Intervenciones para disminuir el consumo de alcohol en adolescentes: una revisión sistemática
Resumo
Objetivo: Sintetizar y valorar la evidencia científica disponible durante el período 2006-2016 respecto a las intervenciones que se han realizado para disminuir el consumo de alcohol en adolescentes.Materiales y métodos: Se realizó búsqueda en EBSCO, PubMed, Science Direct, Scielo Redalyc y Google académico, delimitada a diez años, se incluyeron 61 artículos que cumplieron con los criterios de inclusión. Se utilizaron descriptores DeCS y mesh, a partir del uso de palabras claves para la búsqueda de los estudios en español e inglés y los operadores boléanos AND y OR.
Resultados: El nivel de evidencia encontrado fue 2 (3%), 3 (3%), 4 (34.4%) y 5 (55.7%). El 8.1% de los ECA se apegaron al CONSORT, 60.6% de las intervenciones estuvieron dirigidas solo a adolescentes, el escenario de aplicación fue la escuela en un 59%, mientras que 34.4% recibió la intervención mediante elementos multimedia y/o internet, al 74.1% se le dio conocimientos generales acerca del consumo de alcohol, 18% mencionó haber realizado la intervención entre 2 y 20 sesiones, 31% dio seguimiento entre 1 y 8 meses después de entregar el tratamiento; 16.3% dio refuerzos y el 95% de los estudios arrojaron disminuir con sus intervenciones el consumo de alcohol en los adolescentes.
Conclusiones: Las intervenciones en adolescentes respecto al consumo de alcohol son complejas, por la etapa en la que se encuentra el sujeto de estudio. Analizar el panorama general de las intervenciones a través del tiempo permite evidenciar la evolución del abordaje a este fenómeno de interés para la ciencia.
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