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The Effect of Alcohol-related Harm Preventing Intervention on Drinking Frequency and Problem Behaviors of Adolescent: A Meta-analysis

청소년의 음주폐해 예방 중재가 음주 빈도와 문제행동에 미치는 효과: 메타분석

  • 송아영 (건양대학교 대학원 작업치료학과) ;
  • 송예원 (건양대학교 대학원 작업치료학과) ;
  • 이재신 (건양대학교 작업치료학과)
  • Received : 2016.10.31
  • Accepted : 2016.11.24
  • Published : 2017.02.28

Abstract

This study tried to confirm the effective intervention to reduce drinking frequency and problem behaviors among the three interventions; school based, feedback, and behavior change. Meta-analysis was conducted targeting at 16 studies of randomized controlled trial in which alcohol intervention has been applied to adolescent. The drinking frequency and problem behaviors were analyzed by follow up period. There was a significant difference in the feedback intervention to reduce the frequency of drinking under 3 months of follow up period. Also, there was a significant difference in the feedback intervention to reduce the problematic behaviors of drinking between 4 and 12 months of follow up period(p<.05). The study confirmed that feedback intervention is effective in reducing the frequency of drinking during the follow up period under 3 months, and it is effective in reducing the problem behaviors of drinking during the 4~12 months of follow up period. Also, the study confirmed that school-based intervention and feedback intervention were useful in reducing and preventing harmful effects of drinking by adolescents.

본 연구는 청소년의 음주폐해 예방을 위한 학교기반, 피드백, 행동수정의 3가지 중재 중 음주 빈도와 문제행동의 감소에 효과적인 중재를 확인하고자 하였다. 청소년기 그룹에게 알코올 중재를 적용한 무작위대조군연구 16편을 대상으로 메타분석을 수행하였다. 학교기반, 피드백, 행동수정의 각 중재방법에 따른 음주빈도와 음주 문제행동을 추적기간별로 나누어 통계적 이질성, 효과크기, 민감도 검정을 실시하였다. 음주빈도의 감소를 위한 결과 피드백 중재가 3개월 미만에서, 음주 문제행동의 감소를 위한 결과 피드백 중재가 4~12개월의 추적기간에서 유의미한 차이를 보였다(p<.05). 음주 빈도의 결과 3개월 미만에서 학교기반이 "큰", 피드백은 "작은", 4~12개월에서는 피드백이 "큰" 효과크기로 해석되었다. 음주 문제행동의 결과 3개월 미만에서 학교기반이 "중간", 피드백은 "큰", 4~12개월에서는 학교기반이 "중간", 피드백은 "큰" 효과크기로 해석되었다. 피드백 중재가 3개월 미만의 추적기간 동안 음주 빈도의 감소를 위해 효과적이며, 4~12개월의 추적기간 동안에는 음주 문제행동 감소에 효과적인 중재임을 확인하였다. 또한 청소년의 음주폐해 감소 및 예방을 위한 학교기반 중재와 피드백 중재의 유용성을 확인하였다.

