Screening and brief alcohol intervention to prevent hazardous drinking in adolescents aged 14–15 years in a high-school setting (SIPS JR-HIGH)

a feasibility pilot trial

Stephanie O'Neil, Simon Coulton, Paolo Deluca, Mark Deverill, Colin Drummond, Eilish Gilvarry, Erin Graybill, Christine Harle, Denise Howel, Eileen Kaner, Paul McArdle, Elaine McColl, Ruth McGovern, Chris Speed, Elaine Stamp, Les Tate, Dorothy Newbury-Birch

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background

Early and heavy drinking by young adolescents is linked to intellectual impairment, increased risk of injury, mental health issues, unprotected or regretted sexual experience, violence, and sometimes accidental death. Our aim was to assess the feasibility of delivering brief alcohol intervention in a school setting with adolescents aged 14–15 years; and to examine the acceptability of study measures to staff, young people, and parents, including take-up and follow-up rates.
Methods

Seven schools across one geographical area in northeast England were recruited to this feasibility pilot trial. All schools within the study catchment area were judged eligible and approached to take part. Randomisation was done at the school level to reduce the chance of contamination. Allocation of schools to intervention was done by the study statistician, taking school size and socio-economic factors (proportion of free school meals) into account. Each school was randomly allocated to one of three groups: provision of an advice leaflet (control condition, two schools); a 30-min personalised session of structured advice delivered by the school learning mentor (level 1 condition, two schools); and a 60-min session with family members (level 2 condition, three schools). Trial participants were year 10 school pupils (aged 14–15 years) who screened positively for alcohol misuse with an alcohol screening questionnaire and who had consented to take part in the trial (n=181). Recruitment began on Jan 24, 2012, and finished on July 31, 2012. Statistical analyses were mainly descriptive, providing an estimate of eligibility, recruitment, intervention delivery, and retention rates in the study population. These key feasibility pilot trial parameters will inform the power calculation for a future definitive trial and confirm other aspects of trial design (particularly the acceptability of study processes and outcome measures to young people, their parents, teachers, and learning mentors).
Findings

This presentation focuses on the development of two manual-guided interventions for use with adolescents and parents, both of which encompass motivational interviewing principles and elements of the FRAMES approach to elicit behaviour change, which consists of the following elements: feedback, responsibility, advice, menu, empathy, and self-efficacy. Interventions were developed and piloted with young people and parents; training for learning mentors was divided into two half-day sessions. Each intervention used an A3-sized interactive document designed to promote a conversation about alcohol. The level 1 intervention was structured around a six-step method consisting of personalised feedback about drinking behaviour and advice about the health and social consequences of continued hazardous alcohol consumption. The level 2 intervention was structured around a four-step method designed to explore the young person's motivation to change their drinking behaviour and the family's motivation to facilitate and support change ( appendix ).
Interpretation

Although the use of brief interventions for adults is established in a health setting and there is evidence of their effectiveness in college and university students, very little work has been done in the UK to explore the early identification (screening) and brief intervention to reduce risky drinking in younger adolescents (aged 11–15 years), making a feasibility pilot study a necessary and important step of a definitive assessment. Results from this feasibility pilot trial will inform the development of a definitive randomised controlled trial to assess the effectiveness and cost-effectiveness of screening and brief alcohol intervention to reduce hazardous drinking in adolescents in a school setting.
Original languageEnglish
JournalThe Lancet
Volume380
Issue numberS30
DOIs
Publication statusPublished - 23 Nov 2012

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Alcohols
Mentors
Parents
Drinking Behavior
Learning
Underage Drinking
Motivation
Motivational Interviewing
Process Assessment (Health Care)
Sex Offenses
Health
Feasibility Studies
Self Efficacy
Pupil
Random Allocation
Alcohol Drinking
England
Drinking
Cost-Benefit Analysis
Meals

