Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT
Background: Adverse effects from young people’s alcohol consumption manifest in a range of physical and psychosocial factors, including neurological issues, cognitive impairment and risk-taking behaviours. The SIPS JR-HIGH pilot trial showed alcohol screening and brief intervention (ASBI) to be acce...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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NIHR Journals Library
2019-05-01
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| Series: | Public Health Research |
| Subjects: | |
| Online Access: | https://doi.org/10.3310/phr07090 |
| _version_ | 1828233044573552640 |
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| author | Emma L Giles Grant J McGeechan Simon Coulton Paolo Deluca Colin Drummond Denise Howel Eileen Kaner Elaine McColl Ruth McGovern Stephanie Scott Elaine Stamp Harry Sumnall Liz Todd Luke Vale Viviana Albani Sadie Boniface Jennifer Ferguson Eilish Gilvarry Nadine Hendrie Nicola Howe Helen Mossop Amy Ramsay Grant Stanley Dorothy Newbury-Birch |
| author_facet | Emma L Giles Grant J McGeechan Simon Coulton Paolo Deluca Colin Drummond Denise Howel Eileen Kaner Elaine McColl Ruth McGovern Stephanie Scott Elaine Stamp Harry Sumnall Liz Todd Luke Vale Viviana Albani Sadie Boniface Jennifer Ferguson Eilish Gilvarry Nadine Hendrie Nicola Howe Helen Mossop Amy Ramsay Grant Stanley Dorothy Newbury-Birch |
| author_sort | Emma L Giles |
| collection | DOAJ |
| description | Background: Adverse effects from young people’s alcohol consumption manifest in a range of physical and psychosocial factors, including neurological issues, cognitive impairment and risk-taking behaviours. The SIPS JR-HIGH pilot trial showed alcohol screening and brief intervention (ASBI) to be acceptable to young people and schools in the north-east of England. Objectives: To conduct a two-arm, individually randomised controlled trial to evaluate the effectiveness and cost-effectiveness of ASBI for risky drinking in young people aged 14–15 years in the school setting, to monitor the fidelity of ASBI and to explore the barriers to, and facilitators of, implementation with staff, young people and parents. Design: A baseline survey with a 12-month follow-up. Interviews with 30 school staff, 21 learning mentors and nine teachers, and 33 young people and two parents. Setting: Thirty state schools in four areas of England: north-east, north-west, Kent and London. Participants: Year 10 school pupils who consented to the study (aged 14–15 years, recruited between November 2015 and June 2016), school-based staff and parents of the young people who took part in the study. Interventions: Young people who screened positively on a single alcohol screening question and consented were randomised to the intervention or control arm (blinded). The intervention was a 30-minute one-to-one structured brief intervention with a trained learning mentor and an alcohol leaflet. The control group received a healthy lifestyle leaflet (no alcohol information). Main outcome measures: The primary outcome measure was total alcohol consumed in the last 28 days. Secondary outcomes related to risky drinking, general psychological health, sexual risk-taking, energy drink consumption, age of first smoking, quality of life, quality-adjusted life-years, service utilisation and demographic information. Results: A total of 4523 young people completed the baseline survey, with 1064 screening positively (24%) and 443 being eligible to take part in the trial. Of those 443, 233 (53%) were randomised to the control arm and 210 were randomised to the intervention arm. Of the 443, 374 (84%) were successfully followed up at 12 months (intervention, n = 178; control, n = 196). The results were that the intervention showed no evidence of benefit for any alcohol-related measure when compared with the control arm. At 12 months we found a reduction from 61.9% to 43.3% using the Alcohol Use Disorders Identification Test cut-off point of 8 and cut-off point of 4 (69.0% to 60.7%). These results were not significant. A cost-effectiveness analysis showed that the average net cost saving of the brief intervention was £2865 (95% confidence interval –£11,272 to £2707) per year compared with usual practice, with the intervention showing a 76% probability of being cost saving compared with usual practice. The interview findings showed that school was an acceptable setting to carry out ASBI among staff and young people. Limitations: Recruitment of parents to take part in interviews was poor. Only 18 ASBI sessions were recorded, making it difficult to assess internal validity. Conclusions: Although the intervention was ineffective in reducing risky drinking in young people aged 14–15 years, it was well received by the young people and school staff who participated. Future work: Uniform reporting of the outcomes used for ASBI would generate more robust conclusions on the effectiveness of ASBI in the future. Pilot feasibility studies should include more than one geographical area. Future work on involving parents is needed. Trial registration: Current Controlled Trials ISRCTN45691494. Funding: This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 7, No. 9. See the NIHR Journals Library website for further project information. |
| first_indexed | 2024-04-12T19:32:03Z |
| format | Article |
| id | doaj.art-6bd6a7b86f984e528dc250fbacacaef9 |
| institution | Directory Open Access Journal |
| issn | 2050-4381 2050-439X |
| language | English |
| last_indexed | 2024-04-12T19:32:03Z |
| publishDate | 2019-05-01 |
| publisher | NIHR Journals Library |
| record_format | Article |
| series | Public Health Research |
