Remote drug and alcohol services evaluation during COVID-19 in Leeds

ISRCTN ISRCTN50804656
DOI https://doi.org/10.1186/ISRCTN50804656
Secondary identifying numbers NIHR131537, NIHR133206
Submission date
26/08/2021
Registration date
09/09/2021
Last edited
12/07/2024
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

Background and study aims 
The COVID-19 pandemic meant that there needed to be substantial changes to the delivery of drug and alcohol support services across Leeds.  This included stopping, or significantly reducing, face-to-face support services, and a move to remote delivery of key drug and alcohol support services. Remote service delivery means delivering services mostly over the phone or using technology such as smartphone apps, video chats or instant messaging, rather than face-to-face.  Before COVID-19, face-to-face delivery had been a core part of many of the drug and alcohol support services.  Although there has been disruption to the usual way of delivering support services, there is some evidence that aspects of remote delivery have been experienced positively by some drug and alcohol support staff and some service users. The aim of this study is to understand the impact of COVID-19 on the drug and alcohol services in Leeds, and the changes that staff and service users experienced, in order to come to an informed decision about how best to design services in the future.   

Who can participate?
Staff and service users from Forward Leeds, aged 18 years and over

What does the study involve?
Participants share their experiences of services during the pandemic in one-to-one interviews, group discussions, text messaging and email conversations with service users plus creative case studies creation with staff who work with on-street sex workers. Anonymised existing service data gathered as standard by drug and alcohol services between March 2019 and March 2021 is also used.

What are the possible benefits and risks of participating?
Service users have been involved throughout the design of this project, adding their insight to help the researchers answer the questions important to them in an accessible way. They will also help with understanding the results of this evaluation and sharing them. The local authority which commissions drug and alcohol services, the service providers and those who engage in service use will all benefit from this research, as the knowledge produced will provide an understanding of how drug and alcohol support services can best be designed, drawing on lessons learnt during the COVID-19 pandemic. There will also be important lessons for the effective remote delivery of the support service in sectors beyond drug and alcohol support.  It is possible that staff or service users may become distressed or upset when talking about difficult experiences they have had during the pandemic. Staff have a clear protocol to follow to support anyone if this happens. There are no other risks of participating.

When is the study starting and how long is it expected to run for?
September 2020 to February 2022

Who is funding the study?
National Institute for Health Research (NIHR) (UK)

Who is the main contact?
Prof. Katherine Brown
k.brown25@herts.ac.uk or phirst@herts.ac.uk

Study website

Contact information

Prof Katherine Brown
Scientific

Department of Psychology, Sport and Geography
Room 1H256 C.P. Snow Building
Life and Medical Sciences
College Lane Campus
University of Hertfordshire
Hatfield
AL10 9AB
United Kingdom

ORCiD logoORCID ID 0000-0003-2472-5754
Phone +44 (0)1707 284 615
Email k.brown25@herts.ac.uk

