Effectiveness of the home-based alcohol prevention program "In control: No alcohol!": study protocol of a randomized controlled trial

Contains fulltext : 99285.pdf (postprint version ) (Open Access)Background: In the Netherlands, children start to drink at an early age; of the Dutch 12-year olds, 40% reports lifetime alcohol use, while 9.7% reports last-month drinking. Starting to drink at an early age puts youth at risk of developing several alcohol-related problems later in life. Recently, a home-based prevention program called "In control: No alcohol!" was developed to delay the age of alcohol onset in children. The main aim of this project is to conduct a Randomized Controlled Trial (RCT) to evaluate the effectiveness of the program. Methods/Design: The prevention program will be tested with an RCT among mothers and their 6 grade primary school children (11-12 years old), randomly assigned to the prevention or control condition. The program consists of five printed magazines and an activity book designed to improve parental alcohol-specific socialization. Parent-child dyads in the control group receive a factsheet information brochure, which is the standard alcohol brochure of the Trimbos Institute (the Netherlands Institute for Mental Health and Addiction). Outcome measures are initiation of alcohol use (have been drinking at least one glass of alcohol), alcohol-specific parenting, susceptibility to drinking alcohol, alcohol expectancies, self-efficacy, and frequency and intensity of child alcohol use. Questionnaires will be administered online on secured Internet webpages, with personal login codes for both mothers and children. Mothers and children in both the experimental and control condition will be surveyed at baseline and after 6, 12, and 18 months (follow-ups). Discussion: The present study protocol presents the design of an RCT evaluating the effectiveness of the home-based "In control: No alcohol!" program for 6 grade primary school children (11-12 years old). It is hypothesized that children in the prevention condition will be less likely to have their first glass of alcohol, compared to the control condition. When the prevention appears to be effective, it can easily and relatively quickly be implemented as a standard alcohol prevention program on a large scale.8 p

Episodic diamond growth beneath the Kaapvaal Craton at Jwaneng Mine, Botswana

Important implications for the interior workings of the Earth can be drawn by studying diamonds and their inclusions. To better understand the timing and number of diamond forming events beneath the NW margin of the Kaapvaal Craton, a comprehensive reassessment of Jwaneng’s diamond populations has been undertaken. We report new inclusion abundance data from the visual examination of ~130,000 diamonds that validate the predominance of an eclogitic diamond suite (up to 88%) with on average 5% inclusion-bearing diamonds (with inclusions >10 μm in size). From this population, polished plates from 79 diamonds of eclogitic and peridotitic paragenesis have been studied with cathodoluminescence (CL) imaging and infrared spectroscopy (FTIR) traverses. The majority (80%) record major changes in N concentration and aggregation states, as well as sharp boundaries in the CL images of individual plates that are interpreted to demarcate discrete diamond growth events. In addition, bulk FTIR data have been acquired for 373 unpolished diamonds. Silicate inclusions sampled from distinct growth zones define 2 compositional groups of omphacites and pyrope-almandines associated with different N contents in their diamond hosts. These findings reinforce previous observations that at Jwaneng at least seven individual diamond forming events can be identified – 3 peridotitic and 4 eclogitic. The results demonstrate that detailed examination of diamond plates by CL imaging and FTIR traverses is necessary to unveil the complex history recorded in diamonds

Mediation and Moderation Effects of an In-Home Family Intervention : the "In control: No alcohol!" Pilot Study

The aim of this study was to examine the effect of a theory-based in-home family intervention (In control: No alcohol!) on adolescent alcohol cognitions via its putative mediators using a randomized controlled design. In the South Holland region of the Netherlands, a total of 213 children (11-12 years) and their mothers were randomly assigned to the prevention program (108 dyads) and the control condition (105 dyads). Mediation effects were analyzed using pretest and two follow-up measurements (5 and 12 months after baseline). A path model was estimated (using Mplus) to examine the effect of the intervention on the putative mediators (frequency- and quality of mother-child communication, rules about alcohol, establishing a nondrinking agreement, and parental monitoring of the child's whereabouts). Outcomes were adolescents' perceived harmfulness of drinking and intention to drink. Multigroup analyses were performed to examine potential differences across gender. The program led to an increase in frequency of alcohol-specific communication, nondrinking agreements, and parental monitoring. Moreover, adolescents in the experimental condition perceived drinking to be more harmful and had less intention to drink compared to adolescents in the control condition. The effect of the program on adolescent alcohol cognitions was significantly mediated through having more frequent conversations about alcohol, yet only among boys. Although results on actual drinking need to be added, findings indicate that this relatively inexpensive, easy-to-administer home intervention is promising

Trends in alcohol-specific parenting practices and adolescent alcohol use between 2007 and 2011 in the Netherlands

Background: Following increased research and policy attention on the harmful effects of alcohol use among adolescents and the implementation of prevention programs aimed at reducing adolescent alcohol use, this study examined whether alcohol-specific parenting practices have become stricter and whether adolescent alcohol use has declined between 2007 and 2011 in the Netherlands. Methods: Data were derived from three nationally representative cross-sectional studies of 12 to 16-year old adolescents - the Dutch National School Survey on Substance Use (2007 and 2011) and the Health Behaviour in School-aged Children (2009). These data were obtained using self-report questionnaires in the classroom (adolescents, Mage=13.8 years, SD=.04) and at home (parents). Results: Between 2007 and 2011, Dutch parents increasingly adopted strict alcohol-specific practices, except for parents of 16-year old adolescents. Furthermore, adolescent reports of lifetime and last month alcohol use decreased, except for 16-year olds. The quantity of alcohol consumed by adolescents did not change between 2007 and 2011. Alcohol-specific parenting practices were associated with lower adolescent alcohol use. These associations were generally stable over time. Conclusion: Our findings are consistent with the recent increased awareness in research, policy and the media about the harmful effects of alcohol on young people. Specifically, they are consistent with the focus of recent prevention efforts aimed at parents to postpone the alcohol use of their child at least until the age of 16. Future prevention programs should also target older age groups (i.e., age 16 years and older) and address the quantity of alcohol consumed by adolescents when they drink