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. 2015 Jun 15;2015(6):CD009905. doi: 10.1002/14651858.CD009905.pub2

Dedobbeleer 2001.

Methods Study design: controlled before‐after
Sampling frame: St‐Croix School District in St‐Laurent City, Montreal, Quebec
Sampling method: schools matched by urban, public, French‐speaking, and multi‐ethnic
Description of the community coalition: A coalition of 15 partners, including public health organizations, community organizations (e.g. YMCA, St‐Laurent Youth Resources), schools, police, St‐Laurent City, parents, and youth representatives developed the project Coalition for Youth Quality of Life Project in St‐Laurent City, an industrial area on the west side of the Island of Montreal, Quebec, Canada, which has a large, multi‐ethnic immigrant population from Asia, North African, and Middle East. Training on intersectorial collaboration, youth development, and substance abuse was provided by professionals in partner organizations
Participants Communities: St‐Laurent City, an industrial area on the west side of the Island of Montreal, Quebec
Country: Canada
Ages included in assessment: 791 students in 6th grade and 8th grade cohorts
Reasons provided for selection of intervention community: higher‐risk, multi‐ethnic population of recent immigrants
Intervention community (population size): St‐Laurent City (67,000)
Comparison community (population size): same
Interventions Name of intervention: Coalition for Youth Quality of Life Project
Theory: Ecologic Participatory Framework, PROCEED
Aim: to reduce alcohol and other drug use
Description of costs and resources: Professionals from partner organization trained coalition members. Information on youth development, drug resistance, self esteem, and parent‐child communication was provided in a school setting
Components of the intervention: skills development, parent education, competence enhancement, and youth mobilization
Start date: coalition formed in 1990. Intervention in 1992 to 1993, 1993 to 1994
Duration: 2 school years (18 months)
Outcomes Outcomes and measures (follow‐up months):
Follow at 30 months:
  • Alcohol use frequency 6th grade: OR 1.2, 0.46 to 3.18; 8th grade: OR .34, 0.12 to 0.97

  • Number of drinks 6th grade: OR 1.52, .60 to 3.85; 8th grade: OR 0.51, .20 to 1.32


Date (year) of pre and post measurements
Pre‐test 1992
Post‐test 1995
Notes Only 40% follow‐up at 30 months
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Not randomized
Allocation concealment (selection bias) High risk No allocation concealment
Baseline outcome measurement similar High risk Frequency of alcohol consumption and amount of alcohol consumed differed at baseline
Baseline characteristics similar High risk Significant difference in age of 6th grade cohort at baseline
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not blinded
Incomplete outcome data (attrition bias) 
 All outcomes High risk Only 40% follow‐up at 30‐month measurement
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants and personnel not blinded
Protection against contamination High risk Intervention and control student cohorts in the same school district
Selective reporting (reporting bias) Unclear risk Alcohol use and amount of alcohol consumed were primary outcomes. Drug use was of low prevalence at baseline and was not reported at follow‐up