Russian-American partners for prevention. Adaptation of a school-based parent-child programme for alcohol use prevention.
BACKGROUND
The Russian-American Partners for Prevention was an adaptation and evaluation of the Slick Tracy Home Team Program which was developed in Minnesota in order to delay the onset of drinking. The Slick Tracy Home Team Program was the first intervention of Project Northland, a large 3 year community trial of the efficacy of a public health intervention for under age drinking.


METHODS
The programme was administered through schools, but involved parents using engaging and fun homework activities. The Russian version was implemented in fifth-grade classrooms in 20 Moscow schools with 1,212 students surveyed at baseline. Students were surveyed again after programme implementation (n = 1,182), of whom 980 were present at baseline. Parents of 1,078 students were surveyed by telephone after programme implementation.


RESULTS
The results demonstrated the successful recruitment and retention of 20 Moscow schools in a research project, acceptability of programme materials in Russia, high participation rates, changes in students' knowledge about problems associated with under age drinking and some evidence about increases in parent-child communication about alcohol use. As in the USA, no changes in students' alcohol use rates were observed at the end of the first year of the 3 year programme.


CONCLUSIONS
Russian youth, as compared to Americans, began drinking at earlier ages, received fewer prevention messages from their parents, and had fewer prevention programmes in school. The results suggested that carefully implemented and evaluated replications of the US Project Northland interventions might provide effective and appropriate school-based programmes for Russia.
Williams
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Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454, USA. williams_c@epi.umn.edu
Grechanaia
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Romanova
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Komro
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Perry
C L
CL
Farbakhsh
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D000293:Adolescent; D000428:Alcohol Drinking / Q000517:prevention & control*; D002648:Child; D003431:Cross-Cultural Comparison; D005260:Female; D006801:Humans; D007391:International Cooperation; D008297:Male; D010287:Parent-Child Relations; D015397:Program Evaluation; D012044:Regression Analysis; D012426:Russia; D012572:School Health Services / Q000458:organization & administration*; D014481:United States