Study information

Study designSingle-centre mixed-methods retrospective longitudinal cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Community
Study typeTreatment
Participant information sheet 40333_PIS.docx
Scientific titleCentral Public Health Interventions Responsive Studies Team (PHIRST): Evaluation of the move to remote models of service delivery by drug and alcohol services in Leeds during the COVID-19 pandemic (Leeds COVID-19 DASE Project)
Study acronymLeeds COVID DASE
Study objectivesTo understand the impact that the required changes to drug and alcohol services in Leeds due to COVID-19 had on services, staff and service users in order to inform the optimised design of services in the future.
Ethics approval(s)Workstream 2 Approved 07/01/2021, University of Hertfordshire, Health, Science, Engineering and Technology Ethics Committee with Delegated Authority (Hatfield, AL10 9AB, UK; +44 (0)1707 286 006; hsetecda@herts.ac.uk), ref: HSK/SF/UH/04423
Workstream 3 Approved 20/04/2021, University of Hertfordshire, Health, Science, Engineering and Technology Ethics Committee with Delegated Authority (Hatfield, AL10 9AB, UK; +44 (0)1707 286 006; hsetecda@herts.ac.uk), ref: HSK/SF/UH/04535
Health condition(s) or problem(s) studiedSubstance misuse
InterventionThe researchers are using quantitative data collected as standard by drug and alcohol services in Leeds. They are comparing the 12 months pre-pandemic to the 12 months from when the pandemic hit and brought about a change to service delivery. They are also recruiting staff and service users to participate in qualitative data collection methods. The 'intervention' is changes to service delivery for those accessing drug and or alcohol support services. This includes but is not limited to receiving one-to-one support and/or group therapy by phone and/or video conferencing facilities instead of face-to-face, changes to the way prescriptions were accessed and taken, reduction in recovery support services.
Intervention typeBehavioural
Primary outcome measureSubstance use measured using the Treatment Outcomes Profile (TOP) at entry into service, 6 monthly intervals where relevant and at exit from service
Secondary outcome measures1. Physical health measured using the Treatment Outcomes Profile (TOP) at entry into service, 6 monthly intervals where relevant and at exit from service
2. Psychological wellbeing measured using the Treatment Outcomes Profile (TOP) at entry into service, 6 monthly intervals where relevant and at exit from service
3. Quality of life measured using the Treatment Outcomes Profile (TOP) at entry into service, 6 monthly intervals where relevant and at exit from service
4. Meaningful activity including education, work and/or volunteering measured using the Treatment Outcomes Profile (TOP) at entry into service, 6 monthly intervals where relevant and at exit from service
Overall study start date09/09/2020
Completion date28/02/2022

Eligibility

Participant type(s)Mixed
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsApproximately 85 participants across qualitative data collection methods. No target N for quantitative methods as this will depend on the number of service users who have provided data as standard to services between March 2019 and March 2021
Key inclusion criteriaAdults aged 18 years and over who are either:
1. Staff involved in managing and delivering drug and alcohol services or supporting service users to access these services in Leeds before and during the COVID-19 pandemic, or
2. Drug and alcohol service users who experienced service delivery before and during the COVID-19 pandemic
Key exclusion criteria1. Service users aged under 18 years
2. Service users who are clearly under the influence of alcohol or drugs when they attend a data collection event may be asked to re-schedule their involvement
Date of first enrolment01/02/2021
Date of final enrolment30/11/2021

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Forward Leeds
74 Kirkgate
Leeds
LS2 7DJ
United Kingdom

Sponsor information

University of Hertfordshire
University/education

Life and Medical Sciences
College Lane Campus
Hatfield
AL10 9AB
England
United Kingdom

Phone +44 (0)1707 284 000
Email j.m.senior@herts.ac.uk
Website http://www.herts.ac.uk/
ROR logo "ROR" https://ror.org/0267vjk41

Funders

Funder type

Government

National Institute for Health Research
Government organisation / National government
Alternative name(s)
National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
Location
United Kingdom

Results and Publications

Intention to publish date30/11/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe researchers plan to publish a number of papers in high-impact peer-reviewed journals as well as blog articles and a range of other creative outputs that will help maximise the reach and impact of their findings. All outputs will involve consultation with and in some cases co-creation with a range of stakeholders including service users.
IPD sharing planThe quantitative dataset will be provided by the service organisation in Leeds and they do not want this data to be made publicly available as it has some commercial sensitivity for them. The anonymised data will be held securely by the Central PHIRST at the University of Hertfordshire but must be deleted by 30/06/2025 according to the data-sharing agreement.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 09/09/2021 No Yes
Protocol file version 3.0 07/06/2021 09/09/2021 No No
Study website Contains all study outputs available 12/07/2024 No No

Additional files

40333_PIS.docx
40333_PROTOCOL_V3.0_07Jun21.docx

Editorial Notes

12/07/2024: The study website was added.
09/09/2021: Trial's existence confirmed by the NIHR.