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Reasons for non-participation in a parental program concerning underage drinking: a mixed-method study
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0001-6633-1636
Department of Community Medicine, Örebro County Council .
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0003-0185-0851
2009 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 9, 478Article in journal (Refereed) Published
Abstract [en]

Background: Alcohol consumption among adolescents is a serious public health concern. Research has shown that prevention programs targeting parents can help prevent underage drinking. The problem is that parental participation in these kinds of interventions is generally low. Therefore, the aim of the present study is to examine non-participation in a parental support program aiming to prevent underage alcohol drinking. The Health Belief Model has been used as a tool for the analysis.

Methods: To understand non-participation in a parental program a quasi-experimental mixed-method design was used. The participants in the study were invited to participate in a parental program targeting parents with children in school years 7-9. A questionnaire was sent home to the parents before the program started. Two follow-up surveys were also carried out. The inclusion criteria for the study were that the parents had answered the questionnaire in school year 7 and either of the questionnaires in the two subsequent school years (n = 455). Multinomial logistic regression analysis was used to examine reasons for non-participation. The final follow-up questionnaire included an opened-ended question about reasons for non-participation. A qualitative content analysis was carried out and the two largest categories were included in the third model of the multinomial logistic regression analysis.

Results: Educational level was the most important socio-demographic factor for predicting non-participation. Parents with a lower level of education were less likely to participate than those who were more educated. Factors associated with adolescents and alcohol did not seem to be of significant importance. Instead, program-related factors predicted non-participation, e.g. parents who did not perceive any need for the intervention and who did not attend the information meeting were more likely to be non-participants. Practical issues, like time demands, also seemed to be important.

Conclusion: To design a parental program that attracts parents independently of educational level seems to be an important challenge for the future as well as program marketing. This is something that must be considered when implementing prevention programs.

Place, publisher, year, edition, pages
BioMed Central, 2009. Vol. 9, 478
National Category
Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-11628DOI: 10.1186/1471-2458-9-478ISI: 000273848400001PubMedID: 20025743Scopus ID: 2-s2.0-76849115776OAI: oai:DiVA.org:oru-11628DiVA: diva2:345168
Available from: 2010-08-24 Created: 2010-08-24 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Parents' possibility to prevent underage drinking: studies of parents, a parental support program, and adolescents in the context of a national program to support NGOs
Open this publication in new window or tab >>Parents' possibility to prevent underage drinking: studies of parents, a parental support program, and adolescents in the context of a national program to support NGOs
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Underage drinking is common among Swedish adolescents and is related to problems for individuals, families, and society. From a public health perspective, it is of great importance that knowledge be gained about alcohol prevention. The overall aim of this thesis is, within the context of a national support program for NGOs, to study parents, a parental support program, and adolescents with regard to preventing underage drinking.  The Swedish National Board of Health and Welfare (NBHW) has a government commission to distribute funds to non-governmental organizations (NGOs) for alcohol and drug prevention efforts. Study I of the thesis describes and analyses this program with a special emphasis on research and development for an evidence-based practice. It is a research strategy case study with 135 projects and 14 embedded in-depth studies. The results reveal that this program to support NGOs has been successful in engaging a wide range of NGOs in prevention efforts. A trustful partnership between practitioners, national agencies, and researchers has also been developed, which has improved the quality and results of the different projects. Studies II, III, IV, and V all used data from a longitudinal questionnaire study with parents and adolescents within one of the 14 in-depth studies: the study of IOGT-NTO’s parental program Strong and Clear. Additional data, such as telephone interviews and other parental questionnaires, are also used.  Study II aims to analyse the significance of socio-demographic factors for parental attitudes and behaviour regarding adolescent alcohol consumption to see if any group of parents is especially important for intervention efforts. The results showed that fathers were more likely than mothers to have non-restrictive attitudes towards underage drinking and to have children who had drunk or tasted alcohol at home. Study III examines reasons for non-participation in the program. Parents with a low educational level were found more likely to be non-participants than highly educated parents. When parents stated their reasons for non-participation it emerged that they did not perceive a need for the intervention and that there were practical obstacles to their participation. Study IV is an effect study of Strong and Clear and showed that the program contributed to maintaining parents’ restrictive attitude toward underage drinking, postponing alcohol debut, and preventing drunkenness among the adolescents. Study V, only presented in the thesis, examined parents’ perceptions about Strong and Clear. Parents primarily thought it had led to their speaking more often about alcohol with their children, and had been a help in this conversation. Many also stated that the program had influenced their ability to set limits for their children. The school and IOGT-NTO were considered as suitable providers of Strong and Clear. This thesis showed that a national support program for NGOs including research and development contributes to a more evidence-based public health practice.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2010. 136 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 29
Keyword
Non-governmental organizations, alcohol, adolescents, underage drinking, prevention, parents, parental support
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-11294 (URN)978-91-7668-748-2 (ISBN)
Public defence
2010-10-01, Hörsal G, Gymnastikhuset, Fakultetsgatan, Örebro universitet, 701 82 Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2010-06-30 Created: 2010-06-30 Last updated: 2017-10-18Bibliographically approved

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Pettersson, CamillaLindén-Boström, MargaretaEriksson, Charli

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