Evidence map›Paper›PMID 26338836›Full record

SynthesisBMJ open2015

Are mass-media campaigns effective in preventing drug use? A Cochrane systematic review and meta-analysis.

Elias Allara, Marica Ferri, Alessandra Bo, Antonio Gasparrini, Fabrizio Faggiano

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Mass media interventions for preventing smoking in young people.The Cochrane database of systematic reviews · 2017
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  13. Systems of Care Implications in Hawai'i: Sexual and Gender Minorities.Hawai'i journal of health & social welfare · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elias AllaraDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy School of Public Health, University of Torino, Torino, Italy.ORCID http://orcid.org/0000-0002-1634-8330
Marica FerriConsequences, Responses and Best Practices Unit, European Monitoring Centre for Drugs and Drug Addiction, Lisbon, Portugal.
Alessandra BoConsequences, Responses and Best Practices Unit, European Monitoring Centre for Drugs and Drug Addiction, Lisbon, Portugal.
Antonio GasparriniDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK.
Fabrizio FaggianoDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, Italy.

Funding

Medical Research Council G1002296
6 · The paper itself

Abstract

objectiveTo determine whether there is evidence that mass-media campaigns can be effective in reducing illicit drug consumption and the intent to consume.

designSystematic review of randomised and non-randomised studies.

methodsWe searched four electronic databases (MEDLINE, EMBASE, ProQuest Dissertations & Theses A&I and CENTRAL) and further explored seven additional resources to obtain both published and unpublished materials. We appraised the quality of included studies using standardised tools. We carried out meta-analyses of randomised controlled trials and a pooled analysis of interrupted time-series and controlled before-and-after studies.

resultsWe identified 19 studies comprising 184,811 participants. Pooled analyses and narrative synthesis provided mixed evidence of effectiveness. Eight interventions evaluated with randomised controlled trials leaned towards no evidence of an effect, both on drug use (standardised mean difference (SMD) -0.02; 95% CI -0.15 to 0.12) and the intention to use drugs (SMD -0.07; 95% CI -0.19 to 0.04). Four campaigns provided some evidence of beneficial effects in preventing drug use and two interventions provided evidence of iatrogenic effects.

conclusionsStudies were considerably heterogeneous in type of mass-media intervention, outcome measures, underlying theory, comparison groups and design. Such factors can contribute to explaining the observed variability in results. Owing to the risk of adverse effects, caution is needed in disseminating mass-media campaigns tackling drug use. Large studies conducted with appropriate methodology are warranted to consolidate the evidence base.

Indexed as

Mass MediaHealth PromotionHumansModels, StatisticalOutcome Assessment, Health CareSubstance-Related DisordersHealth policy < HEALTH SERVICES ADMINISTRATION & MANAGEMENTMENTAL HEALTHPUBLIC HEALTHSubstance misuse < PSYCHIATRY

Identifiers

PMID26338836
PMCPMC4563251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.