title: Evaluating the impact of getting to outcomes-underage drinking on prevention capacity and alcohol merchant attitudes and selling behaviors.
abstract: Underage drinking is a significant problem facing US communities. Several environmental alcohol prevention (EAP) strategies (laws, regulations, responsible beverage service training and practices) successfully address underage drinking. Communities, however, face challenges carrying out these EAP strategies effectively. This small-scale, 3-year, randomized controlled trial assessed whether providing prevention coalitions with Getting To Outcomes-Underage Drinking (GTO-UD), a tool kit and implementation support intervention, helped improve implementation of two common EAP strategies, responsible beverage service training (RBS) and compliance checks. Three coalitions in South Carolina and their RBS and compliance check programs received the 16-month GTO-UD intervention, including the GTO-UD manual, training, and onsite technical assistance, while another three in South Carolina maintained routine operations. The measures, collected at baseline and after the intervention, were a structured interview assessing how well coalitions carried out their work and a survey of merchant attitudes and practices in the six counties served by the participating coalitions. Over time, the quality of some RBS and compliance check activities improved more in GTO-UD coalitions than in the control sites. No changes in merchant practices or attitudes significantly differed between the GTO-UD and control groups, although merchants in the GTO-UD counties did significantly improve on refusing sales to minors while control merchants did not.
authors.affiliation: RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA, 15213, USA, chinman@rand.org.
authors.forename: Matthew
authors.initials: M
authors.lastname: Chinman
authors.forename: Patricia
authors.initials: P
authors.lastname: Ebener
authors.forename: Q
authors.initials: Q
authors.lastname: Burkhart
authors.forename: Karen Chan
authors.initials: KC
authors.lastname: Osilla
authors.forename: Pamela
authors.initials: P
authors.lastname: Imm
authors.forename: Susan M
authors.initials: SM
authors.lastname: Paddock
authors.forename: Patricia Ann
authors.initials: PA
authors.lastname: Wright
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D001294:Attitude to Health; D003132:Commerce; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D013022:South Carolina; D055815:Young Adult
references.citation: J Prim Prev. 2013 Jun;34(3):173-91
references.pmid: 23605473
references.citation: J Prim Prev. 2006 Nov;27(6):599-617
references.pmid: 17051431
references.citation: Am J Community Psychol. 2012 Dec;50(3-4):295-310
references.pmid: 22446975
references.citation: J Stud Alcohol. 1999 Jan;60(1):37-46
references.pmid: 10096307
references.citation: Am J Community Psychol. 2008 Jun;41(3-4):379-92
references.pmid: 18302017
references.citation: Health Educ Res. 1993 Sep;8(3):315-30
references.pmid: 10146473
references.citation: J Health Care Poor Underserved. 2012 Aug;23(3 Suppl):210-24
references.pmid: 22864498
references.citation: Am J Community Psychol. 2008 Jun;41(3-4):327-50
references.pmid: 18322790
references.citation: MMWR Surveill Summ. 2004 May 21;53(2):1-96
references.pmid: 15152182
references.citation: J Clin Epidemiol. 1993 May;46(5):423-9
references.pmid: 8501467
references.citation: Am J Prev Med. 2002 Nov;23(4):237-45
references.pmid: 12406477
references.citation: Ann Emerg Med. 1999 Jun;33(6):659-68
references.pmid: 10339681
references.citation: J Stud Alcohol. 1996 Nov;57(6):670-4
references.pmid: 8913999
references.citation: Am Psychol. 2003 Jun-Jul;58(6-7):441-8
references.pmid: 12971190
references.citation: Am J Public Health. 1996 Jun;86(6):791-7
references.pmid: 8659651
references.citation: Ann Intern Med. 2004 Dec 21;141(12):938-45
references.pmid: 15611491
references.citation: Am J Orthopsychiatry. 2009 Oct;79(4):469-81
references.pmid: 20099938
references.citation: Prev Sci. 2011 Jun;12(2):181-91
references.pmid: 21373877
references.citation: Accid Anal Prev. 2008 Jul;40(4):1430-40
references.pmid: 18606277
references.citation: Addiction. 2000 Feb;95(2):209-17
references.pmid: 10723849
references.citation: Prev Med. 2005 Mar;40(3):355-62
references.pmid: 15533551
references.citation: Am J Community Psychol. 2008 Jun;41(3-4):206-24
references.pmid: 18278551
references.citation: Am J Public Health. 2009 Feb;99(2):264-70
references.pmid: 19059870
references.citation: Annu Rev Public Health. 2000;21:369-402
references.pmid: 10884958
references.citation: JAMA. 2000 Nov 8;284(18):2341-7
references.pmid: 11066184