Evidence map›Paper›PMID 29889245›Full record

Trial reportAlcohol and alcoholism (Oxford, Oxfordshire)2018

Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT).

Michelle Addison, Ruth Mcgovern, Colin Angus, Frauke Becker, Alan Brennan, Heather Brown, Simon Coulton, Lisa Crowe, Eilish Gilvarry, Matthew Hickman and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcohol and alcoholism (Oxford, Oxfordshire), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Michelle AddisonInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Ruth McgovernInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Colin AngusSchool of Health and Related Research, Health Economics and Decision Science, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield, UK.
Frauke BeckerNuffield Department of Population Health, University of Oxford, UK.
Alan BrennanSchool of Health and Related Research, Health Economics and Decision Science, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield, UK.
Heather BrownInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Simon CoultonCentre for Health Services Studies, University of Kent, Canterbury, Kent, UK.
Lisa CroweInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Eilish GilvarryInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Matthew HickmanSchool of Social and Community Medicine, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, UK.
Denise HowelInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Elaine MccollInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Colin MuirheadInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
Dorothy Newbury-BirchSchool of Health and Social Care, Teesside University, Middlesbrough, UK.
Muhammad WaqasEconomics Division, Leeds University Business School, Leeds, UK.
Eileen KanerInstitute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.

Funding

Medical Research Council MR/K023195/1Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

aimsThere is a clear association between alcohol use and offending behaviour and significant police time is spent on alcohol-related incidents. This study aimed to test the feasibility of a trial of screening and brief intervention in police custody suites to reduce heavy drinking and re-offending behaviour. SHORT SUMMARY: We achieved target recruitment and high brief intervention delivery if this occurred immediately after screening. Low rates of return for counselling and retention at follow-up were challenges for a definitive trial. Conversely, high consent rates for access to police data suggested at least some outcomes could be measured remotely.

methodsA three-armed pilot Cluster Randomised Controlled Trial with an embedded qualitative interview-based process evaluation to explore acceptability issues in six police custody suites (north east and south west of the UK). Interventions included: 1. Screening only (Controls), 2. 10 min Brief Advice 3. Brief Advice plus 20 min of brief Counselling.

resultsOf 3330 arrestees approached: 2228 were eligible for screening (67%) and 720 consented (32%); 386 (54%) scored 8+ on AUDIT; and 205 (53%) were enroled (79 controls, 65 brief advice and 61 brief counselling). Follow-up rates at 6 and 12 months were 29% and 26%, respectively. However, routinely collected re-offending data were obtained for 193 (94%) participants. Indices of deprivation data were calculated for 184 (90%) participants; 37.6% of these resided in the 20% most deprived areas of UK. Qualitative data showed that all arrestees reported awareness that participation was voluntary, that the trial was separate from police work, and the majority said trial procedures were acceptable.

conclusionDespite hitting target recruitment and same-day brief intervention delivery, a future trial of alcohol screening and brief intervention in a police custody setting would only be feasible if routinely collected re-offending and health data were used for outcome measurement.

trial registrationISRCTN number: 89291046.

Indexed as

AdultAlcohol DrinkingAlcoholismCounselingCriminal BehaviorEarly Medical InterventionFemaleFollow-Up StudiesHumansLaw EnforcementMaleMass ScreeningPilot ProjectsPoliceYoung Adult

Identifiers

PMID29889245
PMCPMC6104624

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.