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The contribution of alcohol education to reducing underage drinking 20 th October 2015

Learn about the School Health and Alcohol Harm Reduction Project (SHAHRP), a harm reduction education intervention that aims to reduce underage drinking through curriculum-based programs and skills training.

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The contribution of alcohol education to reducing underage drinking 20 th October 2015

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  1. The contribution of alcohol education to reducing underage drinking 20th October 2015 Dr Michael McKay Centre for Public Health Liverpool John Moores University

  2. What is SHAHRP? The School Health and Alcohol Harm Reduction Project (SHAHRP) is an example of a harm reduction education intervention which combines a harm reduction philosophy with skills training, education, and activities designed to encourage positive behavioural change It is a curriculum-based programme with an explicit harm reduction goal and is conducted in two phases over a two year period. McBride et al., (2004) Harm minimization in school drug education: final results of the School Health and Alcohol Harm Reduction Project (SHAHRP). Addiction, 99, 278-291

  3. Student Workbooks

  4. Workbook 1

  5. Workbook 2

  6. Results Problems included: • Clustering at school level (hierarchical nature of data) • Non-randomised nature of the “trial”

  7. McBride et al., 2004; McKay et al., 2012; Midford et al., 2014

  8. Subgroup Analyses • Baseline Drinking Behaviour (McBride et al., 2003) • Abstainers • Supervised Drinkers • Unsupervised Drinkers Significantly more influenced by the intervention

  9. Findings • Greater Alcohol-related Knowledge • Safer Attitudes toward Alcohol Regardless of Baseline Drinking Behaviour

  10. Consistently observed in the Unsupervised Drinkers group only Findings • Lower Quantity of Alcohol Consumption • Reduced Frequency of Alcohol Consumption • Fewer self-reported Alcohol-Related Harms from both their own and other peoples’ alcohol consumption

  11. *p<0.05 **p<0.01 ***p<0.001

  12. Quantity of Alcohol Consumption 6% 21% 10% -2%

  13. Alcohol-related harms from own drinking -13% 14% -8% 18%

  14. Alcohol-related harms from else drinking -28% -9% -8% -33%

  15. Unsupervised Drinkers • Higher Risk Group (Bellis et al., 2010) • SHAHRP lessons focused on alcohol use experiences in unsupervised contexts

  16. Development of drinking behaviours 26 16 13

  17. My data n=1066

  18. My data n=1066

  19. My data n=1066

  20. My data n=1066

  21. Frequency of drinking

  22. Typical consumption

  23. Harms

  24. Thank You Michael McKay M.T.McKay@ljmu.ac.uk

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