Keywords

References

  1. C. L. Williams, C. L. Perry, K. Farbakhsh, and S. Veblen-Mortenson, "Project Northland: Comprehensive alcohol use prevention for young adolescent, their parents, schools, peers and communities," Journal of Studies on Alcohol Supplement, Vol.13, pp.112-124, 1999.
  2. A. E. Reid and K. B. Carey, "Interventions to reduce college student drinking: State of the evidence for mechanism of behavior change," Clinical Psychology Review, Vol.40, No.2015, pp.213-224, 2015. https://doi.org/10.1016/j.cpr.2015.06.006
  3. 김광기, "우리나라 음주폐해 감소를 위한 알코올 정책 도입 방안," 정책보고서 06-12 (06-206A-01), 12, pp.1-287, 2006.
  4. T. F. Babor, Alcohol: No ordinary commodity, 2nd edition, Oxford New York. 2010.
  5. 공혜림, 김하주, 전승희, 임민경, "대학생 절주동아리 캠페인 활동사례," 대한보건협회 보건종합학술대회, 제2011권, 제2011호, p.22, 2011.
  6. 정우진, "청소년 음주의 사회경제적 비용," 정신건강정책포럼, 제3권, pp.143-153, 2009.
  7. 김선아, "중.고등학교 시기의 심리사회적요인과 고 3학년 음주흡연행동의 관계: 친구관계, 스트레스, 우월감, 자존감을 중심으로," 사회과학연구, 제21권, 제3호, 2010.
  8. J. G. Murphy, A. A. Dennhardt, J. R. Skidmore, B. Borsari, N. P. Barnett, S. M. Colby, and M. P. Martens, "A randomized controlled trial of a behavioral enonomic supplement to brief motivational interventions for college drinking," J Consult Clin Psychol, Vol.80, No.5, pp.876-886, 2012. https://doi.org/10.1037/a0028763
  9. D. M. Doumas, S. Esp, R. Turrisi, R. Hausheer, and C. Cuffee, "A test of the efficacy of a brief, web-based personalized feedback intervention to reduce drinking among 9th grade students," Addictive Behavior, Vol.39, pp.231-238, 2014. https://doi.org/10.1016/j.addbeh.2013.10.011
  10. N. C. Newton, G. Andrews, M. Teesson, and L. E. Vogl, "Delivering prevention for alcohol and cannabis using the internet: A cluster randomised controlled trial," Prev Med, Vol.48, pp.579-584, 2009. https://doi.org/10.1016/j.ypmed.2009.04.009
  11. J. W. LaBrie, M. A. Lewis, D. C. Atkins, C. Neighbors, C. Zheng, S. R. Kenney, and M. E. Larimer, "RCT of web-based personalized normative feedback for college drinking prevention: Are typical student norms good enough?," J Consult Clin Psychol, Vol.81, No.6, pp.1074-1086, 2013. https://doi.org/10.1037/a0034087
  12. J. F. Schaus, M. L. Sole, T. McCoy, N. Mullett, and M. C. O'Brien, "Alcohol screening and brief intervention in a college student health center: A randomized controlled trial," Journal of Studies on Alcohol and Drugs, Vol.16, pp.131-141, 2009.
  13. H. K. Strom, F. Adolfsen, S. Fossum, S. Kaiser, and M. Martinussen, "Effectiveness of school-based preventive interventions on adolescent alcohol use: A meta-analysis of randomized controlled trials," Substance Abuse Treatment, Prevention, and Polity, Vol.9, No.48, pp.2-11, 2014. https://doi.org/10.1186/1747-597X-9-2
  14. S. T. Walters and C. Neighbors, "Feedback interventions for college alcohol misuse: What, why and for whom?," Addictive Behaviors, Vol.30, No.2005, pp.1168-1182, 2005. https://doi.org/10.1016/j.addbeh.2004.12.005
  15. K. B. Carey, L. A. J. Scott-Sheldon, M. P. Carey, and K. S. Demartini, "Individual-level interventions to reduce college student drinking: A meta-analytic review," Addic Behav, Vol.32, pp.2469-2494, 2007. https://doi.org/10.1016/j.addbeh.2007.05.004
  16. M. T. Moreira, L. A. Smith, and D. Foxcroft, "Social norms intervention to reduce alcohol misuse in university or college student(review)," Cochrane Database SystRev, 2009.
  17. L. I. Solberg, M. V. Maciosek, and N. M. Edwards, "Primary care intervention to reduce alcohol misuse: Ranking its health impact and cost effectiveness," Am J Prev Med, Vol.34, pp.143-152, 2008. https://doi.org/10.1016/j.amepre.2007.09.035
  18. 정슬기, 김지선, "청소년 음주문제와 관련한 영향요인에 대한 메타분석," 보건교육건강증진학회지, 제31권, 제1호, pp.71-83, 2014. https://doi.org/10.14367/kjhep.2014.31.1.71
  19. A. R. Jadad, R. A. Moore, D. Carroll, C. Jenkinson, D. J. M. Reynolds, D. J. Gavaghan, and H. J. Mcquay, "Assessing the quality of reports of randomized clinical trials: Is blinding necessary?," Controlled Clinical Trials, Vol.17, No.1, pp.1-12, 1996. https://doi.org/10.1016/0197-2456(95)00134-4
  20. W. G. Cochran, "The combination of estimates from different experiments," Biometrics, Vol.10, No.1, pp.101-129, 1954. https://doi.org/10.2307/3001666
