Disentangling the temporal relationship between alcohol-related attitudes and heavy episodic drinking in adolescents within a randomized controlled trial.
Andrew Percy, R Noah Padgett, Michael T McKay, Jon C Cole, Gregor Burkhart, Chloe Brennan, Harry R Sumnall
{"title":"Disentangling the temporal relationship between alcohol-related attitudes and heavy episodic drinking in adolescents within a randomized controlled trial.","authors":"Andrew Percy, R Noah Padgett, Michael T McKay, Jon C Cole, Gregor Burkhart, Chloe Brennan, Harry R Sumnall","doi":"10.1111/add.16721","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aims: </strong>Within many alcohol prevention interventions, changes in alcohol-related attitudes (ARA) are often proposed as precursors to changes in drinking behaviour. This study aimed to measure the longitudinal relationship between ARA and behaviour during the implementation of a large-scale prevention trial.</p><p><strong>Design and setting: </strong>This study was a two-arm school-based clustered randomized controlled trial. A total of 105 schools in Northern Ireland and Scotland participated in the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial.</p><p><strong>Participants: </strong>A sample of 12 738 pupils (50% female; mean age = 12.5 years at baseline) self-completed questionnaires on four occasions (T1-T4). The final data sweep (T4) was 33 months post baseline.</p><p><strong>Measurements: </strong>Individual assessments of ARA and heavy episodic drinking (HED) were made at each time-point. Additional covariates included location, school type, school socio-economic status and intervention arm. Estimated models examined the within-individual autoregressive and cross-lagged effects between ARA and HED across the four time-points (Bayes estimator).</p><p><strong>Findings: </strong>All autoregressive effects were statistically significant for both ARA and HED across all time-points. Past ARA predicted future ARA [e.g. ARA<sub>T1</sub> → ARA<sub>T2</sub> = 0.071, credibility interval (CI) = 0.043-0.099, P < 0.001, one-tailed]. Similarly, past HED predicated future HED (e.g. HED<sub>T1</sub> → HED<sub>T2</sub> = 0.303, CI = 0.222-0.382, P < 0.001, one-tailed). Autoregressive effects for HED were larger than those for ARA at all time-points. In the cross-lagged effects, past HED statistically significantly predicted more positive ARA in the future (e.g. HED<sub>T2</sub> → ARA<sub>T3</sub> = 0.125, CI = 0.078-0.173, P < 0.001, one tailed) except for the initial T1-T2 path. In contrast, past ARA did not predict future HED across any time-points.</p><p><strong>Conclusions: </strong>Changes in alcohol-related attitudes were not a precursor to changes in heavy episodic drinking within the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial in Scotland and Northern Ireland. Rather, alcohol-related attitudes were more likely to reflect prior drinking status than predict future status. Heavy episodic drinking status appears to have a greater impact on future alcohol attitudes than attitudes do on future heavy episodic drinking.</p>","PeriodicalId":109,"journal":{"name":"Addiction","volume":" ","pages":""},"PeriodicalIF":5.2000,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/add.16721","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background and aims: Within many alcohol prevention interventions, changes in alcohol-related attitudes (ARA) are often proposed as precursors to changes in drinking behaviour. This study aimed to measure the longitudinal relationship between ARA and behaviour during the implementation of a large-scale prevention trial.
Design and setting: This study was a two-arm school-based clustered randomized controlled trial. A total of 105 schools in Northern Ireland and Scotland participated in the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial.
Participants: A sample of 12 738 pupils (50% female; mean age = 12.5 years at baseline) self-completed questionnaires on four occasions (T1-T4). The final data sweep (T4) was 33 months post baseline.
Measurements: Individual assessments of ARA and heavy episodic drinking (HED) were made at each time-point. Additional covariates included location, school type, school socio-economic status and intervention arm. Estimated models examined the within-individual autoregressive and cross-lagged effects between ARA and HED across the four time-points (Bayes estimator).
Findings: All autoregressive effects were statistically significant for both ARA and HED across all time-points. Past ARA predicted future ARA [e.g. ARAT1 → ARAT2 = 0.071, credibility interval (CI) = 0.043-0.099, P < 0.001, one-tailed]. Similarly, past HED predicated future HED (e.g. HEDT1 → HEDT2 = 0.303, CI = 0.222-0.382, P < 0.001, one-tailed). Autoregressive effects for HED were larger than those for ARA at all time-points. In the cross-lagged effects, past HED statistically significantly predicted more positive ARA in the future (e.g. HEDT2 → ARAT3 = 0.125, CI = 0.078-0.173, P < 0.001, one tailed) except for the initial T1-T2 path. In contrast, past ARA did not predict future HED across any time-points.
Conclusions: Changes in alcohol-related attitudes were not a precursor to changes in heavy episodic drinking within the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) Trial in Scotland and Northern Ireland. Rather, alcohol-related attitudes were more likely to reflect prior drinking status than predict future status. Heavy episodic drinking status appears to have a greater impact on future alcohol attitudes than attitudes do on future heavy episodic drinking.
背景和目的：在许多酒精预防干预措施中，酒精相关态度（ARA）的改变通常被认为是饮酒行为改变的前兆。本研究旨在测量在大规模预防试验实施期间ARA与行为之间的纵向关系。设计与背景：本研究为两组以学校为基础的聚类随机对照试验。北爱尔兰和苏格兰共有105所学校参加了“防止酗酒步骤方案”试验。参与者：12738名学生(50%为女生；平均年龄为基线时12.5岁)4次（T1-T4）自行填写问卷。最终数据扫描（T4）是在基线后33个月。测量方法：在每个时间点对ARA和重度发作性饮酒（HED）进行个体评估。其他协变量包括地点、学校类型、学校社会经济地位和干预部门。估计模型检查了ARA和HED在四个时间点之间的个体内自回归和交叉滞后效应（贝叶斯估计器）。结果：ARA和HED在所有时间点上的所有自回归效应均具有统计学意义。过去的ARA预测未来的ARA[例如，ARAT1→ARAT2 = 0.071，可信区间(CI) = 0.043-0.099, P T1→HEDT2 = 0.303, CI = 0.222-0.382, P T2→ARAT3 = 0.125, CI = 0.078-0.173， P]结论：在苏格兰和北爱尔兰的酒精滥用预防计划（STAMPP）试验中，酒精相关态度的改变并不是重度间歇性饮酒改变的前兆。相反，与酒精有关的态度更有可能反映出以前的饮酒状况，而不是预测未来的状况。重度偶发性饮酒状况对未来饮酒态度的影响似乎大于态度对未来重度偶发性饮酒的影响。
期刊介绍：
Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines.
Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries.
Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
