Evidence map›Paper›PMID 30791874›Full record

Trial reportBMC medical research methodology2019

The key therapeutic factors needed to deliver behavioural change interventions to decrease risky substance use (drug and alcohol) for looked after children and care leavers: a qualitative exploration with young people, carers and front line workers.

Hayley Alderson, Rebecca Brown, Alex Copello, Eileen Kaner, Gillian Tober, Raghu Lingam, Ruth McGovern

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC medical research methodology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

7 authors.

Hayley AldersonInstitute of Health and Society, Newcastle University, Newcastle Upton Tyne, UK. Hayley.alderson@newcastle.ac.uk.ORCID 0000-0002-4674-561X
Rebecca BrownInstitute of Health and Society, Newcastle University, Newcastle Upton Tyne, UK.
Alex CopelloSchool of Psychology, University of Birmingham, Birmingham, UK.
Eileen KanerInstitute of Health and Society, Newcastle University, Newcastle Upton Tyne, UK.
Gillian ToberLeeds Addiction Unit, 19 Springfield Mount, Leeds, UK.
Raghu LingamFaculty of Medicine, University of New South Wales, Sydney, Australia.
Ruth McGovernInstitute of Health and Society, Newcastle University, Newcastle Upton Tyne, UK.

Funding

Department of Health 14/183/08Department of Health PHR/14/183/08Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundLooked after children and care leavers have an increased risk of drug and alcohol use compared to their non-LAC peers. Despite high prevalence rates within this population, looked after children are reported to show low levels of engagement in services resulting in unmet needs emerging from substance use. This paper reports on the initial formative phase of a pilot feasibility randomised controlled trial; SOLID (Supporting Looked After Children and Care Leavers In Decreasing Drugs, and Alcohol) that aimed to adapt two evidence-based psychosocial interventions, Motivational Enhancement Therapy and Social Behaviour and Network Therapy, which will aim to reduce substance misuse by looked after children.

methodsWe conducted qualitative semi-structured interviews and focus groups with 19 looked after children aged 12 to 20 years old, 16 carers and 14 professionals across four local authorities in the North East of England. The data gathered were analysed and then presented within co-production workshops inclusive of 13 young people and 14 professionals (drug and alcohol practitioners and social workers). Findings were used to adapt and refine the interventions prior to the trial.

resultsOverall findings suggested that whilst original components of both interventions were feasible to deliver and acceptable, specific process areas were highlighted including: increased emphasis upon therapeutic relationships, the benefits of using creative non-traditional methods of engagement and identification of treatment goals wider than those narrowly focused on substance misuse.

conclusionThis paper provides an example of methods used to collect multiple perspectives to refine and co-develop interventions to reduce drug and alcohol use in the specific population of looked after children.

trial registrationISRCTN80786829 (first registered 06.06.2016- prospectively registered).

Indexed as

AdolescentAdultAlcoholismBehavior TherapyCaregiversChildEnglandFeasibility StudiesFemaleHumansMaleOutcome Assessment, Health CarePilot ProjectsSubstance-Related DisordersYoung AdultDrugs and alcoholInterventionLooked after childrenSocial work

Identifiers

PMID30791874
PMCPMC6385417

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.