Implemented by coalitions over several years, the Community Trials (CT) Intervention to Reduce High-Risk Drinking combines public awareness campaigns, responsible beverage service, and enforcement of existing alcohol laws.
- To correct misperceptions about underage drinking in the community
- To limit commercial availability of alcohol to underage youth
- Assessment and communication strategies to raise public awareness about underage drinking and related consequences and build support for the intervention (Treno, Gruenewald, Lee, & Remer, 2007, Holder et al., 2000). Activities can include:
- Identifying and summarizing existing data related to underage drinking and problem drinking at the local level
- Collecting new local data, if needed
- Preparing informative and persuasive presentations and literature (e.g., brochures, fact sheets, etc.)
- Delivering neighborhood presentations and encouraging dialogue among community members
- Developing a community advisory board to guide intervention efforts
- Using local media to disseminate prevention messages and build support for prevention activities
- Collaborating agencies at the state and local levels (e.g., hospitality organizations) to help sponsor and promote responsible beverage service (Saltz & Stanghetta, 1997).
- Responsible beverage service training for managers and servers at all on- and off-premise licensed alcohol outlets using a curriculum-based training that (Saltz & Stanghetta, 1997):
- Identifies consequences associated with underage drinking, sale to minors, and serving intoxicated persons
- Showcases data on community norms against the sale of alcohol to minors and intoxicated persons
- Promotes techniques to aid servers in age identification, estimating intoxication levels, and interacting with customers
- Provides information about laws and associated penalties for sales to minors and intoxicated persons
- Coaches owners and managers on existing policies and provides new policy options to reduce sales to minors and intoxicated persons
- Collaboration between local community leaders and law enforcement to increase enforcement of drinking and driving laws through sobriety checkpoints (Holder et al., 2000; Voas, 1997).
- Collaboration between local community leaders and law enforcement to reduce youth’s commercial access to alcohol. Activities can include:
- Increasing compliance checks and purchase surveys (Grube, 1997)
- Sending letters to off-premise outlets informing them of increased enforcement efforts as well as letters of congratulations to premises that do not sell to minors during compliance checks (Treno et al., 2007)
- Using zoning and municipal regulations to limit the location and density of alcohol outlets in the community (Reynolds, Holder, & Gruenewald, 1997)
- Youth under age 21
- Alcohol retailers
- Law enforcement officers
Relative to comparison communities, CT communities demonstrated greater reductions in underage sales of alcohol (Grube, 1997; Holder, 2001; Holder et al., 1997; Treno et al., 2007).
Grube, J. W. (1997). Preventing sales of alcohol to minors: Results from a community trial. Addiction, 92(Suppl2), S251–S260.
Holder, H. D. (2001). Community prevention trials: A respectful partnership. American Journal of Health Behavior, 25(3), 234–244.
Holder, H. D., Gruenewald, P. J., Ponicki, W. R., Treno, A. J., Grube, J. W ., Saltz, R. F., . . . Roeper, P. (2000). Effect of community-based interventions on high-risk drinking and alcohol-related injuries. Journal of the American Medical Association, 284(18), 2341–2347.
Holder, H. D., Saltz, R. F., Grube, J. W., Treno, A. J., Reynolds, R. I., Voas, R. B., & Gruenewald, P. J. (1997). Summing up: Lessons from a comprehensive community prevention trial. Addiction, 92(Suppl2), S293–S301.
Reynolds, R. I., Holder, H. D., & Gruenewald, P. J. (1997). Community prevention and alcohol retail access. Addiction, 92(Suppl2), S261–S272.
Saltz, R., & Stanghetta, P. (1997). A community-wide responsible beverage service program in three communities: Early findings. Addiction, 92(Suppl2), S237–S249.
Treno, A. J., Gruenewald, P. J., Lee, J. P., & Remer, L. G. (2007). The Sacramento Neighborhood Alcohol Prevention Project: Outcomes from a community prevention trial. Journal of Studies on Alcohol and Drugs, 68(2), 197–207.
Voas, R. B. (1997). Drinking and driving prevention in the community: Program planning and implementation. Addiction, 92(Suppl2), S201–S219.