Department of Social Sciences, University of Hull, Hull, UK.
Addiction. 2011 Apr;106(4):706-13. doi: 10.1111/j.1360-0443.2010.03297.x. Epub 2011 Feb 14.
To systematically review rigorous evaluation studies into the effectiveness of interventions in and around licensed premises that aimed to reduce severe intoxication and disorder.
A systematic search was conducted. Papers that rigorously evaluated interventions based in and around licensed premises to reduce disorder or intoxication were included.
Fifteen studies were identified, three randomized controlled trials and 12 non-randomized quasi-experimental evaluations. Outcome measures were intoxication (n = 6), disorder (n = 6) and intoxication and disorder (n = 3). Interventions included responsible beverage service training (n = 5), server violence prevention training (n = 1), enhanced enforcement of licensing regulations (n = 1), multi-level interventions (n = 5), licensee accords (n = 2) and a risk-focused consultation (n = 1). Intervention effects varied, even across studies using similar interventions.
Server training courses that are designed to reduce disorder have some potential, although there is a lack of evidence to support their use to reduce intoxication and the evidence base is weak.
系统回顾在持牌场所内外实施的旨在减少严重醉酒和混乱的干预措施的有效性的严格评估研究。
进行了系统搜索。纳入了基于持牌场所内外的干预措施，以减少混乱或醉酒的严格评估研究。
确定了 15 项研究，其中 3 项为随机对照试验，12 项为非随机准实验评估。结局指标为醉酒（n=6）、混乱（n=6）和醉酒和混乱（n=3）。干预措施包括负责任的饮料服务培训（n=5）、服务员暴力预防培训（n=1）、加强执照法规的执行（n=1）、多层次干预（n=5）、持牌人协议（n=2）和风险为重点的咨询（n=1）。干预效果各不相同，即使在使用类似干预措施的研究中也是如此。
旨在减少混乱的服务员培训课程有一定的潜力，尽管缺乏支持其用于减少醉酒的证据，而且证据基础薄弱。
