Alcohol-related A&E attendances, and Sexual Health Clinic attendances Not Applicable
Conditions
Interventions
This research is a natural experiment study of the impact of introducing MUP in Scotland. The methods involve a repeated cross-sectional audit of all alcohol-related attendances at EDs in two Scottish
Sponsors
NHS Greater Glasgow & Clyde
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: For the Emergency Department arm of the study, the target population for the study is all patients over 16 years age who attend EDs to receive acute treatment for a health condition. For those who are approached, the inclusion criteria are: 1. >=age 16 2. able to speak English and no interpreter available 3. Is a new ED presentation 4. The patient is conscious 5. The patient is physically well enough 6. The patient is mentally well enough 7. The patient is sober enough (alcohol) 8. The patient is sober enough (drugs) 9. The patient is still in the department 10. The patient is safe for staff to approach For the sexual health arm of the study the target population for the study is all patients of any age attending participating sexual health clinics during data collection periods. The inclusion criteria are: 1. People able to complete the questionnaire 2. People who are deemed by the clinical staff as appropriate to approach
Exclusion criteria
Exclusion criteria: For the ED sites: 1. Patient too unwell 2. Too distressed 3. Grossly intoxicated (alcohol) 4. Grossly intoxicated (drugs) 5. Cognitive impairment 6. Police in attendance 7. Clear language barrier, and no interpreter available 8. Patient already participating 9. Routine follow-up that has been instigated by ED staff 10. Patient left dept 11. Patient admitted 12. Staff safety issue 13. End of shift 14. Dead on arrival 15. Other For the Sexual Health sites: 1. People unable to complete the questionnaire with assistance from the research assistant 2. People who leave the department before an approach can be made 3. People who are deemed by the clinical staff as inappropriate to approach
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome for the ED arm: Absolute numbers of alcohol-related attendances as defined by any one of: 1. Patient self-reports attendance is alcohol-related 2. Patient reports alcohol consumption in past 24 hours >=8 units in men, >=6 units in women 3. Patient not approached because too intoxicated with alcohol Compared between intervention and control areas, adjusted for baseline attendances Measured by questionnaire administered by research nurses at the Emergency Departments: Wave 1 – February 2018, Wave 2 - October 2018 and Wave 3 – February 2019 The primary outcome for the sexual health arm: Rates of higher/lower risk drinking, as measured by FAST score, compared between intervention and control areas, adjusted for baseline attendances. Data will be collected at baseline (February 18), 6 month follow up (October 18) and 1 year follow up (February 19) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes for the ED arm: 1. Changes in absolute number of alcohol-related attendances by age/sex/deprivation 2. Changes in problematic alcohol use, as defined by the Fast Alcohol Screening Test (FAST) 3. Changes in mean FAST score 4. Changes in prevalence of binge drinking in the past week 5. Changes in reason for attendance, coded by ICD-10 Measured by questionnaire administered by research nurses at the Emergency Departments: Wave 1 – February 2018, Wave 2 - October 2018 and Wave 3 – February 2019 The secondary outcome for the sexual health arm: Self-reported binge-drinking with analyses for differential impact by age/sex/deprivation. Data will be collected at baseline (February 18), 6 month follow up (October 18) and 1 year follow up (February 19) | — |
Countries
England, Scotland, United Kingdom
Outcome results
None listed