Alcohol Screening and Brief Interventions for Offenders in the Probation Setting (SIPS Trial): a Pragmatic Multicentre Cluster Randomized Controlled Trial
Open accessAbstract
AIM: To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in the probation setting. Offender managers were randomized to three interventions, each of which built on the previous one: feedback on screening outcome and a client information leaflet control group, 5 min of structured brief advice and 20 min of brief lifestyle counselling. METHODS: A pragmatic multicentre factorial cluster randomized controlled trial. The primary outcome was self-reported hazardous or harmful drinking status measured by Alcohol Use Disorders Identification Test (AUDIT) at 6 months (negative status was a score of <8). Secondary outcomes were AUDIT status at 12 months, experience of alcohol-related problems, health utility, service utilization, readiness to change and reduction in conviction rates. RESULTS: Follow-up rates were 68% at 6 months and 60% at 12 months. At both time points, there was no significant advantage of more intensive interventions compared with the control group in terms of AUDIT status. Those in the brief advice and brief lifestyle counselling intervention groups were statistically significantly less likely to reoffend (36 and 38%, respectively) than those in the client information leaflet group (50%) in the year following intervention. CONCLUSION: Brief advice or brief lifestyle counselling provided no additional benefit in reducing hazardous or harmful drinking compared with feedback on screening outcome and a client information leaflet. The impact of more intensive brief intervention on reoffending warrants further research.
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BCTTv1 has been used to code interventions across a variety of behavioural domains, including physical activity and dietary behaviours, oral hygiene, hazardous and harmful drinking, sexual health, blood pressure control/management, antibiotic-prescribing and diabetes preventative behaviours.
“BCTTv1 has been used to code interventions across a variety of behavioural domains, including physical activity and dietary behaviours [31, 32], oral hygiene behaviours [33], hazardous and harmful drinking [34], sexual health behaviours [35–37], blood pressure control/management behaviours [38], antibiotic-prescribing [39, 40] and diabetes preventative behaviours [41].”
A large randomized multisite study of SBIRT for harmful alcohol use in probation settings in England found no statistically significant effect on alcohol use at 12 months, but the brief intervention group had a lower reconviction rate than the information-only group.
“A large (N = 525) randomized, multisite study of SBIRT for harmful alcohol use in probation settings in England found no statistically significant effect on alcohol use at 12 months, although those in the brief intervention group did have a lower reconviction rate than did those in the information-only group (Newbury-Birch et al., 2014).”
From A randomized study of the use of screening, brief intervention, and referral to treatment (SBIRT) for drug and alcohol use with jail inmates (2017) · cites this paper as Newbury-Birch et al., 2014
The results of this study lend support to studies that found SBIRT to have no significant impact on drug use in medical settings or on alcohol among probationers.
“The results of this study lend support to those studies that have found SBIRT to have no significant impact on drug use in medical settings (Roy-Byrne et al., 2014; Saitz et al., 2014) or on alcohol among probationers (Newbury-Birch et al., 2014; Stein et al., 2010).”
From A randomized study of the use of screening, brief intervention, and referral to treatment (SBIRT) for drug and alcohol use with jail inmates (2017) · cites this paper as Newbury-Birch et al., 2014
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- Authors
- Newbury-Birch, D., Coulton, S., Bland, M., Cassidy, P., Dale, V., Deluca, P., Gilvarry, E., Godfrey, C., Heather, N., Kaner, E., McGovern, R., Myles, J., Oyefeso, A., Parrott, S., Patton, R., Perryman, K., Phillips, T., Shepherd, J., & Drummond, C.
- Affiliations
- University of Kent (GB)
- University of York (GB)
- King's College London (GB)
- Cumbria Northumberland Tyne and Wear NHS Foundation Trust (GB)
- Northumbria University (GB)
- Newcastle University (GB)
- St George's, University of London (GB)
- University of Manchester (GB)
- Cardiff University (GB)
- ORCID
- Venue
- Alcohol and Alcoholism
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-07-26
- Volume
- 49
- Issue
- 5
- Pages
- 540-548
- ISSN
- 0735-0414 (ISSN-L)
- 1464-3502
- OpenAlex
- W2151864791
- Cited by
- 57
- References
- 39
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 5 · 2018: 10 · 2017: 6 · 2016: 10 · 2015: 5
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Alcohol and Alcoholism (publishedVersion)
- PubMed (publishedVersion)
- TeesRep (Teesside University) (publishedVersion, other-oa)
- Teesside University Research Portal (Teesside University) (publishedVersion, other-oa)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Northumbria Research Link (Northumbria University) (acceptedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Open Research (University of Surrey) (submittedVersion)
- Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion, cc-by)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Repository@Hull (Worktribe) (University of Hull) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Institute for Health and Care Research (RP-PG-0609-10162, 13/86/03, CDRF 2009-81, HTA/13/86/03)
- Medical Research Council (MR/K02325X/1, MR/K023195/1)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- alcohol screening, brief intervention, offenders, probation, hazardous drinking, recidivism, alcohol-related problems, health utility, readiness to change
- MeSH terms
- Adult, Alcohol Drinking, Counseling, Female, Humans, Male, Psychotherapy, Brief, Substance Abuse Detection, Treatment Outcome, Young Adult, Criminals
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