Prevention of Substance AbuseThe aim of this expert report is to assess the effectiveness of existing interventions to prevent addiction by means of high-quality studies (reviews and meta-analyses). For the purposes of this expert report, effectiveness is defined as preventing, delaying or reducing consumption of tobacco, alcohol, cannabis or other illicit psychoactive substances through universal or selective approaches. Furthermore, the effectiveness of approaches to the prevention of problematic gambling behaviour is also assessed. Because of the low number of intervention studies that have been conducted thus far, the current status of prevention of prescription drug abuse and Internet addiction is explored, but no conclusions are drawn. Both behavioural and environmental prevention interventions are assessed. An attempt is made to draw conclusions about the effectiveness of established measures in various settings, as well as conclusions regarding specific substances and gambling. All conclusions are allocated strength-of-evidence ratings. In addition to this main task, theoretical principles are presented that are currently under discussion in various areas of addiction prevention. Moreover, the literature on specific target groups (migrants, the elderly) and prevention efforts in Germany are explored. This expert report is aimed at decision-makers in addiction prevention at all political levels, as well as those in charge of developing and/or implementing preventive measures. |
Contents
Contents | 7 |
Summary | 13 |
The theories behind addictionprevention | 23 |
Copyright | |
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Common terms and phrases
addiction prevention addiction-prevention measures alcohol consumption Alcohol Undifferentiated Leisure approach authors BZgA Cannabis Media Community Cochrane Library consumption behaviour cross-system projects Drug Abuse drugs Undifferentiated Focus effect size effects on consumption elaboration likelihood model elements Selective School EMCDDA evaluation Field of Substance fields of intervention high quality studies illicit drugs UNDIFFERENTIATED implementation individual studies influence intra-class correlation involving Key elements Selective legal drinking age Legislation and regulations Leisure Cannabis Media mass-media campaigns Media Community Legislation meta-analysis negative parents peers prevention measures prevention programmes preventive effects problem behaviour protective factors randomised RCTs regulations Undifferentiated relevant Results Target group risk factors School Alcohol Undifferentiated school-based programmes Selective School Alcohol sleeper effects social substance abuse substance consumption Substance intervention EFFECTIVENESS substance-related disorders systematic review Target group Field theory Tobler Type of article Undifferentiated Leisure Cannabis Undifferentiated Other illicit UNIVERSAL Family Tobacco unsystematic World Health Organisation young people's