Definitions of community‐level approaches to address substance‐related harms and lessons learned: A systematic overview of reviews.
Community action focused on sociocultural and environmental influences to prevent alcohol and other drug (AOD) use and related harms is a global priority. Despite this recognition, understanding of effective community‐level approaches is limited. This umbrella review aimed to develop a unifying term...
| Publicado en: | American Journal of Community Psychology Vol. 77; no. 3/4; pp. 341 - 372 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Wiley-Blackwell
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=194784077&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 194784077 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00910562 CMP jtl: American Journal of Community Psychology issn: 00910562 maglogo: N pubinfo: dt: Jun2026 vid: 77 iid: 3/4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 194784077 10.1002/ajcp.70071 ppf: 341 ppct: 31 formats: tig: atl: Definitions of community‐level approaches to address substance‐related harms and lessons learned: A systematic overview of reviews. aug: au: Gates, Peter Zocco, Andrea Farnbach, Sara affil: National Drug and Alcohol Research Centre, UNSW, Randwick New South Wales,, Australia University of Canberra, Bruce Australian Capital Territory,, Australia su: Community-based programs Community involvement Community organization Alcohol drinking Substance abuse risk factors Community coordination Classroom activities sug: subj: Community-based programs Community involvement Community organization Alcohol drinking Substance abuse risk factors Community coordination Other Individual and Family Services Drinking Places (Alcoholic Beverages) Classroom activities keyword: alcohol community comprehensive drugs prevention systematic review alcohol community comprehensive drugs prevention systematic review ab: Community action focused on sociocultural and environmental influences to prevent alcohol and other drug (AOD) use and related harms is a global priority. Despite this recognition, understanding of effective community‐level approaches is limited. This umbrella review aimed to develop a unifying term to define and describe community‐level AOD approaches and summarize lessons learned from implementation. We searched Embase/MEDLINE, PsycINFO, the Cochrane Database of Systematic Reviews, two online registries and reference lists of included studies. Eligible reviews focused on community‐level approaches addressing AOD use or harms. Two authors independently screened articles and completed full‐text review and data extraction. We identified 87 reviews, spanning three decades. We propose the term Comprehensive Community Initiatives (CCI) to define community‐level AOD approaches. CCIs involve multiple coordinated initiatives implemented across a community and are categorised into four types and eleven subtypes. School‐based activities, the most common initiative subtype, were reported by reviews to be most effective when interactive and peer‐focused, while fear‐based approaches reportedly lack impact. Meaningful community engagement was central across recommendations to improve effectiveness. We summarize lessons learned for each initiative subtype, including recommendations, barriers, facilitators, and moderators of impact to guide future implementation. Key Highlights: Comprehensive Community Initiatives comprise at least two activities from 11 initiative subtypes.This paper summarises lessons learned from 87 reviews spanning 30 years.Using our definition will promote a shared language and improve the clarity of future research. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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