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@article{Deluca:2020:10.3310/pgfar08020,
author = {Deluca, P and Coulton, S and Alam, MF and Boniface, S and Donoghue, K and Gilvarry, E and Kaner, E and Lynch, E and Maconochie, I and McArdle, P and McGovern, R and Newbury-Birch, D and Patton, R and Pellatt-Higgins, T and Phillips, C and Phillips, T and Pockett, R and Russell, IT and Strang, J and Drummond, C},
doi = {10.3310/pgfar08020},
journal = {Programme Grants for Applied Research},
pages = {vii--68},
title = {Screening and brief interventions for adolescent alcohol use disorders presenting through emergency departments: A research programme including two RCTs},
url = {http://dx.doi.org/10.3310/pgfar08020},
volume = {8},
year = {2020}
}

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TY  - JOUR
AB  - Background: Alcohol consumption and related harm increase steeply from the ages of 12–20 years. Adolescents in the UK are among the heaviest drinkers in Europe. Excessive drinking in adolescents is associated with increased risk of accidents, injuries, self-harm, unprotected or regretted sex, violence and disorder, poisoning and accidental death. However, there is lack of clear evidence for the most clinically effective and cost-effective screening and brief interventions for reducing or preventing alcohol consumption in adolescents attending emergency departments (EDs). Objectives: To estimate the distribution of alcohol consumption, alcohol-related problems and alcohol use disorders in adolescents attending EDs; to develop age-appropriate alcohol screening and brief intervention tools; and to evaluate the clinical effectiveness and cost-effectiveness of these interventions. Design: The research has been conducted in three linked stages: (1) a prevalence study, (2) intervention development and (3) two linked randomised controlled trials (RCTs). Setting: Twelve EDs in England (London, North East, and Yorkshire and The Humber). Participants: A total of 5376 participants in the prevalence study [mean age 13.0 years, standard deviation (SD) 2.0 years; 46.2% female] and 1640 participants in the two linked RCTs (mean age 15.6 years, SD 1.0 years; 50.7% female). Interventions: Personalised feedback and brief advice (PFBA) and personalised feedback plus electronic brief intervention (eBI), compared with alcohol screening alone. These age-appropriate alcohol interventions were developed in collaboration with the target audience through a series of focus groups and evaluations during stage 2 of the research programme and following two literature reviews. Main outcome measures: Total alcohol consumed in standard UK units (1 unit = 8 g of ethanol) over the previous 3 months at 12-month follow-up, assessed using the Alcohol Use Disorders Identification Test, Consumption (
AU  - Deluca,P
AU  - Coulton,S
AU  - Alam,MF
AU  - Boniface,S
AU  - Donoghue,K
AU  - Gilvarry,E
AU  - Kaner,E
AU  - Lynch,E
AU  - Maconochie,I
AU  - McArdle,P
AU  - McGovern,R
AU  - Newbury-Birch,D
AU  - Patton,R
AU  - Pellatt-Higgins,T
AU  - Phillips,C
AU  - Phillips,T
AU  - Pockett,R
AU  - Russell,IT
AU  - Strang,J
AU  - Drummond,C
DO  - 10.3310/pgfar08020
EP  - 68
PY  - 2020///
SN  - 2050-4322
SP  - 68
TI  - Screening and brief interventions for adolescent alcohol use disorders presenting through emergency departments: A research programme including two RCTs
T2  - Programme Grants for Applied Research
UR  - http://dx.doi.org/10.3310/pgfar08020
VL  - 8
ER  -

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