Publications by authors named "David R Foxcroft"

Aims: The aim of this paper was to explore responses to alcohol health information labels from a cross sectional survey of people who drink alcohol from 29 countries.

Design: This paper draws on findings from the Global Drug Survey (GDS) - an annual cross sectional online survey.

Participants: 75,969 (64.

View Article and Find Full Text PDF

Introduction: The effect of socioeconomic status on adolescent substance abuse may be mediated by family socialization practices. However, traditional mediation analysis using a product or difference method is susceptible to bias when assumptions are not addressed. We aimed to use a potential outcomes framework to assess assumptions of exposure-mediator interaction and of no confounding of the results.

View Article and Find Full Text PDF

Aim: Rising mortality and disease prevalence in the homeless have been largely attributed to addiction disorders. This review aimed to assess whether Motivational Interviewing (MI) is effective in changing substance misuse behaviours in the homeless, specifically: 1. reducing substance misuse; 2.

View Article and Find Full Text PDF

Background: Reducing the alcohol content of drinks has the potential to reduce alcohol consumption. The aims of this study are to (1) test the feasibility of a randomised controlled trial (RCT) to assess the effect of alcohol strength on alcohol consumption within licensed premises in the United Kingdom (UK), and to (2) provide data to estimate key parameters for a RCT.

Methods: This study is a double-blind randomised controlled cross-over pilot trial based within four licensed premises in the UK.

View Article and Find Full Text PDF

Background: and purpose: Women's health behaviours during pregnancy can affect their children's lifetime outcomes. Inactivity, poor diet, alcohol, and smoking during pregnancy are linked to maternal stress and distress. Mindfulness-based interventions can improve health behaviours and mental health.

View Article and Find Full Text PDF

Background: Alcohol use in young people is a risk factor for a range of short- and long-term harms and is a cause of concern for health services, policy-makers, youth workers, teachers, and parents.

Objectives: To assess the effectiveness of universal, selective, and indicated family-based prevention programmes in preventing alcohol use or problem drinking in school-aged children (up to 18 years of age).Specifically, on these outcomes, the review aimed:• to assess the effectiveness of universal family-based prevention programmes for all children up to 18 years ('universal interventions');• to assess the effectiveness of selective family-based prevention programmes for children up to 18 years at elevated risk of alcohol use or problem drinking ('selective interventions'); and• to assess the effectiveness of indicated family-based prevention programmes for children up to 18 years who are currently consuming alcohol, or who have initiated use or regular use ('indicated interventions').

View Article and Find Full Text PDF

Background: Effective interventions are required to reduce alcohol consumption and its associated harms at the population level. Reducing the alcohol content of beverages has the potential to reduce alcohol consumption through non-conscious processes. Before implementing a randomised controlled trial (RCT) to assess the effect of alcohol strength on alcohol consumption, its feasibility needs to be established.

View Article and Find Full Text PDF

Aim: To assess the effectiveness of two personalized digital interventions (OneTooMany and Drinks Meter) compared to controls.

Method: Randomized controlled trial (AEARCTR-0,001,082). Volunteers for the study, aged 18-30, were randomly allocated to one of two interventions or one of two control groups and were followed up 4 weeks later.

View Article and Find Full Text PDF

Objectives: Dual process models, such as the Prototype Willingness Model (PWM), propose to account for both intentional and reactive drinking behaviour. Current methods of measuring constructs in the PWM rely on self-report, thus require a level of conscious deliberation. Implicit measures of attitudes may overcome this limitation and contribute to our understanding of how prototypes and willingness influence alcohol consumption in young people.

View Article and Find Full Text PDF

Background: Alcohol use and misuse in young people is a major risk behaviour for mortality and morbidity. Motivational interviewing (MI) is a popular technique for addressing excessive drinking in young adults.

Objectives: To assess the effects of motivational interviewing (MI) interventions for preventing alcohol misuse and alcohol-related problems in young adults.

View Article and Find Full Text PDF

Aims: We assessed antibiotic knowledge and practice among youth in India, where antibiotics are widely available without prescription.

Methods: Randomly selected school questionnaire survey representing four regions in Goa, India, with students ( n = 773) aged 16-17.

