Developing and evaluating interventions for adolescents with alcohol use disorders who present through emergency departments: randomised feasibility study and exploratory randomised controlled trial

Conditions

Topic: Mental Health, Injuries and emergencies

Paolo Deluca, Simon Coulton, M Fasihul Alam, Sadie Boniface, Kim Donoghue et al. (20 authors)

Programme Grants for Applied Research2020-01-0113 citations

Linked randomised controlled trials of face-to-face and electronic brief intervention methods to prevent alcohol related harm in young people aged 14-17 years presenting to Emergency Departments (SIPS junior).

Deluca P, Coulton S, Alam MF, Cohen D, Donoghue K, Gilvarry E, Kaner E, Maconochie I, McArdle P, McGovern R, Newbury-Birch D, Patton R, Phillips C, Phillips T, Russell I, Strang J, Drummond C.

2015-04-1014 citations

10.1186/s12889-015-1679-4

Interventions

Screening and eBI: Following a simple feedback procedure participants will receive the eBI smartphone intervention. This is an offline-capable mobile web app which will work on a variety of platforms

Screening and PFBA, Trained research assistants will be responsible for the delivery of the face-to-face brief advice that is tailored to high-risk alcohol users. The researcher will explain that the

Screening only group (+TAU), To minimise possible intervention effects we will blind participants allocated to this study arm to the main aims of the trial. They will be told that the trial focuses on

Follow Up Length: 12 month(s)

Study Entry : Single Randomisation only

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Age 14 years or more and less than 18 years 2. Alert and orientated, able to speak English sufficiently well to complete the research assessment 3. Able and willing to provide informed consent to screening, intervention and follow-up 4. If under 16 Gillick competent or having a parent/guardian able and willing to provide informed consent 5. Owning a smartphone or alternatively having access to the internet at home

Exclusion criteria

Exclusion criteria: 1. Severe injury 2. Suffering from serious mental health problem 3. Gross intoxication 4. Patient, parent or guardian unable or unwilling to provide informed consent (if under 16) 5. Specialist services involved because of social or psychological needs 6. Receiving, or having received in the past 6 months, treatment for an alcohol or substance use disorder 7. Current participation in other alcohol research

Design outcomes

Primary

Measure	Time frame
Primary outcome measure as of 12/10/2016: Total alcohol consumed over the past 3 months, in standard units (1 unit = 8g ethanol), is assessed using the Alcohol Use Disorders Identification Test – Consumption version (AUDIT-C) at baseline 6 and 12 months. Original primary outcome: The Timeline Follow Back 28 days (TLFB28) interview at 12 months	—

Secondary

Measure	Time frame
Secondary outcome measures as of 12/10/2016: 1. Percent days abstinent, drinks per drinking day and heavy episodic alcohol use will be measured using the AUDIT-C at baseline and then 6 and 12 months 2. High risk alcohol use will be measured using the Extended AUDIT-C questionnaire at baseline and then 6 and 12 months 3. Past year and lifetime alcohol use will be measured using question 19 from the ESPAD study at baseline and 12 months 4. The consequences associated with alcohol consumption will be measured using questions 21-22 from the ESPAD study at baseline and 12 months 5. General health and functioning will be measured using the Strengths and Difficulties Questionnaire measured at baseline and 12 months. 6. Health status will be measured using the EQ-5D-5L at baseline, 6 and 12 months 7. Service use including health and social services, school attendance and involvement in criminal justice will be measured using a bespoke version of the Client Service Receipt Inventory (CSRI) at baseline and then at 6 and 12 months Original secondary outcome: 1. Economic outcome measures; Timepoint(s): Stage 2 will involve collecting data on the costs of the interventions together with data on use of 2. Process outcome measures; Timepoint(s): Expectancy will be measured using the ESPAD Question 21 (96), this will be assessed at baseline, pri; 3. Participants will also be asked questions about past year and lifetime alcohol use and the consequen	—

Measure

Time frame

Secondary outcome measures as of 12/10/2016: 1. Percent days abstinent, drinks per drinking day and heavy episodic alcohol use will be measured using the AUDIT-C at baseline and then 6 and 12 months 2. High risk alcohol use will be measured using the Extended AUDIT-C questionnaire at baseline and then 6 and 12 months 3. Past year and lifetime alcohol use will be measured using question 19 from the ESPAD study at baseline and 12 months 4. The consequences associated with alcohol consumption will be measured using questions 21-22 from the ESPAD study at baseline and 12 months 5. General health and functioning will be measured using the Strengths and Difficulties Questionnaire measured at baseline and 12 months. 6. Health status will be measured using the EQ-5D-5L at baseline, 6 and 12 months 7. Service use including health and social services, school attendance and involvement in criminal justice will be measured using a bespoke version of the Client Service Receipt Inventory (CSRI) at baseline and then at 6 and 12 months Original secondary outcome: 1. Economic outcome measures; Timepoint(s): Stage 2 will involve collecting data on the costs of the interventions together with data on use of 2. Process outcome measures; Timepoint(s): Expectancy will be measured using the ESPAD Question 21 (96), this will be assessed at baseline, pri; 3. Participants will also be asked questions about past year and lifetime alcohol use and the consequen

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Countries

United Kingdom

Outcome results

None listed