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. 2020 Sep 15:8:435.
doi: 10.3389/fpubh.2020.00435. eCollection 2020.

'High schools High on life': Development of an Intervention to Reduce Excessive Drinking in Danish High Schools

Veronica Sofie Clara Pisinger  1 , Sofie Have Hoffmann  1 , Lotte Pålsson  2 , Peter Dalum  2 , Morten Klöcker Grønbæk  1 , Janne Schurmann Tolstrup  1 , Lau Caspar Thygesen  1 , Rikke Fredenslund Krølner  1
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'High schools High on life': Development of an Intervention to Reduce Excessive Drinking in Danish High Schools

Veronica Sofie Clara Pisinger et al. Front Public Health. .

Abstract

Background: Clear documentation of the understanding of the problem, process of development, and content of interventions is essential to enable other researchers to understand why interventions succeed or fail and to enable researcher to build on previous evidence and replicate and adapt findings in other contexts. In this paper we describe the rationale, intervention development, and final design of the 'High schools High on life' intervention; a high school-based, multi-component intervention to reduce excessive drinking among Danish high school students. Methods: The development of the intervention 'High schools High on life' was guided by the planning steps of the Intervention Mapping protocol (IM) in combination with the behavior change wheel and the behavior change techniques, theory, evidence, practice, and new empirical studies of contextual factors in the Danish high school setting. Results: The development process resulted in a multi-component intervention with the following intervention elements: a school environmental component targeting school alcohol policies and norms, a school educational component addressing students' social norms around alcohol, and a parental component encouraging parent-child communication around alcohol. Discussion: Not all steps of IM were followed rigidly. However, IM proved useful as a planning tool in combination with the behavior change wheel and the behavior change techniques, as it provided a systematic approach to the intervention development process. IM forced the research group to be explicit about decisions and choices throughout the planning process. The transparency of the developmental process and theoretical, empirical and practical/contextual foundation of the 'High schools High on life' intervention may enable future intervention studies to build on our findings and accumulate knowledge to reduce excessive drinking among young people. Trial registration: The trial was registered at clinicaltrials.gov (Trial registration number NCT03906500) prior to randomization.

Keywords: adolescents; alcohol; intervention; parents; school; school environment; social norms.

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Figures

Figure 1
Figure 1
Programme Theory of the ‘High Schools High on life’ programme.
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References

    1. Kraus L, Guttormsson U, Leifman H, Arpa S, Molinaro S. ESPAD Report 2015: Results From the European School Survey Project on Alcohol and Other Drugs. Luxembourg: Publications Office of the European Union; (2016).
    1. Bendtsen P, Mikkelsen S, Tolstrup J. Ungdomsprofilen 2014 Sundhedsadfærd, Helbred og Trivsel Blandt Elever på Ungdomsuddannelser [The Danish National Youth Study 2014. Health Behavior, Health and Wellbeing Among Secondary Educations Students]. (2015).
    1. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. (2009) 373:2223–33. 10.1016/S0140-6736(09)60746-7 - DOI - PubMed
    1. Andersen A, Due P, Holstein BE, Iversen L. Tracking drinking behaviour from age 15–19 years. Addiction. (2003) 98:1505–11. 10.1046/j.1360-0443.2003.00496.x - DOI - PubMed
    1. Eliasen M, Kjær SK, Munk C, Nygård M, Sparén P, Tryggvadottir L, et al. The relationship between age at drinking onset and subsequent binge drinking among women. Euro J Pub Health. (2009) 19:378–82. 10.1093/eurpub/ckp023 - DOI - PubMed

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