensive strategy to reduce underage drinking county-wide. Four county-wide evidence-based programs targeting youth, parents and the community were added to one pre-existing school-based program. County-wide youth alcohol measures from Parent Resource Institute Drug Education surveys, administered every 2-3 years to the county's middle and high school students, were used to assess underage drinking. Results were compared with available state and national data on underage drinking. Results: From 2001 to 2009, Eau Claire County implemented a comprehensive evidence-based strategy to reduce underage alcohol use using the Strategic Prevention Framework. During this time there was a 8.6% decline in past-month alcohol use (p<.05) and a 20.5% decline in reported ease of obtaining alcohol (p<.05). From 2004 to 2009 there was a 5.8% decrease in binge alcohol use (p<.05) and a 12.0% increase in perceived parental disapproval of alcohol use (p<.05). Similar changes were not observed in state and national data during this time period. Conclusion: The Strategic Prevention Framework is a promising model for communities seeking to reduce underage drinking.

Learning Areas:
Implementation of health education strategies, interventions and programs
Program planning
Public health or related laws, regulations, standards, or guidelines
Public health or related research
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the comprehensive approach to reducing underage alcohol used in Eau Claire County, Wisconsin 2001-2009 based on SAMSHA's Strategic Prevention Framework. Assess the dramatic, statistically-significant and desirable changes in (1) perceived ease of obtaining alcohol, (2) youth monthly use and binge drinking of alcohol and (3) parental disapproval of youth alcohol use as the program was implemented, and compare these changes with available state and national data for the same timeframe. Discuss barriers to disseminating evidence-based prevention practices in communities, and strategies to overcome these barriers.

Keywords: Alcohol Use, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a physician and community-based researcher in substance abuse prevention
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.