ISRCTN ISRCTN18092805
DOI https://doi.org/10.1186/ISRCTN18092805
Secondary identifying numbers N/A
Submission date
27/02/2007
Registration date
30/03/2007
Last edited
15/08/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Prof Fabrizio Faggiano
Scientific

via Solaroli 17
Novara
28100
Italy

Phone +39 (0)11 40188309
Email fabrizio.faggiano@med.unipmn.it

Study information

Study designMulti-centre cluster randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typePrevention
Scientific title
Study acronymEU-Dap
Study objectivesIn most European junior and senior high schools, some kind of intervention to protect against the use of alcohol, tobacco and drugs takes place. Most of these programs, however, have never been evaluated through a rigorous scientific methodology, which is a particularly serious problem. First of all, the theory about the nature of drug use is still weak, causing many interventions to be based on invalid principles. Next, efficacious evaluations completed so far have not drawn firm conclusions to base decisions. In some cases, merely the ability of the intervention to modify knowledge or a few skills was studied. In other cases, the methodology was unsound, for example there was no control group to make a comparison.

In the absence of substance use prevention programs with solid evidence of effectiveness, there is a need for sound evaluation of programs, especially in European countries. The EU-Dap project was created to fill this gap in knowledge.

The intervention program "Unplugged" was specifically designed for European schools, using principles and methods indicated in the scientific literature as being the most useful in reducing the prevalence of substance use.

The EU-Dap trial was designed in order to assess the effectiveness of the "Unplugged" program in preventing the use of tobacco, alcohol and drugs in European junior high schools.

The behaviors of the students regarding lifetime and past 30 days use of cigarettes, cannabis and other drugs; frequency of alcohol drinking and episodes of drunkenness were of interest of the study, as well as knowledge and opinions about substances, and social and personal skills.

Protocol can be found at http://www.eudap.net/PDF/EU-DAP%20Study%20Protocol%2020-6-04.pdf
Ethics approval(s)A general policy on informed consent was not adopted. Each center followed the practice required locally in order to obtain permission from the corresponding Ethical Boards.
Health condition(s) or problem(s) studiedDrug addiction
InterventionThe EU-Dap school prevention programme "Unplugged", targeted to 12-14 years old students, was designed to tackle both experimental and regular use of alcohol, tobacco and illicit drugs (for details, see www.eudap.net). It is based on a comprehensive social influence approach, incorporating aspects of normative education, general self-management, personal and social competence skills and knowledge enhancing classes. It was designed by an expert group including behavioural scientists and public health evaluators. The basic curriculum consists of 12 one-hour units to be delivered weekly by class teachers who previously attended a 2.5 days training course. In order to assess the role of parents and of age-peers in enhancing the effectiveness of the basic curriculum, this was delivered in three formats: basic curriculum alone (basic arm), or with the addition of side activities involving either peers (peers arm) or parents (parents arm). The curriculum and the additional components were delivered in the different countries in a very standardized way, concerning both content and the implementation procedures. For instance, the training course for the teachers participating in the programme was led by pedagogists who had received training on the programme during an international course held at the central level.
Intervention typeOther
Primary outcome measureThe primary outcome of the study was defined through behavioural endpoints regarding the use of tobacco and drugs, and alcohol drinking.
Secondary outcome measuresChanges in knowledge, skills, attitudes and intention to use substances in the future were regarded as secondary outcomes.
Overall study start date15/09/2004
Completion date15/06/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Years
Upper age limit14 Years
SexBoth
Target number of participants165 schools, 330 classes, 6600 students
Key inclusion criteriaThe study population consists of students 12 to 14 years of age, attending junior high grades in the administrative areas of the participating centers. Criteria for the selection of the age group were the usually low prevalence of substance use and the feasibility of two-years follow-up during compulsory school attendance. Inclusion criteria for the schools were:
1. Presence of at least two classes in the target grade
2. To be part of the mainstream national educational system (schools for students with special pedagogic needs and confessional schools were excluded)
3. Consent to participate
4. Not currently conducting structured interventions against substance use
Key exclusion criteriaSchools for students with special pedagogic needs and confessional schools, and schools currently conducting structured interventions against substance use were excluded.

Exclusion criteria at the students’ level were: own incapability to participate in the survey or parents’ refusal to allow participation.
Date of first enrolment15/09/2004
Date of final enrolment15/06/2008

Locations

Countries of recruitment

  • Austria
  • Belgium
  • Germany
  • Greece
  • Italy
  • Spain
  • Sweden

Study participating centre

via Solaroli 17
Novara
28100
Italy

Sponsor information

Piedmont Centre for Drug Addiction Epidemiology (OED) (Italy)
Government

via Sabaudia 164
Grugliasco
Torino
10095
Italy

Phone +39 (0)11 40188305
Email federica.vignataglianti@oed.piemonte.it
Website http://www.oed.piemonte.it

Funders

Funder type

Government

European Commission. European Public Health Programme 2002 (grant ref: SPC 2002376)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other publications publication on study design and baseline characteristics of the study population 01/02/2007 Yes No
Results article results on anonymous link procedures 01/02/2007 Yes No
Results article main results 01/11/2008 Yes No
Results article results on gender-specific effects 01/09/2009 Yes No
Results article results 01/12/2013 Yes No