警察拘留室中的酒精筛查与简短干预：试点整群随机对照试验（AcCePT）
Alcohol Screening and Brief Intervention in Police Custody Suites: Pilot Cluster Randomised Controlled Trial (AcCePT).
作者信息
Addison Michelle, Mcgovern Ruth, Angus Colin, Becker Frauke, Brennan Alan, Brown Heather, Coulton Simon, Crowe Lisa, Gilvarry Eilish, Hickman Matthew, Howel Denise, Mccoll Elaine, Muirhead Colin, Newbury-Birch Dorothy, Waqas Muhammad, Kaner Eileen
机构信息
Institute of Health & Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne, UK.
School of Health and Related Research, Health Economics and Decision Science, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield, UK.
出版信息
Alcohol Alcohol. 2018 Sep 1;53(5):548-559. doi: 10.1093/alcalc/agy039.
AIMS
There 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.
METHODS
A 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.
RESULTS
Of 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.
CONCLUSION
Despite 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 REGISTRATION
ISRCTN number: 89291046.
目的
饮酒与犯罪行为之间存在明显关联，警方在处理与酒精相关的事件上花费了大量时间。本研究旨在测试在警察拘留所进行筛查和简短干预试验以减少酗酒和再次犯罪行为的可行性。
简短总结
如果在筛查后立即进行简短干预，我们实现了目标招募人数且干预实施率很高。咨询回访率低以及随访时的留存率低是确定性试验面临的挑战。相反，获取警方数据的高同意率表明至少某些结果可以远程测量。
方法
一项三臂试点整群随机对照试验，并嵌入基于定性访谈的过程评估，以探讨英国东北部和西南部六个警察拘留所的可接受性问题。干预措施包括：1. 仅筛查（对照组），2. 10分钟简短建议，3. 简短建议加20分钟简短咨询。
结果
在3330名被接触的被捕者中，2228人符合筛查条件（67%），720人同意（32%）；386人（54%）在酒精使用障碍识别测试（AUDIT）中得分8分及以上；205人（53%）被纳入试验（79人对照组，65人简短建议组，61人简短咨询组）。6个月和12个月时的随访率分别为29%和26%。然而，为193名（94%）参与者获取了常规收集的再次犯罪数据。为184名（90%）参与者计算了贫困指数数据；其中37.6%居住在英国最贫困的20%地区。定性数据显示，所有被捕者都表示意识到参与是自愿的，试验与警方工作分开，且大多数人表示试验程序是可接受的。
结论
尽管达到了目标招募人数并在当天实施了简短干预，但未来在警察拘留所进行酒精筛查和简短干预试验，只有在将常规收集的再次犯罪和健康数据用于结果测量时才可行。
试验注册号
ISRCTN编号：89291046。
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