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       Welcome!
 Preventing Alcohol
 and Marijuana Use
   Among Youth:
What’s the evidence?
  You will be placed on hold until the webinar begins.
The webinar will begin shortly, please remain on the line.
What’s the evidence?
 Lemstra, M., Bennett, N., Nannapaneni, U.,
  Neudorf, C., Warren, L., Kershaw, T., Scott, C.
  (2010). A systematic review of school-based
  marijuana and alcohol prevention programs
  targeting adolescents aged 10-15. Addiction
  Research and Theory, 18(1): 84-96.

 http://www.health-evidence.ca/articles/show/20397
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   Welcome!
 Preventing Alcohol
 and Marijuana Use
   Among Youth:
What’s the evidence?
The Health Evidence Team


                                   Kara DeCorby                  Heather Husson
                                   Administrative Director       Project Manager




Maureen Dobbins
Scientific Director
Tel: 905 525-9140 ext 22481
E-mail: dobbinsm@mcmaster.ca




                               Lori Greco          Robyn Traynor          Lyndsey McRae
                               Knowledge Broker    Research Coordinator   Research Assistant
What is www.health-evidence.ca?


                     Evidence
                          inform



              Decision Making
Why use www.health-evidence.ca?
 1. Saves you time
 2. Relevant & current evidence
 3. Transparent process
 4. Supports for EIDM available
 5. Easy to use
Knowledge Translation
 Supplement Project
    CIHR-funded KTB-112487
Review
 Lemstra, M., Bennett, N., Nannapaneni, U., Neudorf,
  C., Warren, L., Kershaw, T., Scott, C. (2010). A
  systematic review of school-based marijuana
  and alcohol prevention programs targeting
  adolescents aged 10-15. Addiction Research and
  Theory, 18(1): 84-96.
Evaluation
Please check your email for the evaluation
        survey link after the webinar.
      It take 5 minutes to complete!

If you did not personally register for the webinar,
          please e-mail Jennifer McGugan at
    mcgugj@mcmaster.ca
              to be sent the survey
Questions?
Summary Statement:
Lemstra (2010)
P     10-15 years
I     (A) Knowledge-only program: Provision of anti-drug
      information in school setting
      (B) Comprehensive program: Intervention A plus
      development of refusal, self- management, and social skills
C     Usual care OR knowledge only (e.g., pamphlet)
O     Primary outcome: Long-term reduction in
      marijuana/alcohol use
      Secondary Outcomes: Effectiveness of Intervention A
      vs. Intervention B
Quality Rating: 9 (strong)
Overall Considerations
Comprehensive program: Mean reduction of
 12 days of alcohol use/month
 7 days of marijuana use/month

Knowledge-only program: Mean reduction of
 2 days of alcohol use/month (non-significant)
 25 days of marijuana use/month

Confounding factors not considered (e.g. age, gender,
socioeconomic status)
General Implications
Public health SHOULD promote / support / implement:
 School-based
 Comprehensive programs
 Minimum one year duration
 Knowledge-only programs (if comprehensive programming is not
  possible)
Summary of Included Studies
What’s the evidence?
Comprehensive Programs
 Marijuana use
   Mean absolute reduction of 7 days/month (MUR
    0.93, 95%CI 0.92-0.94) vs. no intervention

 Alcohol use
    Mean absolute reduction of 12 days/month (MUR
     0.88, 95%CI 0.87-0.89) vs. no intervention
Comprehensive Programs
With & Without Stratification
Implications: Practice & policy
Comprehensive Programs
 Promote and support long-term comprehensive
  programming to reduce alcohol and marijuana use

 Includes development of life skills, refusal skills and self-
  management skills in programming

 Comprehensive programming is preferable to
  knowledge-only for reducing alcohol and marijuana use
What’s the evidence?
Knowledge-only Programs
 Marijuana use
   Single study reported a significant reduction
   Mean absolute reduction of 25 days/month (MUR
    0.75, 95% CI 0.63 – 0.87)
   Insufficient data to pool statistically


 Alcohol use
   Mean absolute reduction of 2 days/month (MUR
    0.98, 95% CI 0.92-1.04)
Knowledge-only Programs
With & Without Stratification
Implications: Practice & policy
 Knowledge-only Programs
 Shift existing knowledge-only programs to long-
  term comprehensive programs to reduce
  alcohol use

 New programming should include a skill
  development focus to reduce both alcohol and
  marijuana use
Overall Considerations
Comprehensive program: Mean reduction of
 12 days of alcohol use/month
 7 days of marijuana use/month

Knowledge-only program: Mean reduction of
 2 days of alcohol use/month (non-significant)
 25 days of marijuana use/month

Confounding factors not considered (e.g. age, gender,
socioeconomic status)
General Implications
Public health SHOULD promote / support / implement:
 School-based
 Comprehensive programs
 Minimum one year duration
 Knowledge-only programs if comprehensive programming is not
  possible
Questions?
Posting Board
Please continue to discuss this topic and other
          topics on our posting board.
       http://forum.health-evidence.ca/
Login with your health-evidence username and password or
             register if you aren’t a member yet.
Evaluation
Please check your email and complete the
     evaluation survey for this webinar

If you did not receive an email with a link to the
      survey, please e-mail Jennifer McGugan:
   mcgugj@mcmaster.ca
         Thank you for your participation!

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Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence?

