Health Intelligence Unit, Health and Wellbeing Directorate, Health Services Executive, Stewarts Hospital, Dublin, Ireland.
School of Medicine and Public Health, The University of Newcastle, Newcastle, Australia.
Drug Alcohol Rev. 2018 Jan;37(1):14-22. doi: 10.1111/dar.12585. Epub 2017 Aug 7.
Alcohol misuse and harm are more prevalent amongst sports people than non-sports people. Few studies have trialled interventions to address alcohol misuse for this group. The study aimed to test the effectiveness of an intervention to reduce alcohol misuse and related harms amongst amateur sports people in Ireland.
A controlled trial was conducted in two counties in Ireland. A random selection of sports clubs in one county received a 4 month multi-faceted intervention. All sports clubs in a non-adjacent county acted as control sites. Consumption of more than 21 units of alcohol per week and six or more standard drinks on a single occasion at least once per week was the primary study outcome. Alcohol Use Disorders Identification Test scores and number of alcohol-related harms were also reported. Outcomes were assessed for cross-sectional samples of players at pre-intervention and post-intervention and paired samples of players who completed surveys at both times. Generalised linear mixed model analysis was used.
There was no evidence of effect for the primary outcomes or Alcohol Use Disorders Identification Test scores. There was a statistically significant difference in the median number of alcohol-related harms reported by intervention group players compared with control group players at post-intervention for the paired samples [intervention: 0; control: 3; incident rate ratio 0.56 (0.37, 0.84); P = 0.005].
Intervention in community sports clubs may be effective in reducing the number of alcohol-related harms. Low levels of intervention participation and inadequate intervention dose are possible reasons for lack of a broader intervention effect. [O'Farrell A, Kingsland M, Kenny S, Eldin N, Wiggers J, Wolfenden L, Allwright S. A multi-faceted intervention to reduce alcohol misuse and harm amongst sports people in Ireland: A controlled trial. Drug Alcohol Rev 2018;37:14-22].
酗酒和酒精相关伤害在运动员中比非运动员更为普遍。很少有研究尝试过针对这一群体的酗酒干预措施。本研究旨在测试针对爱尔兰业余运动员减少酗酒和相关伤害的干预措施的有效性。
在爱尔兰的两个县进行了一项对照试验。在一个县，随机选择了一些体育俱乐部接受为期 4 个月的多方面干预。另一个不相邻的县的所有体育俱乐部作为对照点。每周饮酒超过 21 单位和每周至少一次单次饮酒 6 个或更多标准饮料是主要研究结果。还报告了酒精使用障碍识别测试分数和酒精相关伤害的数量。在干预前和干预后对运动员进行了横断面样本评估，并对两次完成调查的运动员进行了配对样本评估。使用广义线性混合模型分析。
主要结果或酒精使用障碍识别测试分数均无证据表明有效果。在配对样本中，干预组运动员与对照组运动员相比，在干预后报告的酒精相关伤害中位数有统计学显著差异[干预组：0；对照组：3；发病率比 0.56（0.37，0.84）；P=0.005]。
在社区体育俱乐部进行干预可能有助于减少酒精相关伤害。干预参与度低和干预剂量不足可能是干预效果不广泛的原因。
