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Alcohol Alcohol. 2014 Sep-Oct;49(5):540-8. doi: 10.1093/alcalc/agu046. Epub 2014 Jul 26.

Alcohol screening and brief interventions for offenders in the probation setting (SIPS Trial): a pragmatic multicentre cluster randomized controlled trial.

Author information

1
Institute of Health and Society, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK dorothy.newbury-birch@ncl.ac.uk.
2
Centre for Health Service Studies, University of Kent, The Registry, Canterbury, CT2 7NZ, UK.
3
Department of Health Sciences, University of York, Seebholm Rowntree Building, Heslington, York, YO10 5DD, UK.
4
Teams Family Practice, Watson Street, Gateshead, NE8 2PQ, UK.
5
Addictions Department, Institute of Psychiatry, King's College London 4 Windsor Walk, London, SE5 8AF, UK.
6
Northumberland, Tyne & Wear NHS Foundation Trust, Newcastle and North Tyneside Addictions Service, Plummer Court, Carliol Place, Newcastle upon Tyne, NE1 6UR, UK.
7
School of Life Sciences, Northumbria University, Northumberland Building, Newcastle upon Tyne, NE1 8ST, UK.
8
Institute of Health and Society, Newcastle University, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
9
Division of Population Health Sciences and Education, St George's, University of London, Cranmer Terrace, London, SW17 0RE, UK.
10
Institute of Population Health, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
11
Addictions Department, Institute of Psychiatry, King's College London 4 Windsor Walk, London, SE5 8AF, UK Humber NHS Foundation Trust, Beverley Road, Willerby, HU10 6ED, UK.
12
Violence Research Group, Cardiff University, Heath Park, Cardiff, Wales, CF14 4XY, UK.

Abstract

AIM:

To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in the probation setting. Offender managers were randomized to three interventions, each of which built on the previous one: feedback on screening outcome and a client information leaflet control group, 5 min of structured brief advice and 20 min of brief lifestyle counselling.

METHODS:

A pragmatic multicentre factorial cluster randomized controlled trial. The primary outcome was self-reported hazardous or harmful drinking status measured by Alcohol Use Disorders Identification Test (AUDIT) at 6 months (negative status was a score of <8). Secondary outcomes were AUDIT status at 12 months, experience of alcohol-related problems, health utility, service utilization, readiness to change and reduction in conviction rates.

RESULTS:

Follow-up rates were 68% at 6 months and 60% at 12 months. At both time points, there was no significant advantage of more intensive interventions compared with the control group in terms of AUDIT status. Those in the brief advice and brief lifestyle counselling intervention groups were statistically significantly less likely to reoffend (36 and 38%, respectively) than those in the client information leaflet group (50%) in the year following intervention.

CONCLUSION:

Brief advice or brief lifestyle counselling provided no additional benefit in reducing hazardous or harmful drinking compared with feedback on screening outcome and a client information leaflet. The impact of more intensive brief intervention on reoffending warrants further research.

PMID:
25063992
DOI:
10.1093/alcalc/agu046
[Indexed for MEDLINE]

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