음주폐해 감소를 위한 포괄적 근거기반 지역사회 전략: NoMAD 프로젝트

A Comprehensive Community Intervention to Reduce Alcohol-Related Harms: No More Alcohol to Drunken Project

Objectives: To determine the effectiveness of an action plan that incorporates evidence-based community interventions in reducing alcohol-related harms in a community. Methods: The No More Alcohol to Drunken (NoMAD) project is a quasi-experimental study that aims to evaluate the impact of a community intervention for a district in reducing alcohol-related harms. The project incorporates evidence-based strategies, such as limiting alcohol in public areas, strengthening crackdown on drink-driving, responsible alcohol server program, screening and brief intervention for high-risk drinking at local clinics or pharmacies, mobile high-risk drinking management program, brain education at schools, and alcohol-free day campaign. The study will employ a difference-in-differences analysis to assess changes in alcohol-related harms 12 months after the implementation of the NoMAD project with non-intervention districts serving as a comparison group. Discussion: To our knowledge, this is the first trial in Korea to evaluate the effectiveness of evidence- and community-based interventions in reducing alcohol-related harms. Our study is expected to provide a prototype for community-environment strategies to prevent alcohol-related harms and establish scientific grounds for the efficacy of community interventions.