Does a local Alcohol Health Champion programme have a measurable impact on health and crime outcomes? A natural experiment evaluation of Communities in Charge of Alcohol (CICA) based on triangulation of methods.

التفاصيل البيبلوغرافية
العنوان:	Does a local Alcohol Health Champion programme have a measurable impact on health and crime outcomes? A natural experiment evaluation of Communities in Charge of Alcohol (CICA) based on triangulation of methods.
المؤلفون:	Scott LJ; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.; NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Hidajat M; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK., Burns EJ; School of Health and Society, University of Salford, Greater Manchester, UK., Ure C; School of Health and Society, University of Salford, Greater Manchester, UK., Hargreaves SC; School of Health and Society, University of Salford, Greater Manchester, UK., Audrey S; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK., Coffey M; School of Health and Society, University of Salford, Greater Manchester, UK., Hare S; School of Health and Society, University of Salford, Greater Manchester, UK.; Fallowfield Community Guardians c/o School of Health and Society, University of Salford, Greater Manchester, UK., Siqueira N; Department of Health Sciences, University of York, York, UK., Parrott S; Department of Health Sciences, University of York, York, UK., Cook PA; School of Health and Society, University of Salford, Greater Manchester, UK., de Vocht F; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.; NIHR Applied Research Collaboration West (ARC West) at University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
المصدر:	Addiction (Abingdon, England) [Addiction] 2024 Mar; Vol. 119 (3), pp. 499-508. Date of Electronic Publication: 2023 Oct 12.
نوع المنشور:	Journal Article; Research Support, Non-U.S. Gov't
اللغة:	English
بيانات الدورية:	Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9304118 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-0443 (Electronic) Linking ISSN: 09652140 NLM ISO Abbreviation: Addiction Subsets: MEDLINE
أسماء مطبوعة:	Publication: Oxford : Wiley-Blackwell Original Publication: Abingdon, Oxfordshire, UK : Carfax Pub. Co., c1993-
مواضيع طبية MeSH:	Crime* , Research Design*, Humans ; Ambulances ; Policy ; Licensure
مستخلص:	Background and Aim: Drinking alcohol may cause harm to an individual's health and social relationships, while a drinking culture may harm societies as it may increase crime rates and make an area feel less safe. Local councils in Greater Manchester, UK, developed the Communities in Charge of Alcohol (CICA) intervention, in which volunteers were trained to give alcohol-related advice to the public and taught how to influence policies to restrict when, where and how alcohol is sold. As part of a larger study, the aim of the current project is to measure the impact of CICA on health and crime outcomes at the lower super output (LSOA) geographical aggregation. Design: Quantitative evaluation using four time series analytic methods (stepped-wedge design, and comparisons to local controls, national controls and synthetic controls) with findings triangulated across these methods. A cost-benefit analysis was carried out alongside the effectiveness analysis. Setting and Participants: The general public in Greater Manchester, UK, between 2010 and 2020. Measurements: The primary outcome of interest was alcohol-related hospital admissions. Secondary outcomes were accident and emergency (A&E) attendances, ambulance callouts, recorded crimes and anti-social behaviour incidents. Findings: Triangulation of the results did not indicate any consistent effect on area-level alcohol-related hospital admissions, A&E attendances, ambulance callouts, reported crimes or anti-social behaviour associated with the implementation of CICA. The primary stepped-wedge analysis indicated an increase in alcohol-related hospital admissions following the implementation of CICA of 13.4% (95% confidence interval -3.3%, +30.1%), which was consistent with analyses based on other methods with point estimates ranging from +3.4% to 16.4%. Conclusion: There is no evidence of a measurable impact of the Communities in Charge of Alcohol (CICA) programme on area-level health and crime outcomes in Greater Manchester, UK, within 3 years of the programme start. The increase in alcohol-related hospital admissions was likely the result of other temporal trends rather than the CICA programme. Possible explanations include insufficient follow-up time, too few volunteers trained, volunteers being unwilling to get involved in licensing decisions or that the intervention has no direct impact on the selected outcomes. (© 2023 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)
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معلومات مُعتمدة:	15/129/03 National Institute for Health and Care Research (NIHR) Public Health Research Programme
فهرسة مساهمة:	Keywords: CICA; alcohol; communities in control; evaluation; natural experiment; triangulation
تواريخ الأحداث:	Date Created: 20231012 Date Completed: 20240206 Latest Revision: 20240626
رمز التحديث:	20240626
DOI:	10.1111/add.16363
PMID:	37827515
قاعدة البيانات:	MEDLINE

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تدمد:	1360-0443
DOI:	10.1111/add.16363