Promoting Alcohol Reduction in Non-Treatment Seeking parents (PAReNTS): a pilot feasibility cluster randomized controlled trial of brief alcohol interventions with parents in contact with child safeguarding services.

IF 2.1 4区 医学 Q3 SUBSTANCE ABUSE Alcohol and alcoholism Pub Date : 2024-01-11 DOI:10.1093/alcalc/agad076
Ruth McGovern, Deborah Smart, Hayley Alderson, Tony Fouweather, Eileen Kaner
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Abstract

Many parents who come into contact with early help and children's social care services are risky drinkers. This study aimed to investigate the feasibility and acceptability of conducting a trial of brief alcohol interventions within this setting. We conducted a three-arm pilot feasibility cluster randomised controlled trial in the North-East of England. The additive interventions were: i) screening and a healthy lifestyle leaflet (control); ii) brief advice; iii) extended brief intervention. The trial was later reduced to two-arm due to the extended brief intervention being infeasible. Of the 1769 parents that were approached, 429 consented to be screened (24%), the majority were eligible to participate (n = 415; 97%), 147 of which (35%) scored ≥5 on the AUDIT-C screening tool. There were 108 parents (74%) who consented to participate in the trial (n = 50 control; n = 58 brief advice). Follow-up rates at 6 and 12-months were 61% and 43%. The TLFB30 was found to be a suitable tool to measure the primary outcome of heavy episodic drinking. Qualitative data showed that parents and practitioners largely found trial procedures to be acceptable, however, care should be taken when discussing alcohol risk with parents in this setting. Most of the a-priori success criteria were met in this pilot feasibility trial. The findings suggest that it may be feasible to conduct a two-arm randomised controlled trial of brief alcohol interventions to parents in contact with early help and social care. The TLFB30 was found to be a suitable tool to measure the primary outcome of heavy episodic drinking.

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促进未寻求治疗的父母(父母)减少酒精:与儿童保护服务接触的父母进行短暂酒精干预的试点可行性集群随机对照试验。
许多接触过早期帮助和儿童社会照顾服务的父母都是危险的饮酒者。本研究旨在探讨在这种情况下进行短暂酒精干预试验的可行性和可接受性。我们在英格兰东北部进行了一项三臂试验可行性随机对照试验。附加干预措施是:i)筛查和健康生活方式传单(对照);Ii)简短的建议;Iii)延长的短暂干预。由于延长的短期干预不可行,该试验后来减少到两组。在接触的1769名家长中,429名家长同意接受筛查(24%),大多数家长有资格参加(n = 415;97%),其中147例(35%)在AUDIT-C筛选工具上得分≥5分。有108名家长(74%)同意参加试验(n = 50对照;N = 58简短建议)。6个月和12个月的随访率分别为61%和43%。研究发现,TLFB30是衡量重度间歇性饮酒的主要结果的合适工具。定性数据显示,大部分家长和从业人员认为试验程序是可以接受的,然而,在这种情况下与家长讨论酒精风险时应谨慎。大多数先验的成功标准在这个试点可行性试验中得到满足。研究结果表明,对接触早期帮助和社会关怀的父母进行短暂酒精干预的两组随机对照试验可能是可行的。研究发现,TLFB30是衡量重度间歇性饮酒的主要结果的合适工具。
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来源期刊
Alcohol and alcoholism
Alcohol and alcoholism 医学-药物滥用
CiteScore
4.70
自引率
3.60%
发文量
62
审稿时长
4-8 weeks
期刊介绍: About the Journal Alcohol and Alcoholism publishes papers on the biomedical, psychological, and sociological aspects of alcoholism and alcohol research, provided that they make a new and significant contribution to knowledge in the field. Papers include new results obtained experimentally, descriptions of new experimental (including clinical) methods of importance to the field of alcohol research and treatment, or new interpretations of existing results. Theoretical contributions are considered equally with papers dealing with experimental work provided that such theoretical contributions are not of a largely speculative or philosophical nature.
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