  • 1. This webinar has been made possible with support from the Canadian Institutes of Health Research Welcome! Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence? You will be placed on hold until the webinar begins. The webinar will begin shortly, please remain on the line.
  • 2. What’s the evidence?  Lemstra, M., Bennett, N., Nannapaneni, U., Neudorf, C., Warren, L., Kershaw, T., Scott, C. (2010). A systematic review of school-based marijuana and alcohol prevention programs targeting adolescents aged 10-15. Addiction Research and Theory, 18(1): 84-96.  http://www.health-evidence.ca/articles/show/20397
  • 3. Participant Side Panel Housekeeping in WebEx  Use Q&A to post comments/questions during the webinar  ‘Send’ questions to All (not privately to ‘Host’)  Connection issues  Recommend using a wired Internet connection (vs. wireless), to help Q&A prevent connection challenges  WebEx 24/7 help line: 1-866-229-3239
  • 4. This webinar has been made possible with support from the Canadian Institutes of Health Research Welcome! Preventing Alcohol and Marijuana Use Among Youth: What’s the evidence?
  • 5. The Health Evidence Team Kara DeCorby Heather Husson Administrative Director Project Manager Maureen Dobbins Scientific Director Tel: 905 525-9140 ext 22481 E-mail: dobbinsm@mcmaster.ca Lori Greco Robyn Traynor Lyndsey McRae Knowledge Broker Research Coordinator Research Assistant
  • 6. What is www.health-evidence.ca? Evidence inform Decision Making
  • 7. Why use www.health-evidence.ca? 1. Saves you time 2. Relevant & current evidence 3. Transparent process 4. Supports for EIDM available 5. Easy to use
  • 8. Knowledge Translation Supplement Project CIHR-funded KTB-112487
  • 9. Review  Lemstra, M., Bennett, N., Nannapaneni, U., Neudorf, C., Warren, L., Kershaw, T., Scott, C. (2010). A systematic review of school-based marijuana and alcohol prevention programs targeting adolescents aged 10-15. Addiction Research and Theory, 18(1): 84-96.
  • 10. Evaluation Please check your email for the evaluation survey link after the webinar. It take 5 minutes to complete! If you did not personally register for the webinar, please e-mail Jennifer McGugan at mcgugj@mcmaster.ca to be sent the survey
  • 12. Summary Statement: Lemstra (2010) P 10-15 years I (A) Knowledge-only program: Provision of anti-drug information in school setting (B) Comprehensive program: Intervention A plus development of refusal, self- management, and social skills C Usual care OR knowledge only (e.g., pamphlet) O Primary outcome: Long-term reduction in marijuana/alcohol use Secondary Outcomes: Effectiveness of Intervention A vs. Intervention B Quality Rating: 9 (strong)
  • 13. Overall Considerations Comprehensive program: Mean reduction of  12 days of alcohol use/month  7 days of marijuana use/month Knowledge-only program: Mean reduction of  2 days of alcohol use/month (non-significant)  25 days of marijuana use/month Confounding factors not considered (e.g. age, gender, socioeconomic status)
  • 14. General Implications Public health SHOULD promote / support / implement:  School-based  Comprehensive programs  Minimum one year duration  Knowledge-only programs (if comprehensive programming is not possible)
  • 16. What’s the evidence? Comprehensive Programs  Marijuana use  Mean absolute reduction of 7 days/month (MUR 0.93, 95%CI 0.92-0.94) vs. no intervention  Alcohol use  Mean absolute reduction of 12 days/month (MUR 0.88, 95%CI 0.87-0.89) vs. no intervention
  • 17. Comprehensive Programs With & Without Stratification
  • 18. Implications: Practice & policy Comprehensive Programs  Promote and support long-term comprehensive programming to reduce alcohol and marijuana use  Includes development of life skills, refusal skills and self- management skills in programming  Comprehensive programming is preferable to knowledge-only for reducing alcohol and marijuana use
  • 19. What’s the evidence? Knowledge-only Programs  Marijuana use  Single study reported a significant reduction  Mean absolute reduction of 25 days/month (MUR 0.75, 95% CI 0.63 – 0.87)  Insufficient data to pool statistically  Alcohol use  Mean absolute reduction of 2 days/month (MUR 0.98, 95% CI 0.92-1.04)
  • 20. Knowledge-only Programs With & Without Stratification
  • 21. Implications: Practice & policy Knowledge-only Programs  Shift existing knowledge-only programs to long- term comprehensive programs to reduce alcohol use  New programming should include a skill development focus to reduce both alcohol and marijuana use
  • 22. Overall Considerations Comprehensive program: Mean reduction of  12 days of alcohol use/month  7 days of marijuana use/month Knowledge-only program: Mean reduction of  2 days of alcohol use/month (non-significant)  25 days of marijuana use/month Confounding factors not considered (e.g. age, gender, socioeconomic status)
  • 23. General Implications Public health SHOULD promote / support / implement:  School-based  Comprehensive programs  Minimum one year duration  Knowledge-only programs if comprehensive programming is not possible
  • 25. Posting Board Please continue to discuss this topic and other topics on our posting board. http://forum.health-evidence.ca/ Login with your health-evidence username and password or register if you aren’t a member yet.
  • 26. Evaluation Please check your email and complete the evaluation survey for this webinar If you did not receive an email with a link to the survey, please e-mail Jennifer McGugan: mcgugj@mcmaster.ca Thank you for your participation!