Adapting the ASSIST model of informal peer-led intervention delivery to the Talk to Frank drug prevention programme in UK secondary schools (ASSIST+FRANK): a pilot cluster randomised controlled trial.

Hawkins, Jemma ORCID: https://orcid.org/0000-0002-1998-9547 and White, James 2017. Adapting the ASSIST model of informal peer-led intervention delivery to the Talk to Frank drug prevention programme in UK secondary schools (ASSIST+FRANK): a pilot cluster randomised controlled trial. Presented at: 13th UK Society for Behavioural Medicine [UKSBM] Annual Scientific Meeting, Liverpool, UK, 13-15 December 2017.

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Abstract

Background: Illicit drug use increases the risk of poor physical and mental health. Few effective school-based drug prevention interventions exist. We adapted an effective school-based peer-led smoking prevention intervention (ASSIST) to deliver UK national drug education from www.talktofrank.com. Aims(s): To evaluate a drug-prevention adaptation of ASSIST, examining acceptability, likely effectiveness and cost. Method(s): Four-arm pilot cluster randomised controlled trial of ASSIST+FRANK, FRANK friends, ASSIST, and usual practice. ASSIST+FRANK (A+F) is an informal peer-led smoking prevention intervention in UK Year 8 followed by a drug prevention adjunct in Year 9. FRANK friends (Ff) is a standalone informal peer-led drug prevention intervention in Year 9. The interventions train influential students to disseminate information from www.talktofrank.com. Intervention acceptability was examined through student, teacher, parent and intervention staff interviews (n=66), observations of delivery (n=195), exploratory effectiveness analysis and estimated costs. Results: Twelve schools (n=1567 students) were recruited, randomised and retained. The student response rate at 18-month follow-up was 93%. The prevalence of lifetime illicit drug use at baseline was 4.1% and 11.6% at follow-up. Both interventions were acceptable and delivered as intended. Lifetime drug use at 18-months was marginally lower for A+F (12.4% vs. 13.4%, OR=0.96, 95% CI 0.58-1.59) and Ff than usual practice (9.3% vs. 13.4%, OR=0.70, 95% CI 0.39-1.24). Estimated cost per school was £1,942 for A+F and £3,041 for Ff. Conclusion: Both interventions were acceptable to students, teachers, parents and delivery staff. FRANK friends was preferred over ASSIST+FRANK. There is sufficient evidence to warrant a full-scale trial of FRANK friends.

Item Type:	Conference or Workshop Item (Paper)
Date Type:	Completion
Status:	Unpublished
Schools:	Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer) Social Sciences (Includes Criminology and Education)
Subjects:	H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Last Modified:	22 Nov 2022 09:00
URI:	https://orca.cardiff.ac.uk/id/eprint/108342

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