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Pragmatic cluster randomised controlled trial evaluating the effectiveness and cost-effectiveness of primary health care screening and brief alcohol intervention
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN06145674
Date ISRCTN assigned08/06/2007
Local reference number(s)SIPS-PHC
Public titlePragmatic cluster randomised controlled trial evaluating the effectiveness and cost-effectiveness of primary health care screening and brief alcohol intervention
Scientific title
AcronymSIPS (PHC)
Disease/condition/study domainHazardous alcohol consumption in primary care
Study hypothesisThe more intensive brief interventions for hazardous and harmful drinkers will be more effective, as follows: lifestyle counselling > simple structured advice > Patient information leaftlet.
Design/methodologyPragmatic, cluster randomised controlled trial.
Research ethics reviewLondon Local Research Ethic Committees (LREC), approved on 30/03/2007 (ref: 06/MRE02/90)
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Positive screening result on Fast Alcohol Screen Test (FAST) or the Single Alcohol Screening Questionnaire (SASQ)
2. Patient who is alert and orientated
3. Aged 18 or over
4. Able to speak English sufficiently well to complete study questionnaires
5. Resident within England
Participants - exclusion criteria1. Patients already in contact with alcohol services
2. Those already included in the study
3. Those requesting tertiary level help with alcohol problems
4. Significant psychiatric disorder
Patient information material
Anticipated start date01/04/2007
Anticipated end date31/12/2008
Status of trialOngoing
Target number of participants744
Interventions1. Control condition: Practices in the control condition will record the screening outcome, feedback the result of screening to patients and offer them a Patient Information Leaflet (PIL).

The PIL to be used in this trial ¿Alcohol and Sensible Drinking¿ is readily available to Primary Health Care (PHC) clinicians via the EMIS computer system and contains details of a Drinkline telephone number. We will ensure that practice not using EMIS have a comparable written PIL available.

2. Simple structured advice: Clinicians who may be GPs or primary care nurses will feed back the results of screening to patients and deliver up to 5 minutes of simple structured advice, using the Drink-Less brief intervention materials (level 1), and offer them a PIL identical to that in the control condition.

3. Brief lifestyle counselling: Clinicians who may be GPs or primary care nurses will feedback the results of screening to patients and deliver 15-20 minutes of lifestyle counselling using the Drink-Less brief intervention materials (level 2).
Primary outcome measure(s)Alcohol Use Disorders Identification Test (AUDIT)-C at baseline and 6 months.
Secondary outcome measure(s)The following will be assessed at baseline and 6 months:
1. EQ-5D questionnaire (quality of life assessment)
2. Service utilisation
3. Alcohol Problems Questionnaire
4. Staff attitudinal and organisational measure
Trial websitehttp://www.sips.sghms.ac.uk/
Sources of fundingThe project is funded by the Department of Health as part of an action under the government¿s Alcohol Harm Reduction Strategy for England (2004) (UK)
Sponsor nameSt George's University of London (UK)
Sponsor detailsCranmer Terrace
London
United Kingdom
SW17 0RE
Sponsor telephone+44 (0)20 82666426
Sponsor emailpdeluca@sgul.ac.uk
Sponsor websitehttp://www.sgul.ac.uk/
Contact nameProf Colin Drummond
Contact detailsSection of Addictive Behaviour
Division of Mental Health
St George's University of London
Cranmer Terrace
London
United Kingdom
SW17 0RE
Contact emailpdeluca@sgul.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN06145674
Date last extracted from ISRCTN register17/04/2008
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