  21. C. D. Furberg and T. M. Morgan, "Lessons from overviews of cardiovascular trials," Statistics in Medicine, Vol.6, No.3, pp.295-303, 1987. https://doi.org/10.1002/sim.4780060316
  22. R. Rosenthal and D. B. Rubin, "Comparing effect sizes of independent studies," Psychological Bulletin, Vol.92, No.2, pp.500-504, 1982. https://doi.org/10.1037/0033-2909.92.2.500
  23. J. Cohen, Statistical power analysis for the behavioral sciences(2nd ed.), Hillsdale, NewYork, NY: Lawrence Erlbaum Associates, 1988.
  24. J. Lau, J. Ioannidis, and C. H. Schmid, "Quantitative synthesis in systematic reviews," Annals of Internal Medicine, Vol.127, No.9, pp.820-826, 1997. https://doi.org/10.7326/0003-4819-127-9-199711010-00008
  25. E. J. D'Amico and K. Fromme, "Brief prevention for adolescent risk-taking behavior," Addiction, Vol.97, pp.563-574, 2002. https://doi.org/10.1046/j.1360-0443.2002.00115.x
  26. L. Vogl, M. Teesson, G. Andrews, K. Bird, B. Steadman, and P. Dillon, "A computerized harm minimization prevention program for alcohol misuse and related harms: Randomized controlled trial," Addiction, Vol.104, pp.564-575, 2009. https://doi.org/10.1111/j.1360-0443.2009.02510.x
  27. C. Werch, M. J. Moore, C. C. DiClemente, R. Bledsoe, and E. Jobli, "A multihealth behavior intervention integrating physical activity and substance use prevention for adolescents," Prev Sci, Vol.6, pp.213-226, 2005. https://doi.org/10.1007/s11121-005-0012-3
  28. B. Bosari and K. B Carey, "Effects of brief motivational intervention with college student drinkers," Journal of Consulting and Clinical Psychology, Vol.68, No.4, pp.728-733, 2000. https://doi.org/10.1037/0022-006X.68.4.728
  29. S. E. Collins, K. B. Carey, and M. J. Sliwinski, "Mailed personalized normative feedback as a brief intervention for at-risk college drinkers," Journal of Studies Alcohol, Vol.63, pp.559-567, 2002, https://doi.org/10.15288/jsa.2002.63.559
  30. J. G. Murphy, J. J. Duchnick, R. E. Vuchinich, J. W. Davison, R. S. Karg, A. M. Olson, A. F. Smith, and T. T. Coffey, "Relative efficacy of a brief motivational intervention for college student drinkers," Psychology of Addictive Behaviors, Vol.15, No.4, pp.373-379, 2001. https://doi.org/10.1037/0893-164X.15.4.373
  31. C. Neighbors, M. E. Larimer, and M. A. Lewis, "Targeting misperceptions of descriptive drinking norms: Efficacy of a computer-delivered personalized normative feedback intervention," Journal of Consulting and Clinical Psychology, Vol.72, No.3, pp.434-447, 2004. https://doi.org/10.1037/0022-006X.72.3.434
  32. S. Walters, M. E. Bennett, and J. H. Miller, "Reducing alcohol use in college students: A controlled trial of two brief interventions," J DRUB EDUCATION, Vol.30, No.3, pp.361-372, 2000. https://doi.org/10.2190/JHML-0JPD-YE7L-14CT
  33. N. P. Barnett, J. G. Murphy, S. M. Colby, and P. M. Monti, "Efficacy of counselor vs. computer-delivered intervention with madated college students," Addictive behaviors, Vol.32, No.11, pp.2529-2548, 2007. https://doi.org/10.1016/j.addbeh.2007.06.017
  34. J. J. Black, G. Q. Tran, A. A. Goldsmith, R. D. Thompson, J. P. Smith, and J. A. Welqe, "Alcohol expectancies and social self efficacy as mediators of differential intervention outcomes for college hazardous drinkers with social anxiety," Addictive Behaviors, Vol.37, No.3, pp.248-255, 2012. https://doi.org/10.1016/j.addbeh.2011.10.004
  35. M. Testa, J. H. Hoffman, J. A. Livingston, and R. Turrisi, "Preventing college women's sexual victimization through parent based intervention: A randomized controlled trial," Prevention Science, Vol.11, No.3, pp.308-318, 2010. https://doi.org/10.1007/s11121-010-0168-3
  36. 손민성, 김미선, 윤기찬, 최만규, "청소년의 심리건강 영향요인: 음주의 매개효과," 한국콘텐츠학회논문지, 제13권, 제2호, pp.359-369, 2013. https://doi.org/10.5392/JKCA.2013.13.02.359
  37. 양승희, 윤지원, "대학생의 우울, 불안, 금주 자기효능감이 음주문제에 미치는 영향: 보건복지계열 햑생을 중심으로," 한국콘텐츠학회논문지, 제15권, 제12호, pp.304-313, 2015. https://doi.org/10.5392/JKCA.2015.15.12.304
  38. L. D. Johnston, P. M. O'Malley, and J. G. Bachman, Monitoring the future national survey results on drug use, 1975-2000, Volume II: College students and adults age 19-40 (National Institutes of Health Publication No. 01-4925), Bethesda, MD: National Institute on Drug Abuse, 2001.