Screening and brief interventions for alcohol misuse delivered in the community pharmacy setting
ISRCTN | ISRCTN40380499 |
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DOI | https://doi.org/10.1186/ISRCTN40380499 |
Secondary identifying numbers | N/A |
- Submission date
- 05/02/2010
- Registration date
- 16/03/2010
- Last edited
- 11/07/2016
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Margaret Watson
Scientific
Scientific
Centre of Academic Primary Care
University of Aberdeen
Westburn Road
Aberdeen
AB25 2AY
United Kingdom
Phone | +44 (0)1224 553785 |
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m.c.watson@abdn.ac.uk |
Study information
Study design | Pragmatic cluster randomised controlled pilot study |
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Primary study design | Interventional |
Secondary study design | Cluster randomised trial |
Study setting(s) | Other |
Study type | Screening |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Screening and brief interventions for alcohol misuse delivered in the community pharmacy setting: a pilot study using a pragmatic cluster randomised controlled trial design |
Study objectives | Excessive alcohol consumption causes substantial morbidity and mortality. Screening, followed by brief interventions, is effective in reducing alcohol consumption and can be delivered in primary care. Evidence from small, proof-of-concept studies, shows that screening for excessive alcohol consumption can be delivered in community pharmacies, and can be followed by the delivery of brief interventions to clients identified as harmful or hazardous drinkers. A large-scale randomised controlled trial (RCT) of screening and brief interventions in the community pharmacy setting is needed to derive evidence of the effectiveness and cost-effectiveness of this approach. Firstly, a pilot study is needed to assess recruitment, participation and follow-up rates, to derive accurate data (including loss to follow up rates and effect size estimates) to inform sample size calculations for the RCT. In addition, the acceptability of this novel service to service providers and users needs to be explored. |
Ethics approval(s) | Grampian Local Ethics Committee and NHS R&D, 14/01/2010, ref: 09/S0802/119 |
Health condition(s) or problem(s) studied | Alcohol misuse |
Intervention | Each pharmacy will be required to screen 100 clients within a two-month period. Based on the proof-of-concept studies, 40% are expected to be identified as harmful or hazardous drinkers. All adult clients entering the community pharmacy will be eligible for screening (in control and intervention pharmacies). A tally sheet will be used in each participating pharmacy to record clients who refuse to undertake screening or brief interventions. Any trained member of the pharmacy team will invite the client to complete the Fast Alcohol Screening Test (FAST). Clients who score above the threshold score (greater than 3) will be invited to have a consultation with the pharmacist to discuss participation in the study. Clients who do not consent will be given the standard information leaflet about healthy lifestyle mentioned above and thanked for participating in the screening activity. Clients who score below the threshold score will also be given this leaflet. All clients who are eligible (i.e. FAST score greater than 3) and who consent to participate, will be asked to provide written consent and then asked to complete the baseline questionnaire. The purpose of this questionnaire will be to collect additional information on alcohol consumption and demographic information (including their full postal address for the dissemination of follow-up surveys). They will also be informed that a short questionnaire will be sent to them at three and six months to explore their alcohol consumption. Clients in the control group pharmacies will then be given a generic information leaflet about healthy lifestyle and thanked for their involvement. Clients in the intervention group pharmacies will receive a brief intervention to raise their awareness of their alcohol consumption in relation to recommended limits. The Reference Group (see later) will devise referral criteria that the pharmacists in both groups can use if they suspect a client requires referral to specialist services. |
Intervention type | Other |
Primary outcome measure | 1. Average screening rate per pharmacy per week 2. Average recruitment rate per pharmacy per week 3. Number or proportion of clients who score greater than 3 using FAST 4. Self-reported measures of alcohol consumption (which may include number of episodes of 'binge' drinking, alcohol free days) 5. Follow-up rate at three and six months 6. Number of referrals to other agencies 7. Identification of barriers and facilitators to delivering screening and brief interventions in the community pharmacy setting (pharmacy staff and client perspective) 8. Exploration of the public's opinion of screening and brief interventions in the community pharmacy setting Data to derive outcome measures (e.g. FAST score, other measures of alcohol consumption) will be collected at baseline, three and six months. Baseline data will be collected by pharmacy staff during the screening process and pharmacist consultation. Data at three and six months will be collected from clients using mailed questionnaires. The pharmacists and staff will be required to document additional information including the duration of screening and brief intervention consultations. |
Secondary outcome measures | No secondary outcome measures |
Overall study start date | 05/02/2010 |
Completion date | 05/02/2011 |
Eligibility
Participant type(s) | Mixed |
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Age group | Adult |
Lower age limit | 18 Years |
Sex | Both |
Target number of participants | 100 clients to be screened within a two-month period (in 20 pharmacies) |
Key inclusion criteria | 1. Community pharmacists and staff from 20 community pharmacies (i.e. 10 pharmacies in each group) 2. Adult clients presenting in participating community pharmacies 3. Clients aged 18 or over, either sex |
Key exclusion criteria | 1. Clients who have already been screened 2. Received an alcohol brief intervention elsewhere 3. Clients identified as dependent drinkers |
Date of first enrolment | 05/02/2010 |
Date of final enrolment | 05/02/2011 |
Locations
Countries of recruitment
- Scotland
- United Kingdom
Study participating centre
University of Aberdeen
Aberdeen
AB25 2AY
United Kingdom
AB25 2AY
United Kingdom
Sponsor information
University of Aberdeen (UK)
University/education
University/education
c/o Dr Liz Rattray, Deputy Director
Research & Innovation
King's College
Aberdeen
AB24 3FX
Scotland
United Kingdom
Phone | +44 (0)1224 274 369 |
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e.rattray@abdn.ac.uk | |
Website | http://www.abdn.ac.uk/AURIS_Research/ |
https://ror.org/016476m91 |
Funders
Funder type
Government
Chief Scientist Office
Government organisation / Local government
Government organisation / Local government
- Alternative name(s)
- CSO
- Location
- United Kingdom
Results and Publications
Intention to publish date | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Editorial Notes
11/07/2016: No publications found, verifying study status with principal investigator.