高中环境下针对14至15岁青少年预防危险饮酒的筛查与简短酒精干预多中心个体随机对照试验（SIPS JR-HIGH）：研究方案

Multicentre individual randomised controlled trial of screening and brief alcohol intervention to prevent risky drinking in young people aged 14-15 in a high school setting (SIPS JR-HIGH): study protocol.

作者信息

Giles Emma L, Coulton Simon, Deluca Paolo, Drummond Colin, Howel Denise, Kaner Eileen, McColl Elaine, McGovern Ruth, Scott Stephanie, Stamp Elaine, Sumnall Harry, Tate Les, Todd Liz, Vale Luke, Albani Viviana, Boniface Sadie, Ferguson Jennifer, Frankham Jo, Gilvarry Eilish, Hendrie Nadine, Howe Nicola, McGeechan Grant J, Stanley Grant, Newbury-Birch Dorothy

机构信息

Health and Social Care Institute, Alcohol and Public Health Team, Teesside University, Middlesbrough, UK.

Centre for Health Services Research, George Allen Wing, University of Kent, Canterbury, UK.

出版信息

BMJ Open. 2016 Dec 23;6(12):e012474. doi: 10.1136/bmjopen-2016-012474.

DOI:10.1136/bmjopen-2016-012474

PMID:28011807

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5223663/

Abstract

INTRODUCTION

Drinking has adverse impacts on health, well-being, education and social outcomes for adolescents. Adolescents in England are among the heaviest drinkers in Europe. Recently, the proportion of adolescents who drink alcohol has fallen, although consumption among those who do drink has actually increased. This trial seeks to investigate how effective and efficient an alcohol brief intervention is with 11-15 years olds to encourage lower alcohol consumption.

METHODS AND ANALYSIS

This is an individually randomised two-armed trial incorporating a control arm of usual school-based practice and a leaflet on a healthy lifestyle (excl. alcohol), and an intervention arm that combines usual practice with a 30 min brief intervention delivered by school learning mentors and a leaflet on alcohol. At least 30 schools will be recruited from four regions in England (North East, North West, London, Kent and Medway) to follow-up 235 per arm. The primary outcome is total alcohol consumed in the last 28 days, using the 28 day Timeline Follow Back questionnaire measured at the 12-month follow-up. The analysis of the intervention will consider effectiveness and cost-effectiveness. A qualitative study will explore, via 1:1 in-depth interviews with (n=80) parents, young people and school staff, intervention experience, intervention fidelity and acceptability issues, using thematic narrative synthesis to report qualitative data.

ETHICS AND DISSEMINATION

Ethical approval was granted by Teesside University. Dissemination plans include academic publications, conference presentations, disseminating to local and national education departments and the wider public health community, including via Fuse, and engaging with school staff and young people to comment on whether and how the project can be improved.

TRIAL REGISTRATION TRIAL

ISRCTN45691494; Pre-results.

摘要

引言

饮酒对青少年的健康、幸福、教育和社会成果会产生不利影响。英国的青少年是欧洲饮酒量最大的群体之一。最近，饮酒青少年的比例有所下降，尽管实际饮酒者的饮酒量有所增加。本试验旨在研究针对11至15岁青少年的简短酒精干预措施在鼓励减少酒精消费方面的有效性和效率。

方法与分析

这是一项个体随机双臂试验，包括一个采用常规校内做法并发放一份关于健康生活方式（不包括酒精）传单的对照组，以及一个将常规做法与由学校学习辅导员提供的30分钟简短干预措施和一份关于酒精的传单相结合的干预组。将从英格兰的四个地区（东北、西北、伦敦、肯特和梅德韦）招募至少30所学校，每组随访235人。主要结局是使用在12个月随访时测量的28天时间线追溯问卷得出的过去28天内的酒精总摄入量。对干预措施的分析将考虑有效性和成本效益。一项定性研究将通过对80名家长、青少年和学校工作人员进行一对一深度访谈，探讨干预经历、干预保真度和可接受性问题，采用主题叙事综合法报告定性数据。