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A feasibility randomised controlled trial of extended brief intervention for alcohol misuse in adults with mild to moderate intellectual disabilities living in the community

Published online by Cambridge University Press:  23 March 2020

C. Kouimtsidis
Affiliation:
Surrey and Borders Partnership NHS Foundation Trust, iHEAR Partnership, London, United Kingdom
A. Hassiotis
Affiliation:
University college London, division of psychiatry, London, United Kingdom
K. Scior
Affiliation:
University college London, research department of clinical- educational & health psychology, London, United Kingdom
G. Baio
Affiliation:
University college London, department of statistical science, London, United Kingdom
R. Hunter
Affiliation:
University college London, department of primary care and population health research, London, United Kingdom

Abstract

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Introduction

Extended brief interventions (EBIs) are effective in targeting alcohol misuse in the general population. However, little is known on the effects of EBI in adults with intellectual (also known as learning disabilities).

Objectives

In this feasibility trial we compared EBI with usual care for alcohol misuse in adults with mild to moderate intellectual disability (ID).

Methods

The study took place in three community ID services in England. Participants aged 18–65 years with reported alcohol problems, a score > 8 on the alcohol use disorder identification test (AUDIT), and IQ < 70 (+/5% CI) were recruited and were randomly allocated to either EBI (5 weekly sessions and 1 follow-up at 8 weeks) and usual care or usual care alone. Research assessments took place at baseline, two and three months.

Results

Thirty individuals were randomised (15 in each arm). In regard to harmful drinking, at baseline, all the participants exceeded the relevant threshold. At 8 weeks, the proportion of participants with harmful drinking decreased to 60% for both groups, at 12 weeks it was decreased by 66.7% and 46.7% for the intervention and the control group respectively. The unit cost for the delivery of EBI is £ 430.

Conclusions

Recruitment to this trial has been proven challenging as prevalence of alcohol misuse in the targeted population was lower than anticipated. EBI may provide an effective low intensity treatment for this population. Participants’ and carers’ feedback on their experience was overall positive.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Comorbidity/dual pathologies
Copyright
Copyright © European Psychiatric Association 2017
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