Institute of Health and Society, Newcastle University, Newcastle Upton Tyne, UK.
School of Psychology, University of Birmingham, Birmingham, UK.
BMC Med Res Methodol. 2019 Feb 21;19(1):38. doi: 10.1186/s12874-019-0674-3.
Looked 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.
We 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.
Overall 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.
This 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.
ISRCTN80786829 (first registered 06.06.2016- prospectively registered).
与非照顾者相比，受照顾儿童和照顾离开者（care leavers）使用毒品和酒精的风险增加。尽管这一人群的患病率很高，但据报道，受照顾儿童对服务的参与程度较低，导致药物和酒精使用方面的未满足需求。本文报告了一项试点可行性随机对照试验的初始形成阶段；SOLID（Supporting Looked After Children and Care Leavers In Decreasing Drugs, and Alcohol）旨在改编两种基于证据的心理社会干预措施，即动机增强疗法和社会行为与网络疗法，这些措施旨在减少受照顾儿童的药物滥用。
我们在英格兰东北部的四个地方当局进行了 19 名 12 至 20 岁的受照顾儿童、16 名照顾者和 14 名专业人员的定性半结构式访谈和焦点小组。收集的数据进行了分析，然后在包括 13 名年轻人和 14 名专业人员（毒品和酒精从业者和社会工作者）在内的合作生产研讨会上进行了介绍。调查结果用于在试验前调整和改进干预措施。
总体调查结果表明，虽然这两种干预措施的原始组成部分都具有可行性和可接受性，但突出了一些特定的过程领域，包括：更加强调治疗关系，使用创造性的非传统参与方法的好处，以及确定治疗目标比仅仅关注药物滥用更为广泛。
本文提供了一个例子，说明了如何收集多方观点来改进和共同制定干预措施，以减少受照顾儿童中药物和酒精的使用。
ISRCTN80786829（首次注册于 2016 年 6 月 6 日-前瞻性注册）。