| spelling | doaj.art-6bd6a7b86f984e528dc250fbacacaef92022-12-22T03:19:18ZengNIHR Journals LibraryPublic Health Research2050-43812050-439X2019-05-017910.3310/phr0709013/117/02Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCTEmma L Giles0Grant J McGeechan1Simon Coulton2Paolo Deluca3Colin Drummond4Denise Howel5Eileen Kaner6Elaine McColl7Ruth McGovern8Stephanie Scott9Elaine Stamp10Harry Sumnall11Liz Todd12Luke Vale13Viviana Albani14Sadie Boniface15Jennifer Ferguson16Eilish Gilvarry17Nadine Hendrie18Nicola Howe19Helen Mossop20Amy Ramsay21Grant Stanley22Dorothy Newbury-Birch23School of Health & Social Care, Teesside University, Middlesbrough, UKSchool of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UKCentre for Health Services Studies, University of Kent, Canterbury, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKSchool of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKFaculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UKSchool of Education, Communication and Language Sciences, Newcastle University, Newcastle upon Tyne, UKHealth Economics Group, Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UKHealth Economics Group, Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKSchool of Health & Social Care, Teesside University, Middlesbrough, UKNorthumberland, Tyne and Wear NHS Foundation Trust, St Nicholas Hospital, Newcastle upon Tyne, UKCentre for Health Services Studies, University of Kent, Canterbury, UKNewcastle Clinical Trials Unit, Newcastle University, Newcastle upon Tyne, UKInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UKInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UKFaculty of Education, Health and Community, Liverpool John Moores University, Liverpool, UKSchool of Social Sciences, Humanities & Law, Teesside University, Middlesbrough, UKBackground: Adverse effects from young people’s alcohol consumption manifest in a range of physical and psychosocial factors, including neurological issues, cognitive impairment and risk-taking behaviours. The SIPS JR-HIGH pilot trial showed alcohol screening and brief intervention (ASBI) to be acceptable to young people and schools in the north-east of England. Objectives: To conduct a two-arm, individually randomised controlled trial to evaluate the effectiveness and cost-effectiveness of ASBI for risky drinking in young people aged 14–15 years in the school setting, to monitor the fidelity of ASBI and to explore the barriers to, and facilitators of, implementation with staff, young people and parents. Design: A baseline survey with a 12-month follow-up. Interviews with 30 school staff, 21 learning mentors and nine teachers, and 33 young people and two parents. Setting: Thirty state schools in four areas of England: north-east, north-west, Kent and London. Participants: Year 10 school pupils who consented to the study (aged 14–15 years, recruited between November 2015 and June 2016), school-based staff and parents of the young people who took part in the study. Interventions: Young people who screened positively on a single alcohol screening question and consented were randomised to the intervention or control arm (blinded). The intervention was a 30-minute one-to-one structured brief intervention with a trained learning mentor and an alcohol leaflet. The control group received a healthy lifestyle leaflet (no alcohol information). Main outcome measures: The primary outcome measure was total alcohol consumed in the last 28 days. Secondary outcomes related to risky drinking, general psychological health, sexual risk-taking, energy drink consumption, age of first smoking, quality of life, quality-adjusted life-years, service utilisation and demographic information. Results: A total of 4523 young people completed the baseline survey, with 1064 screening positively (24%) and 443 being eligible to take part in the trial. Of those 443, 233 (53%) were randomised to the control arm and 210 were randomised to the intervention arm. Of the 443, 374 (84%) were successfully followed up at 12 months (intervention, n = 178; control, n = 196). The results were that the intervention showed no evidence of benefit for any alcohol-related measure when compared with the control arm. At 12 months we found a reduction from 61.9% to 43.3% using the Alcohol Use Disorders Identification Test cut-off point of 8 and cut-off point of 4 (69.0% to 60.7%). These results were not significant. A cost-effectiveness analysis showed that the average net cost saving of the brief intervention was £2865 (95% confidence interval –£11,272 to £2707) per year compared with usual practice, with the intervention showing a 76% probability of being cost saving compared with usual practice. The interview findings showed that school was an acceptable setting to carry out ASBI among staff and young people. Limitations: Recruitment of parents to take part in interviews was poor. Only 18 ASBI sessions were recorded, making it difficult to assess internal validity. Conclusions: Although the intervention was ineffective in reducing risky drinking in young people aged 14–15 years, it was well received by the young people and school staff who participated. Future work: Uniform reporting of the outcomes used for ASBI would generate more robust conclusions on the effectiveness of ASBI in the future. Pilot feasibility studies should include more than one geographical area. Future work on involving parents is needed. Trial registration: Current Controlled Trials ISRCTN45691494. Funding: This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 7, No. 9. See the NIHR Journals Library website for further project information.https://doi.org/10.3310/phr07090RANDOMISED CONTROLLED TRIALALCOHOLYOUNG PEOPLESECONDARY SCHOOLSINTERVIEWSALCOHOL SCREENINGBRIEF INTERVENTIONS |
| spellingShingle | Emma L Giles Grant J McGeechan Simon Coulton Paolo Deluca Colin Drummond Denise Howel Eileen Kaner Elaine McColl Ruth McGovern Stephanie Scott Elaine Stamp Harry Sumnall Liz Todd Luke Vale Viviana Albani Sadie Boniface Jennifer Ferguson Eilish Gilvarry Nadine Hendrie Nicola Howe Helen Mossop Amy Ramsay Grant Stanley Dorothy Newbury-Birch Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT Public Health Research RANDOMISED CONTROLLED TRIAL ALCOHOL YOUNG PEOPLE SECONDARY SCHOOLS INTERVIEWS ALCOHOL SCREENING BRIEF INTERVENTIONS |
| title | Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT |
| title_full | Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT |
| title_fullStr | Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT |
| title_full_unstemmed | Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT |
| title_short | Brief alcohol intervention for risky drinking in young people aged 14–15 years in secondary schools: the SIPS JR-HIGH RCT |
| title_sort | brief alcohol intervention for risky drinking in young people aged 14 15 years in secondary schools the sips jr high rct |
| topic | RANDOMISED CONTROLLED TRIAL ALCOHOL YOUNG PEOPLE SECONDARY SCHOOLS INTERVIEWS ALCOHOL SCREENING BRIEF INTERVENTIONS |
| url | https://doi.org/10.3310/phr07090 |
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