Violence and alcohol abuse intervention for Swedish youth – evaluation for evidence-based practice
| ISRCTN | ISRCTN40388402 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN40388402 |
| Secondary identifying numbers | N/A |
- Submission date
- 30/11/2015
- Registration date
- 22/04/2016
- Last edited
- 18/01/2019
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Mental health problems and alcohol abuse are among the most common causes of morbidity (illness) and mortality (death) in young people. At this age, people also have a greater risk of being a victim of a violent crime (violence victimisation), and the link between violence victimisation and ill-health in youth is well established. To address this situation, screening and treatment for high-risk alcohol drinking and violence victimisation in youth in health care settings have been backed by organisations such as the WHO and the American Academy of Pediatrics. However, despite the recommended guidelines, it has not yet been agreed how this should be performed. The aim of this study is to find out whether a brief program for young people who show high-risk alcohol drinking and/or violence victimisation during a regular visit to a youth health centre in Sweden is effective.
Who can participate?
People aged between 15 and 22, who currently visit a participating Youth Health Centre for counselling.
What does the study involve?
Participants are randomly allocated to one of two groups. Participants in the first group are interviewed about alcohol/drug use and are asked structured questions about whether they have been a victim of violence (mental, physical, sexual or family), in addition to their regular visit with a midwife or social worker. Those who have been a victim of violence are offered further counselling and are referred to appropriate services. Those who have been a victim of violence and show high-risk drinking also receive help for their alcohol related problems. Participants in the second group are also interviewed about their alcohol habits and whether they have been a victim of violence, but only receive the standard visit from a midwife or social worker. After 3, 6 and 12 months, participants in both groups complete a number of questionnaires in order to measure their drinking behaviour and violence victimisation.
What are the possible benefits and risks of participating?
Participants may benefit from being able to identify their problems so that they are able to work on resolving any issues they may have, either with violence victimisation or risky drinking. There is a risk for victims of violence that talking about it may be distressing, however these participants will be offered further counselling.
Where is the study run from?
Four Youth Health Centres in Västernorrland County (Sweden)
When is the study starting and how long is it expected to run for?
January 2012 to June 2013
Who is funding the study?
Crime Victim Fund (Sweden)
Who is the main contact?
Professor Ulf Högberg
ulf.hogberg@kbh.uu.se
Contact information
Scientific
Department of Women's and Children's Health
Uppsala University
Uppsala
SE-751 85
Sweden
 ORCID ID |
0000-0002-2121-7511 |
|---|---|
| Phone | +46 18 611 52 46 |
| ulf.hogberg@kbh.uu.se |
Study information
| Study design | Multi-centre randomised controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled 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 | Violence and alcohol abuse intervention for Swedish youth – routine enquiry and counselling for violence and Motivational Interviewing for risk drinking in Swedish youth health centres |
| Study objectives | 1. The percentage of youths victimized will decrease after routine enquiry and counselling 2. The percentage of youths with risk drinking of alcohol will decrease for those having Motivational Interviewing |
| Ethics approval(s) | Regional Ethical Review Board in Umeå, 24/05/2011, ref: 2011-110-31Ö |
| Health condition(s) or problem(s) studied | 1. Exposure and victimization to violence among young people 2. Risk drinking of alcohol among young people |
| Intervention | The participants, youth visiting four Youth Centers in the County Västernorrland in Sweden, are randomized into the intervention or the control group. A statistician, who was not otherwise involved in the study, generated a random allocation sequence in Blockrand in R version 2.12, and stratified by different youth health centres. Randomization occurred in blocks of eight, using sealed envelopes. Intervention arm: The intervention arm consists of two main parts. In the first part, a routine enquiry is made about violence exposure within a health dialogue to all participants. Those in need receive counselling from midwife or social worker and receive a referral to social authorities, school/police, guardians or child/adult psychiatrist if deemed necessary. In the second part, participants are screened for alcohol use using the AUDIT-C (3-item alcohol screen). Those identified as engaging in risky drinking receive motivational interviewing (MI) within the same visit. MI is a goal-oriented, client-centered counseling style for eliciting behavior change by helping clients to recognise their problems and change their behaviour. Control arm: Participants receive a regular visit from a midwife or social worker but answered the same questions about violence victimization and alcohol/substance use in a pre-structured questionnaire after the visit. Participants in both groups are reassessed at 3, 6 and 12 months. |
| Intervention type | Behavioural |
| Primary outcome measure | 1. Violence victimization is measured using the visual analogue score (VAS) at baseline, 3, 6 and 12 months 2. Risky alcohol drinking behaviour is measured using the AUDI-C score and Bingedrinking AUIDIT-score at baseline, 3, 6 and 12 months |
| Secondary outcome measures | 1. Perceived general health is measured using at baseline, 3, 6 and 12 months 2. Somatic pain symptoms are measured using at baseline, 3, 6 and 12 months 3. Absence from school/work is measured using at baseline, 3, 6 and 12 months |
| Overall study start date | 01/01/2012 |
| Completion date | 31/12/2013 |
Eligibility
| Participant type(s) | Other |
|---|---|
| Age group | Mixed |
| Sex | Both |
| Target number of participants | 500 women and 500 men |
| Key inclusion criteria | 1. Aged between 15 and 22 2. Visiting a participating Youth Health Centre, in Västernorrland county (Sweden) for of counselling about sexual and reproductive health, social, psychological or physical problems, or ill-health |
| Key exclusion criteria | 1. Severe mental disease 2. Not going to a regular school due to mental retardation |
| Date of first enrolment | 01/01/2012 |
| Date of final enrolment | 10/06/2013 |
Locations
Countries of recruitment
- Sweden
Study participating centres
Sundsvall
SE-85231
Sweden
Sollefteå
SE-88130
Sweden
Örnsköldsvik
SE-89134
Sweden
Kramfors
SE-87230
Sweden
Sponsor information
University/education
Department of Obstetrics and Gynecology
Women's and Children's Health
Akademiska sjukhuset
Uppsala
SE-751 85 Uppsala
Sweden
"ROR" |
https://ror.org/048a87296 |
|---|
Funders
Funder type
Charity
No information available
Results and Publications
| Intention to publish date | 31/12/2016 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in peer reviewed journals. The study also is included in the PhD Thesis of Dr Anna Palm at Uppsala University. |
| IPD sharing plan |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | results | 01/10/2016 | 18/01/2019 | Yes | No |
| Results article | results | 01/01/2020 | 18/01/2019 | Yes | No |
| Results article | results | 01/08/2016 | 18/01/2019 | Yes | No |
Editorial Notes
18/01/2019: Publication references added.
