Abstract
The SHAHRP program was effective reducing drinking and alcohol - harms in Australia, but cross-cultural adaptation is required before replication. This study aimed at assessing the feasibility of SHAHRP in Brazil focused on implementation and acceptability. A mixed-methodsdesign was used: quantitative for implementing the program and evaluation and qualitative for acceptability. The quantitative design was a pilot of a randomized controlled trial. Private schools were randomly divided into four intervention (n=160) and four control (n=188) schools. Student's mean age was 12.7 years. The fidelity of implementation and likely outcome measures were assessed. Qualitative data on acceptability were provided by students and teachers. The percentage of implementation varied from 62.5% to 87.5%. Behaviours such as alcohol-harms requires a larger cohort and longer follow-up to be adequately evaluated. The risk reduction approach and activities had good acceptability from students and teachers. Quantitative and qualitative outcomes on knowledge and decision-making indicated possible improvement in SHAHRP schools. The program is feasible and well accepted in a Brazilian setting, opening the way for a more comprehensive evaluation and dissemination.
Highlights
Initiation of alcohol use often occurs early in adolescence and is the most commonly used drug among adolescents in many countries[1]
Few adaptations on phase one are necessary and a cross-cultural adaptation of phase two is recommended for broader dissemination in Brazil
The program received a positive response from the students, and seems to result in changes in utility knowledge and decision-making skills around alcohol which may provide to be critical skills in alcohol use situations as alcohol use becomes more prevalent in later teen years
Summary
Initiation of alcohol use often occurs early in adolescence and is the most commonly used drug among adolescents in many countries[1]. A third of Brazilian high school students had experienced at least one problem associated with alcohol use and a half of those who had drunk reported heavy episodic drinking the last 12 months[3]. National data of students aged 13 to 15 years reported that 36% of boys and 19.5% of girls become sexually active during this period and almost 32.4% had illegally driven motor vehicles[5] Often these behaviours are linked to alcohol use[3]. Many adolescents incorrectly believe that strategies suchas ingesting caffeinated drinks, taking cold baths and eating sweetswill make them become sober[6,7] They are subsequently engaging in activities that put them at risk, believing that they are sober but while still under the influence of alcohol
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