Results: Most students (67%) were unaware of the problem of antibiotic resistance, with around half (49%) mistakenly thinking that bacteria cause cold or flu.

View Article and Find Full Text PDF

Background: This study investigated the impact of the Drug Education in Victorian Schools (DEVS) program on tobacco smoking. The program taught about licit and illicit drugs in an integrated manner over 2 years, with follow up in the third year. It focused on minimizing harm, rather than achieving abstinence, and employed participatory, critical-thinking and skill-based teaching methods.

View Article and Find Full Text PDF
Article Synopsis
  • The Strengthening Families Programme for youth aged 10-14 (SFP10-14) was evaluated in Poland to see if it could prevent substance misuse among youths and improve family dynamics.
  • A cluster randomized controlled trial involved 511 families from 20 communities, measuring outcomes like alcohol and drug use, parenting practices, and child behavior over 12 and 24 months.
  • Results showed no significant effects of the SFP10-14 intervention on any outcomes, indicating it was ineffective for preventing substance misuse and enhancing family relationships in this study context.
View Article and Find Full Text PDF

Background: Drinking is influenced by youth perceptions of how their peers drink. These perceptions are often incorrect, overestimating peer drinking norms. If inaccurate perceptions can be corrected, young people may drink less.

View Article and Find Full Text PDF

Using the prototype willingness model (PWM) as a framework, this study sought to explore the relationship between prototype perceptions, willingness and alcohol consumption in a sample of adolescents in the United Kingdom (UK). Adolescents aged 11-17 were asked about their alcohol prototype perceptions, willingness to drink, intentions, alcohol consumption, drunkenness and harms using a cross-sectional online survey. Participants were recruited through opportunity sampling via schools and parents.

View Article and Find Full Text PDF

The Drug Education in Victorian Schools program provided integrated education about licit and illicit drugs, employed a harm minimization approach that incorporated participatory, critical thinking and skill-based teaching methods, and engaged parental influence through home activities. A cluster-randomized, controlled trial of the program was conducted with a student cohort during Year 8 (13 years) and Year 9 (14 years). Twenty-one secondary schools in Victoria, Australia, were randomly allocated to the Drug Education in Victorian Schools program (14 schools, n = 1,163) or their usual drug education program (7 schools, n = 589).

View Article and Find Full Text PDF

Background: Drinking is influenced by youth (mis)perceptions of how their peers drink. If misperceptions can be corrected, young people may drink less.

Objectives: To determine whether social norms interventions reduce alcohol-related negative consequences, alcohol misuse or alcohol consumption when compared with a control (ranging from assessment only/no intervention to other educational or psychosocial interventions) among university and college students.

View Article and Find Full Text PDF

Background: The prototype willingness model (PWM) may offer an appropriate basis for explaining and preventing adolescent alcohol misuse. An intervention was developed using a co-production approach, and consisted of an online quiz featuring 10 questions linked to the PWM.

Objective: This study sought to determine the acceptability and relevance of the intervention content to young people, to incorporate their feedback into a final version.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to evaluate the reliability of the Alcohol Use Disorders Identification Test (AUDIT) in detecting problem drinking among young adults (ages 18-35) in England, using a sample of 420 primary care patients.
  • - Results indicated that the AUDIT demonstrated good to very good accuracy for identifying drinking issues in both males and females, although it was less accurate for diagnosing alcohol abuse specifically, with varying score thresholds needed depending on whether sensitivity or specificity was prioritized.
  • - The research concluded that the full AUDIT scale is effective in screening for alcohol use disorders, and suggested using Bayes' Theorem to determine individual probabilities of drinking problems instead of sticking to fixed cut-off scores.
View Article and Find Full Text PDF

The universal, selective and indicated forms of prevention classification scheme has been recommended and largely adopted as an improvement on previous notions of primary and secondary prevention. However, there is no consensus or clarity about the placing of environmental, community-based or mass media preventive interventions within this scheme. It is suggested that a new dimension of functional types of prevention, namely environmental, developmental and informational prevention should be specified alongside the forms of prevention in a taxonomy matrix, and that this is an improvement on the current one-dimensional universal, selective and indicated scheme.

View Article and Find Full Text PDF