dr bob patton, lecturer in clinical psychology, university of surrey & visiting research fellow in...

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Dr Bob Patton, Lecturer in Clinical Psychology, University of Surrey & Visiting Research Fellow in Addictions, Kings College London Alcohol, Adolescents and the Emergency Department. New technology addressing an old problem The SIPS Jr. Research programme 1 is funded by the NIHR to screen for alcohol use and deliver effective brief interventions to 14-17yr olds presenting to Emergency departments. Ongoing Patient & Public Involvement work has identified a need for paperless screening / baseline data collection and an enthusiasm for interventions based on mobile technologies. Two recent systematic reviews support the use of this technology to identify and intervene with adolescent drinkers 2,3. Working with a specialist software development company (CodeFace Ltd.) we have developed a bespoke data collection / participant management tool for the iPad which is currently being used as part of an ongoing RCT 4, with data being collected from 10 Emergency Departments across England (London, Hull and the North East). This paperless method of study management has already demonstrated considerable cost savings and is popular with patients and research staff (over 6500 participants recruited to date in the current trial and an earlier prevalence study). Both the Management Tool and e-intervention have been developed and refined by the research team working collaboratively with the Web Developer, PPI groups and local youth organisations. 1.SIPS Jr. website:2.Patton R, Deluca P, Phillips T, Kaner E, Newbury-Birch D & Drummond C Alcohol screening & brief intervention for adolescents: The how, what and where of reducing alcohol consumption and related harm among young people. Alcohol & Alcoholism 49(2): DOI: /alcalc/agt165doi: /alcalc/agt165 3.Donoghue K, Patton R, Phillips T, Deluca P & Drummond C The effectiveness of electronic Screening and Brief Intervention (eSBI) for reducing levels of alcohol consumption. A Systematic review and meta-analysis. Journal of Internet Medical Research, 16(6):e142. DOI: /jmir.3193 * 4.Deluca P, Coulton S, Alam MF, Cohen D, Donoghue K, Gilvarry E, Kaner E, Maconochie I, McArdle P, McGovern R, Newbury-Birch D, Patton R, Phillips C, Phillips T, Russell I, Strang J & Drummond C Linked randomised controlled trials of face-to-face and electronic brief intervention methods to prevent alcohol related harm in young people aged 14 17 years presenting to Emergency Departments (SIPS junior). BMC Public Health. 15:345. DOI /s Participant management toolSmartphone intervention Two linked randomised controlled trials are currently evaluating the effectiveness and cost-effectiveness of two intervention strategies compared with screening alone. One trial focuses on high-risk adolescent drinkers attending Emergency Departments (EDs) and the other focuses on those identified as low-risk drinkers or abstinent from alcohol but attending the same ED. Both will compare the effect of Personalised Feedback and Brief Advice and Personalised Feedback plus electronic Brief Intervention (WebApp) against screening alone on alcohol consumption measured by Time-Line Follow-Back 28-day version. Participants will be followed up at 6 and 12 months after randomisation