Cite this

O'Neil, Stephanie ; Coulton, Simon ; Deluca, Paolo ; Deverill, Mark ; Drummond, Colin ; Gilvarry, Eilish ; Graybill, Erin ; Harle, Christine ; Howel, Denise ; Kaner, Eileen ; McArdle, Paul ; McColl, Elaine ; McGovern, Ruth ; Speed, Chris ; Stamp, Elaine ; Tate, Les ; Newbury-Birch, Dorothy. / Screening and brief alcohol intervention to prevent hazardous drinking in adolescents aged 14–15 years in a high-school setting (SIPS JR-HIGH) : a feasibility pilot trial. In: The Lancet. 2012 ; Vol. 380, No. S30.
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abstract = "BackgroundEarly and heavy drinking by young adolescents is linked to intellectual impairment, increased risk of injury, mental health issues, unprotected or regretted sexual experience, violence, and sometimes accidental death. Our aim was to assess the feasibility of delivering brief alcohol intervention in a school setting with adolescents aged 14–15 years; and to examine the acceptability of study measures to staff, young people, and parents, including take-up and follow-up rates.MethodsSeven schools across one geographical area in northeast England were recruited to this feasibility pilot trial. All schools within the study catchment area were judged eligible and approached to take part. Randomisation was done at the school level to reduce the chance of contamination. Allocation of schools to intervention was done by the study statistician, taking school size and socio-economic factors (proportion of free school meals) into account. Each school was randomly allocated to one of three groups: provision of an advice leaflet (control condition, two schools); a 30-min personalised session of structured advice delivered by the school learning mentor (level 1 condition, two schools); and a 60-min session with family members (level 2 condition, three schools). Trial participants were year 10 school pupils (aged 14–15 years) who screened positively for alcohol misuse with an alcohol screening questionnaire and who had consented to take part in the trial (n=181). Recruitment began on Jan 24, 2012, and finished on July 31, 2012. Statistical analyses were mainly descriptive, providing an estimate of eligibility, recruitment, intervention delivery, and retention rates in the study population. These key feasibility pilot trial parameters will inform the power calculation for a future definitive trial and confirm other aspects of trial design (particularly the acceptability of study processes and outcome measures to young people, their parents, teachers, and learning mentors).FindingsThis presentation focuses on the development of two manual-guided interventions for use with adolescents and parents, both of which encompass motivational interviewing principles and elements of the FRAMES approach to elicit behaviour change, which consists of the following elements: feedback, responsibility, advice, menu, empathy, and self-efficacy. Interventions were developed and piloted with young people and parents; training for learning mentors was divided into two half-day sessions. Each intervention used an A3-sized interactive document designed to promote a conversation about alcohol. The level 1 intervention was structured around a six-step method consisting of personalised feedback about drinking behaviour and advice about the health and social consequences of continued hazardous alcohol consumption. The level 2 intervention was structured around a four-step method designed to explore the young person's motivation to change their drinking behaviour and the family's motivation to facilitate and support change ( appendix ).InterpretationAlthough the use of brief interventions for adults is established in a health setting and there is evidence of their effectiveness in college and university students, very little work has been done in the UK to explore the early identification (screening) and brief intervention to reduce risky drinking in younger adolescents (aged 11–15 years), making a feasibility pilot study a necessary and important step of a definitive assessment. Results from this feasibility pilot trial will inform the development of a definitive randomised controlled trial to assess the effectiveness and cost-effectiveness of screening and brief alcohol intervention to reduce hazardous drinking in adolescents in a school setting.",
author = "Stephanie O'Neil and Simon Coulton and Paolo Deluca and Mark Deverill and Colin Drummond and Eilish Gilvarry and Erin Graybill and Christine Harle and Denise Howel and Eileen Kaner and Paul McArdle and Elaine McColl and Ruth McGovern and Chris Speed and Elaine Stamp and Les Tate and Dorothy Newbury-Birch",
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O'Neil, S, Coulton, S, Deluca, P, Deverill, M, Drummond, C, Gilvarry, E, Graybill, E, Harle, C, Howel, D, Kaner, E, McArdle, P, McColl, E, McGovern, R, Speed, C, Stamp, E, Tate, L & Newbury-Birch, D 2012, 'Screening and brief alcohol intervention to prevent hazardous drinking in adolescents aged 14–15 years in a high-school setting (SIPS JR-HIGH): a feasibility pilot trial', The Lancet, vol. 380, no. S30. https://doi.org/10.1016/S0140-6736(13)60416-X

