Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, NE2 4AX, UK.
Alcohol Alcohol. 2022 Sep 10;57(5):615-621. doi: 10.1093/alcalc/agac018.
Many parents in contact with children's social care services misuse alcohol however do not meet the threshold for specialist alcohol treatment, and typically do not receive appropriate support for their needs. Brief alcohol interventions have been found to be effective in healthcare settings, however, it is unknown whether the brief intervention structure delivered within health settings would transfer well into children's social care. This paper aims to examine the characteristics of brief intervention for alcohol misusing parents which social care practitioners consider to be important and acceptable to implement in this sector.
We assessed preferences for, and acceptability of, brief alcohol intervention with parents in contact with children's social care using a discrete choice experiment. We recruited 205 children's social care practitioners from London and the North East of England. Data were analysed using mixed logit which accounted for repeated responses.
Six attributes showed statistically significant coefficients, suggesting that a brief intervention with these attributes would encourage implementation. These were: level of alcohol-related risk targeted; intervention recipient; timing of intervention; duration of sessions; number of sessions and intervention structure. The attribute of most importance identified based on the attribute with the largest coefficient in the conditional logit model was risk level.
Brief alcohol interventions delivered to parents in social care should focus on the impact upon children and the wider family, they should be a flexible part of on-going casework and should be more intensive and less structured.
许多与儿童社会关怀服务接触的父母酗酒，但未达到专业酒精治疗的标准，并且通常未得到满足其需求的适当支持。在医疗保健环境中已发现简短的酒精干预措施是有效的，但是否可以将在卫生机构中提供的简短干预结构很好地转移到儿童社会关怀中尚不清楚。本文旨在研究儿童社会关怀工作者认为对酗酒父母实施的简短干预措施的特征，这些措施在该领域是重要且可以接受的。
我们使用离散选择实验评估了儿童社会关怀工作者对与父母接触的酗酒者进行简短干预的偏好和可接受性。我们从伦敦和英格兰东北部招募了 205 名儿童社会关怀工作者。使用混合对数模型对数据进行了分析，该模型考虑了重复响应。
六个属性显示出具有统计学意义的系数，这表明具有这些属性的简短干预措施将鼓励实施。这些属性是：针对的酒精相关风险水平；干预对象；干预时间；疗程；疗程数和干预结构。基于条件对数模型中系数最大的属性，确定了最重要的属性是风险水平。
应将针对社会关怀中父母的简短酒精干预措施重点放在对儿童和整个家庭的影响上，它们应成为正在进行的案例工作的灵活组成部分，并且应更加密集和结构化。
