Spreading alcohol brief interventions from health care to non-health care settings: Is it justified?

Heather, Nick

doi:10.1080/09687637.2016.1187113

Cited by 7 publications

(7 citation statements)

References 36 publications

(19 reference statements)

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“…1,8 Since the best evidence for efficacy is from self-reported reductions in alcohol use in clinical trials in which patients are advised to drink less, the evidence base is uncertain. Nevertheless, the USPSTF recommendation is reasonable, based on the “extended precautionary principle.” 9 Brief interventions are unlikely to cause harm (unless done poorly or if confidentiality is breached), and consequences of unhealthy alcohol use range from injuries and suicide, to cancers and many chronic illnesses. 10 Even small behavior changes could improve population-level health outcomes.…”

mentioning

confidence: 99%

Screening for Unhealthy Alcohol Use

Bazzi

Saitz

2018

JAMA

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confidence: 99%

Screening for Unhealthy Alcohol Use

Bazzi

Saitz

2018

JAMA

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“…Furthermore, there are weaknesses within the current evidence base, with interventions not having theoretical underpinnings. 11 18 This risks an intervention being used with a weak theoretical base, poorly specified ‘active’ ingredients and less likely to deliver the desired outcomes.…”

Section: Introductionmentioning

confidence: 99%

A two-arm parallel-group individually randomised prison pilot study of a male remand alcohol intervention for self-efficacy enhancement: the APPRAISE study protocol

et al. 2021

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IntroductionThe prevalence of at-risk drinking is far higher among those in contact with the criminal justice system (73%) than the general population (35%). However, there is little evidence on the effectiveness of alcohol brief interventions (ABIs) in reducing risky drinking among those in the criminal justice system, including the prison system and, in particular, those on remand. Building on earlier work, A two-arm parallel group individually randomised Prison Pilot study of a male Remand Alcohol Intervention for Self-efficacy Enhancement (APPRAISE) is a pilot study designed to assess the feasibility and acceptability of an ABI, delivered to male prisoners on remand. The findings of APPRAISE should provide the information required to design a future definitive randomised controlled trial (RCT).Methods and analysisAPPRAISE will use mixed methods, with two linked phases, across two prisons in the UK, recruiting 180 adult men on remand: 90 from Scotland and 90 from England. Phase I will involve a two-arm, parallel-group, individually randomised pilot study. The pilot evaluation will provide data on the likely impact of A two-arm parallel group individually randomised Prison Pilot study of a male Remand Alcohol Intervention for Self-efficacy Enhancement (APPRAISE), which will be used to inform a future definitive multicentre RCT. Phase II will be a process evaluation assessing how the ABI has been implemented to explore the change mechanisms underpinning the ABI (figure 1) and to assess the context within which the ABI is delivered.Ethics and disseminationThe APPRAISE protocol has been approved by the East of Scotland Research Ethics Committee (19/ES/0068), National Offender Management System (2019-240), Health Board Research and Development (2019/0268), Scottish Prison Service research and ethics committee, and by the University of Edinburgh’s internal ethics department. The findings will be disseminated via peer-reviewed journal publications, presentations at local, national and international conferences, infographics and shared with relevant stakeholders through meetings and events.Trial registration numberISRCTN27417180.

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“…Related interventions such as Identification and Brief Advice (IBA) have also been advocated in England and Wales as a costeffective intervention to address alcohol-related harm (Kaner et al, 2013;NICE, 2006). Whilst evidence on this latter tool comes mainly from primary health care settings, subsequent studies have examined the possibilities and challenges in achieving successful delivery or mainstreaming IBA in more diverse contexts (Herring, Thom, Bayley, & Tchilingirian, 2016;Heather, 2016;Nilsen, 2010;Thom, Herring, Luger, & Annand, 2014). Given social workers' proximity to alcoholrelated issues, Schmidt et al (2015) suggest that brief interventions (BI) might be a useful framework within which to coordinate interventions.…”

Section: Tools For Intervention and Preventative Practisementioning

confidence: 99%

“…Schmidt et al's (2015) systematic review of the effectiveness of BI for alcohol use in non-medical settings defined these as a secondary preventative activity comprising a range of interventions that differ in length, intensity and delivery frequency. Ranging from short personalised feedback, discussion on associated health risks through to psychological counselling and motivational interviewing, BI constitutes a broad church encompassing a plethora of intervention styles and an umbrella term which may cover a range of assessments resulting in giving brief advice, counselling or health education (Heather, 2016). Intervention is aimed at moderating an individual's alcohol consumption to acceptable levels and at eliminating harmful drinking practises (WHO, 2009).…”

Section: Iba: Definitions and Terminologymentioning

confidence: 99%

Delivering information and brief advice on alcohol (IBA) in social work and social care settings: an exploratory study

Hafford‐Letchfield

Thom

Herring

et al. 2017

Drugs: Education, Prevention and Policy

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Social workers and practitioners working in social care are potentially key players in the prevention of alcohol-related harm and harm reduction for people using services and their carers. This requires attention to workforce development alongside the selection of appropriate tools to support prevention strategies. We report findings from a UK exploratory study into the potential of using Identification and Brief Advice (IBA) as a tool for screening and prevention in social work and social care settings. Thirty-six social workers and social care practitioners attended one of two training workshops on IBA in the South East of England. Pre and postworkshop surveys (n ¼ 35 and n ¼ 20, respectively) and four post-workshop focus groups (n ¼ 36) were conducted with participants to explore the application of IBA taking into account the paradigmatic shift towards prevention and holistic approaches indicated in recent UK legislation and policy. Four themes emerged from the findings: (1) perceptions of the social work/social care role in responding to alcohol problems, (2) ethical concerns, (3) time conflicts and problems of delivering IBA and (4) the role of training. Further studies are needed to evaluate the effectiveness of motivational techniques and tools that social workers can use to promote preventative practise for alcohol-related harm. Different strategies are required to engage and support those working in social care to increase proactive engagement with problematic alcohol use in everyday practise settings.

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Spreading alcohol brief interventions from health care to non-health care settings: Is it justified?

Cited by 7 publications

References 36 publications

Screening for Unhealthy Alcohol Use

Screening for Unhealthy Alcohol Use

A two-arm parallel-group individually randomised prison pilot study of a male remand alcohol intervention for self-efficacy enhancement: the APPRAISE study protocol

Delivering information and brief advice on alcohol (IBA) in social work and social care settings: an exploratory study

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