Screening and brief alcohol intervention to prevent hazardous drinking in adolescents aged 14–15 years in a high-school setting (SIPS JR-HIGH) : a feasibility pilot trial. / O'Neil, Stephanie; Coulton, Simon; Deluca, Paolo; Deverill, Mark; Drummond, Colin; Gilvarry, Eilish; Graybill, Erin; Harle, Christine; Howel, Denise; Kaner, Eileen; McArdle, Paul; McColl, Elaine; McGovern, Ruth; Speed, Chris; Stamp, Elaine; Tate, Les; Newbury-Birch, Dorothy.

In: The Lancet, Vol. 380, No. S30, 23.11.2012.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Screening and brief alcohol intervention to prevent hazardous drinking in adolescents aged 14–15 years in a high-school setting (SIPS JR-HIGH)

T2 - a feasibility pilot trial

AU - O'Neil, Stephanie

AU - Coulton, Simon

AU - Deluca, Paolo

AU - Deverill, Mark

AU - Drummond, Colin

AU - Gilvarry, Eilish

AU - Graybill, Erin

AU - Harle, Christine

AU - Howel, Denise

AU - Kaner, Eileen

AU - McArdle, Paul

AU - McColl, Elaine

AU - McGovern, Ruth

AU - Speed, Chris

AU - Stamp, Elaine

AU - Tate, Les

AU - Newbury-Birch, Dorothy

PY - 2012/11/23

Y1 - 2012/11/23

N2 - BackgroundEarly and heavy drinking by young adolescents is linked to intellectual impairment, increased risk of injury, mental health issues, unprotected or regretted sexual experience, violence, and sometimes accidental death. Our aim was to assess the feasibility of delivering brief alcohol intervention in a school setting with adolescents aged 14–15 years; and to examine the acceptability of study measures to staff, young people, and parents, including take-up and follow-up rates.MethodsSeven schools across one geographical area in northeast England were recruited to this feasibility pilot trial. All schools within the study catchment area were judged eligible and approached to take part. Randomisation was done at the school level to reduce the chance of contamination. Allocation of schools to intervention was done by the study statistician, taking school size and socio-economic factors (proportion of free school meals) into account. Each school was randomly allocated to one of three groups: provision of an advice leaflet (control condition, two schools); a 30-min personalised session of structured advice delivered by the school learning mentor (level 1 condition, two schools); and a 60-min session with family members (level 2 condition, three schools). Trial participants were year 10 school pupils (aged 14–15 years) who screened positively for alcohol misuse with an alcohol screening questionnaire and who had consented to take part in the trial (n=181). Recruitment began on Jan 24, 2012, and finished on July 31, 2012. Statistical analyses were mainly descriptive, providing an estimate of eligibility, recruitment, intervention delivery, and retention rates in the study population. These key feasibility pilot trial parameters will inform the power calculation for a future definitive trial and confirm other aspects of trial design (particularly the acceptability of study processes and outcome measures to young people, their parents, teachers, and learning mentors).FindingsThis presentation focuses on the development of two manual-guided interventions for use with adolescents and parents, both of which encompass motivational interviewing principles and elements of the FRAMES approach to elicit behaviour change, which consists of the following elements: feedback, responsibility, advice, menu, empathy, and self-efficacy. Interventions were developed and piloted with young people and parents; training for learning mentors was divided into two half-day sessions. Each intervention used an A3-sized interactive document designed to promote a conversation about alcohol. The level 1 intervention was structured around a six-step method consisting of personalised feedback about drinking behaviour and advice about the health and social consequences of continued hazardous alcohol consumption. The level 2 intervention was structured around a four-step method designed to explore the young person's motivation to change their drinking behaviour and the family's motivation to facilitate and support change ( appendix ).InterpretationAlthough the use of brief interventions for adults is established in a health setting and there is evidence of their effectiveness in college and university students, very little work has been done in the UK to explore the early identification (screening) and brief intervention to reduce risky drinking in younger adolescents (aged 11–15 years), making a feasibility pilot study a necessary and important step of a definitive assessment. Results from this feasibility pilot trial will inform the development of a definitive randomised controlled trial to assess the effectiveness and cost-effectiveness of screening and brief alcohol intervention to reduce hazardous drinking in adolescents in a school setting.

