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de la Rosa PA, Calatrava M, Osorio A, de Irala J. Social features in internet-based programs to prevent alcohol consumption among adolescents: a scoping review. Health Promot Int 2023; 38:6446248. [PMID: 34849921 DOI: 10.1093/heapro/daab196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Alcohol consumption among adolescents is a social and public health issue. School-based programs are needed to prevent the onset of alcohol consumption during adolescence. Information and communication technologies offer new promising approaches to deliver preventive programs to these populations. The most traditional, successful programs use group dynamics within the classroom. However, the usefulness of social interaction features (SIF) within internet-based interventions remains unclear. The current scoping review aims to identify and evaluate the effectiveness of online and mobile psychosocial preventive interventions that use SIF, and that target adolescents. Web of Science, Scopus and Google Scholar were electronically searched for all articles published between January 2011 and December 2020. Articles reporting on school-based, web-based interventions for adolescents to prevent alcohol consumption and that encouraged any kind of interaction between users ('social interactions') were eligible for inclusion. Fourteen articles were included in the review. These articles assessed eight preventive programs. Six programs showed positive results on outcome variables. In two of them, it was possible to determine that their success was partially due to the SIF. SIF seem to be useful to enhance the receptivity and usefulness of web-based prevention programs, but the current evidence of their effectiveness is scarce. More evidence is required to assess the effectiveness of these features and to improve programs having the objective of preventing the consumption of alcohol among young people.
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Affiliation(s)
- Pedro Antonio de la Rosa
- Human Flourishing Program, Harvard University, Boston.,Institute for Culture and Society (ICS), Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain
| | - Maria Calatrava
- Institute for Culture and Society (ICS), Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Navarra Institute for Health Research, Recinto de Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008 Pamplona, Spain
| | - Alfonso Osorio
- Institute for Culture and Society (ICS), Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Navarra Institute for Health Research, Recinto de Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008 Pamplona, Spain.,School of Education and Psychology, Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain
| | - Jokin de Irala
- Institute for Culture and Society (ICS), Universidad de Navarra, Campus Universitario, 31008 Pamplona, Spain.,Instituto de Investigación Sanitaria de Navarra (IdiSNA), Navarra Institute for Health Research, Recinto de Complejo Hospitalario de Navarra, Calle Irunlarrea 3, 31008 Pamplona, Spain.,Department of Preventive Medicine and Public Health, School of Medicine, Universidad de Navarra, Calle Irunlarrea 1, 31008 Pamplona, Spain
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Ho FK, Tung KTS, Wong RS, Chan KL, Wong WHS, Ho SY, Lam TH, Mirpuri S, Van Voorhees B, Fu KW, Chow CB, Chua G, Tso W, Jiang F, Rich M, Ip P. An Internet Quiz Game Intervention for Adolescent Alcohol Drinking: A Clustered RCT. Pediatrics 2021; 148:183428. [PMID: 34841427 DOI: 10.1542/peds.2021-051005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/06/2021] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND AND OBJECTIVES Interventions on adolescent drinking have yielded mixed results. We assessed the effectiveness of an Internet quiz game intervention compared to conventional health education. METHODS In this cluster randomized controlled trial with parallel group design, we randomly allocated 30 participating schools to the Internet quiz game intervention or the conventional health education (comparison) group, with 1:1 ratio. Students of Hong Kong secondary schools (aged 12-15 years) were recruited. The intervention was a 4-week Web-based quiz game competition in which participating students answered 1000 alcohol-related multiple-choice quiz questions. The comparison group received a printed promotional leaflet and hyperlinks to alcohol-related information. RESULTS Of 30 eligible schools, 15 (4294 students) were randomly assigned to the Internet quiz game intervention group and 15 (3498 students) to the comparison group. Average age of participants was 13.30 years. No significant between-group differences were identified at baseline. Overall retention rate for students was 86.0%. At 1-month follow-up, fewer students in the intervention group reported drinking (9.8% vs 12.1%, risk ratio 0.79, 95% confidence interval [CI] 0.68 to 0.92; P = .003), and those who drank reported drinking less alcohol (standardized difference β -0.06, 95% CI -0.11 to -0.01; P = .02). Between-group differences remained statistically significant at 3-month follow-up (10.4% vs 11.6%, risk ratio 0.86, 95% CI 0.74 to 0.999; P = .048; β -0.06, 95% CI -0.11 to -0.01; P = .02). CONCLUSIONS The Internet quiz game intervention reduced underage drinking by 21% at 1-month and 14% at 3-month follow-up compared with conventional health education.
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Affiliation(s)
- Frederick K Ho
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| | - Keith T S Tung
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.,Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Rosa S Wong
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Wilfred H S Wong
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Sai Yin Ho
- Division of Community Medicine and Public Health Practice, School of Public Health, The University of Hong Kong, Hong Kong
| | - Tai Hing Lam
- Division of Community Medicine and Public Health Practice, School of Public Health, The University of Hong Kong, Hong Kong
| | - Sheena Mirpuri
- Immigrant Health and Cancer Disparities Service, Memorial Sloan-Kettering Cancer Center, New York, New York
| | | | - King Wa Fu
- Journalism and Media Studies Centre, The University of Hong Kong, Pokfulam, Hong Kong
| | - Chun Bong Chow
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Gilbert Chua
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Winnie Tso
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
| | - Fan Jiang
- Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Michael Rich
- Center on Media and Child Health, Children's Hospital Boston, Boston, Massachusetts
| | - Patrick Ip
- Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong
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