80672b1b96d50c43296835f3d306fdbc 286313.pdf 7ce893d659ad98d5db1a0ff44cc266db957ca3d7 286313.pdf 7655658dd9b954e3249291bfc795ea5d0b2a7a62b6d2b657a8ce8bc8076e2822 286313.pdf Title: Evaluation of a Community Intervention to Reduce Harmful Alcohol Consumption among Adult Population: A Study Protocol Subject: Harmful alcohol consumption is shaped by a complex range of structural, social, and individual determinants that interact with inequality axes, which can be addressed at the community level. Under the framework of Barcelona Health in the Neighborhoods, which is a community strategy to reduce health inequalities in Barcelona’s most deprived neighborhoods, a community steering group will co-design a multicomponent community intervention. Aims: to assess its effects on: (1) alcohol accessibility, availability, and consumption at the environmental level, and (2) psychosocial and cognitive determinants of harmful alcohol consumption at the individual level. Methods: Quasi-experimental design with a comparison group, and pre- and post-intervention measures. Three Barcelona neighborhoods will be assigned to the intervention or comparison group based on three criteria: healthcare data on alcohol use, socioeconomic characteristics, and population size. The intervention includes activities promoting community mobilization, law enforcement, and communication campaigns in the intervened neighborhoods. Non-participant observations in standardized census sections will be performed in public spaces to collect information on three outcomes: alcohol accessibility, availability, and signs of alcohol consumption. Data collection includes a survey to a sample of 622 subjects to detect differences on these outcomes: risk awareness, knowledge, and self-efficacy about harmful alcohol consumption and drinking patterns. Discussion: This protocol to assess the effects of a multicomponent community intervention on harmful alcohol consumption at the environmental and population level will provide evidence on effective community health interventions and enable informed decisions for policy makers. This protocol could also be used as an implementation guide for studies aimed at reducing harmful drinking in cities with similar characteristics. Keywords: harmful alcohol consumption; community participation; community-based interventions; alcohol accessibility; alcohol availability Author: Victoria Porthé, Irene García-Subirats, Catrina Clotas and Elia Diez Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Jul 20 08:24:12 2022 CEST ModDate: Wed Jul 20 08:28:27 2022 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 13 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 679116 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- YFNERV+VnURWPalladioL Type 1 Custom yes yes no 10 0 XWGILB+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 DDOKLY+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 PJHGSR+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 XWOCXD+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 79 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 83 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 87 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 91 0 BMCMOQ+CMSY10 Type 1 Builtin yes yes no 102 0 QHMYDZ+wasy8 Type 1 Builtin yes yes no 121 0 SNNSUO+VnURWPalladioL-Italic Type 1 Custom yes yes no 135 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-03-16 02:38:29 CET RepresentationInformation: 286313.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-03-15 11:04:53 CET Size: 679116 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 264 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Children: Item: Title: Hypothesis Destination: subsection.1.1 Item: Title: General Objectives Destination: subsection.1.2 Item: Title: Specific Objectives Destination: subsection.1.3 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Methods: Participants, Interventions and Outcomes Destination: subsection.2.1 Item: Title: Methods: Data Collection, Management, and Analysis Destination: subsection.2.2 Children: Item: Title: Data Collection Destination: subsubsection.2.2.1 Item: Title: Data Management Destination: subsubsection.2.2.2 Item: Title: Data Analysis Destination: subsubsection.2.2.3 Item: Title: Ethical Considerations Destination: section.3 Item: Title: Discussion Destination: section.4 Children: Item: Title: The Expected Results of the Study Destination: subsection.4.1 Item: Title: Strengths and Limitations Destination: subsection.4.2 Item: Title: Dissemination of Results and Future Research Destination: subsection.4.3 Item: Title: Conclusions Destination: section.5 Item: Title: Appendix A Destination: section.A. Item: Title: References Destination: Item.105 Info: Title: Evaluation of a Community Intervention to Reduce Harmful Alcohol Consumption among Adult Population: A Study Protocol Author: Victoria Porthé, Irene García-Subirats, Catrina Clotas and Elia Diez Subject: Harmful alcohol consumption is shaped by a complex range of structural, social, and individual determinants that interact with inequality axes, which can be addressed at the community level. Under the framework of Barcelona Health in the Neighborhoods, which is a community strategy to reduce health inequalities in Barcelona’s most deprived neighborhoods, a community steering group will co-design a multicomponent community intervention. Aims: to assess its effects on: (1) alcohol accessibility, availability, and consumption at the environmental level, and (2) psychosocial and cognitive determinants of harmful alcohol consumption at the individual level. Methods: Quasi-experimental design with a comparison group, and pre- and post-intervention measures. Three Barcelona neighborhoods will be assigned to the intervention or comparison group based on three criteria: healthcare data on alcohol use, socioeconomic characteristics, and population size. The intervention includes activities promoting community mobilization, law enforcement, and communication campaigns in the intervened neighborhoods. Non-participant observations in standardized census sections will be performed in public spaces to collect information on three outcomes: alcohol accessibility, availability, and signs of alcohol consumption. Data collection includes a survey to a sample of 622 subjects to detect differences on these outcomes: risk awareness, knowledge, and self-efficacy about harmful alcohol consumption and drinking patterns. Discussion: This protocol to assess the effects of a multicomponent community intervention on harmful alcohol consumption at the environmental and population level will provide evidence on effective community health interventions and enable informed decisions for policy makers. This protocol could also be used as an implementation guide for studies aimed at reducing harmful drinking in cities with similar characteristics. 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