AB - BackgroundEarly and heavy drinking by young adolescents is linked to intellectual impairment, increased risk of injury, mental health issues, unprotected or regretted sexual experience, violence, and sometimes accidental death. Our aim was to assess the feasibility of delivering brief alcohol intervention in a school setting with adolescents aged 14–15 years; and to examine the acceptability of study measures to staff, young people, and parents, including take-up and follow-up rates.MethodsSeven schools across one geographical area in northeast England were recruited to this feasibility pilot trial. All schools within the study catchment area were judged eligible and approached to take part. Randomisation was done at the school level to reduce the chance of contamination. Allocation of schools to intervention was done by the study statistician, taking school size and socio-economic factors (proportion of free school meals) into account. Each school was randomly allocated to one of three groups: provision of an advice leaflet (control condition, two schools); a 30-min personalised session of structured advice delivered by the school learning mentor (level 1 condition, two schools); and a 60-min session with family members (level 2 condition, three schools). Trial participants were year 10 school pupils (aged 14–15 years) who screened positively for alcohol misuse with an alcohol screening questionnaire and who had consented to take part in the trial (n=181). Recruitment began on Jan 24, 2012, and finished on July 31, 2012. Statistical analyses were mainly descriptive, providing an estimate of eligibility, recruitment, intervention delivery, and retention rates in the study population. These key feasibility pilot trial parameters will inform the power calculation for a future definitive trial and confirm other aspects of trial design (particularly the acceptability of study processes and outcome measures to young people, their parents, teachers, and learning mentors).FindingsThis presentation focuses on the development of two manual-guided interventions for use with adolescents and parents, both of which encompass motivational interviewing principles and elements of the FRAMES approach to elicit behaviour change, which consists of the following elements: feedback, responsibility, advice, menu, empathy, and self-efficacy. Interventions were developed and piloted with young people and parents; training for learning mentors was divided into two half-day sessions. Each intervention used an A3-sized interactive document designed to promote a conversation about alcohol. The level 1 intervention was structured around a six-step method consisting of personalised feedback about drinking behaviour and advice about the health and social consequences of continued hazardous alcohol consumption. The level 2 intervention was structured around a four-step method designed to explore the young person's motivation to change their drinking behaviour and the family's motivation to facilitate and support change ( appendix ).InterpretationAlthough the use of brief interventions for adults is established in a health setting and there is evidence of their effectiveness in college and university students, very little work has been done in the UK to explore the early identification (screening) and brief intervention to reduce risky drinking in younger adolescents (aged 11–15 years), making a feasibility pilot study a necessary and important step of a definitive assessment. Results from this feasibility pilot trial will inform the development of a definitive randomised controlled trial to assess the effectiveness and cost-effectiveness of screening and brief alcohol intervention to reduce hazardous drinking in adolescents in a school setting.

U2 - 10.1016/S0140-6736(13)60416-X

DO - 10.1016/S0140-6736(13)60416-X

M3 - Article

VL - 380

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - S30

ER -