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| [ Print-friendly version ] |
| A cluster randomised controlled trial of alcohol screening and brief interventions in probation services |
| ISRCTN | ISRCTN19160244 |
| ClinicalTrials.gov identifier | |
| Public title | A cluster randomised controlled trial of alcohol screening and brief interventions in probation services |
| Scientific title | |
| Acronym | SIPS-CJS |
| Serial number at source | N/A |
| Study hypothesis |
1. To conduct a pragmatic multicentre cluster randomised controlled trial of screening and brief interventions for hazardous and harmful drinkers in a probation setting in three English regions
2. To compare the effectiveness and cost effectiveness of a Client Information Leaflet (CIL) with simple structured advice conducted by offender managers (Tier 1) and referral to an alcohol health worker for brief lifestyle counselling (Tier 2) in clients with hazardous and harmful alcohol consumption identified by universal screening 3. To assess the relative impact of the three intervention strategies on alcohol screening and brief intervention activity in a probation setting 4. To identify the attitudinal, practical, skill, resource, and reinforcing factors that predict successful implementation of screening and brief intervention in probation 5. To identify the optimal method of alcohol screening in probation 6. To assess the relative impact of the three intervention strategies on uptake of alcohol services, including an alcohol helpline |
| Ethics approval | Northern & Yorkshire Research Ethics Committee (ref: 08/H0903/2 21/02/2008) |
| Study design | Cluster randomised controlled trial. |
| Countries of recruitment | United Kingdom |
| Disease/condition/study domain | Hazardous alcohol use |
| Participants - inclusion criteria |
1. Probation client scoring positive on either the Fast Alcohol Screen Test (FAST) or the Single Alcohol Screening Questionnaire (M-SASQ)
2. Alert and orientated 3. Aged 18 or over 4. Resident in England 5. Able to speak, read and write in English sufficiently well to complete study questionnaires 6. Not intoxicated 7. Not suffering with a serious mental health problem |
| Participants - exclusion criteria |
1. Already in contact with specialist alcohol services
2. Already included in the study or other alcohol research studies 3. Those requesting tertiary specialist help with alcohol problems All excluded clients will be given information on where to obtain help for alcohol problems, and will receive a health information leaflet with the Drinkline number and website address. |
| Anticipated start date | 01/04/2008 |
| Anticipated end date | 31/03/2009 |
| Status of trial | Ongoing |
| Patient information material | Not available in web format, please use the contact details below to request a patient information sheet |
| Target number of participants | 435 |
| Interventions |
1. Control condition: Offender managers will be trained to carry out screening and give all clients screened positive for hazardous or harmful alcohol use a Client Information Leaflet (CIL). Training will be carried out by experienced trainers for criminal justice staff in seminars and individual training as appropriate to the probation setting. Trainers will be specialist staff from local alcohol agencies or an alcohol health worker.
2. Simple structured advice condition: Offender managers allocated to this condition will be trained to carry out screening and deliver up to 5 min structured brief advice for hazardous and harmful drinkers presenting to their setting, using the Drink-Less brief intervention materials (level 1). Clients in this condition will also receive a CIL as above. Training will be carried out by experienced trainers for criminal justice staff in seminars and individual training as appropriate to the criminal justice setting. Trainers will be specialist staff from local alcohol agencies or an alcohol health worker. Each probation site will have an allocated coordinator who will champion screening and brief intervention and provide ongoing support and supervision for other staff. 3. Alcohol Health Worker (AHW) condition: All clients that screened positive by offender managers for hazardous/harmful drinking will be given a CIL and a 5 min structured brief advice as above, and referred to an AHW for a longer intervention. The AHW will be experienced in carrying out alcohol assessment and brief interventions. The AHW will carry out a brief lifestyle counselling intervention lasting for 15-20 minutes. The AHW will also be responsible for training and supporting probation staff in implementing screening and referral over the course of the project. |
| Primary outcome measure(s) | Alcohol Use Disorders Identification Test at 6 and 12 months |
| Secondary outcome measure(s) |
The following will be assessed at 6 and 12 months:
1. Health related quality of life, EuroQol (EQ-5D) 2. Alcohol problems questionnaire 3. Service utilisation 4. Staff attitudinal measures |
| Sources of funding | This trial is funded by the UK Department of Health as part of the government's Alcohol Harm Reduction Strategy for England (2004) UK) |
| Trial website | http://www.sips.sgul.ac.uk |
| Publications | |
| Contact name | Prof Colin Drummond |
| Address |
Section of Alcohol Research
National Addiction Centre, PO48 Division of Psychological Medicine and Psychiatry Institute of Psychiatry King's College London 4 Windsor Walk |
| City/town | London |
| Zip/Postcode | SE5 8BB |
| Country | United Kingdom |
| colin.drummond@iop.kcl.ac.uk | |
| Sponsor | Kings College London, Institute of Psychiatry (UK) |
| Address |
National Addiction Centre, PO48
Division of Psychological Medicine and Psychiatry 4 Windsor Walk |
| City/town | London |
| Zip/Postcode | SE5 8BB |
| Country | United Kingdom |
| paolo.deluca@iop.kcl.ac.uk | |
| Sponsor website: | http://www.iop.kcl.ac.uk |
| Date applied | 10/03/2008 |
| Last edited | 25/04/2008 |
| Date ISRCTN assigned | 25/04/2008 |
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