Strategies and outcomes in translating alcohol harm reduction research into practice: the Alcohol Linking Program

Wiggers, John; Jauncey, Marianne; Considine, Robyn; Daly, Justine; Kingsland, Melanie; Purss, Kate; Burrows, Sally; Nicholas, Craig; Waites, Robert J.

doi:10.1080/09595230412331289518

Cited by 37 publications

(44 citation statements)

References 41 publications

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“…The main reason for the ineffectiveness of these strategies appears to be that enforcement of serving laws is largely non-existent, despite evidence that such enforcement can be effective [12][13][14] and cost-effective [15]. Across England and Wales, for example, only three servers in licensed premises were convicted of selling alcohol to a drunk person in 2010 [16].…”

Section: Evidence That Current Practices Are Not Effectivementioning

confidence: 99%

Reducing intoxication among bar patrons: some lessons from prevention of drinking and driving

et al. 2013

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Intoxication in and around licensed premises continues to be common, despite widespread training in the responsible service of alcohol and laws prohibiting service to intoxicated individuals. However, research suggests that training and the existence of laws are unlikely to have an impact on intoxication without enforcement, and evidence from a number of countries indicates that laws prohibiting service to intoxicated individuals are rarely enforced. Enforcement is currently hampered by the lack of a standardized validated measure for defining intoxication clearly, a systematic approach to enforcement and the political will to address intoxication. We argue that adoption of key principles from successful interventions to prevent driving while intoxicated could be used to develop a model of consistent and sustainable enforcement. These principles include: applying validated and widely accepted criteria for defining when a person is 'intoxicated'; adopting a structure of enforceable consequences for violations; implementing procedures of unbiased enforcement; using publicity to ensure that there is a perceived high risk of being caught and punished; and developing the political will to support ongoing enforcement. Research can play a critical role in this process by: developing and validating criteria for defining intoxication based on observable behaviour; documenting the harms arising from intoxication, including risk curves associated with different levels of intoxication; estimating the policing, medical and social costs from intoxicated bar patrons; and conducting studies of the cost-effectiveness of different interventions to reduce intoxication.

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Section: Evidence That Current Practices Are Not Effectivementioning

confidence: 99%

Reducing intoxication among bar patrons: some lessons from prevention of drinking and driving

et al. 2013

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“…This framework acknowledges the importance of the following aspects in supporting change within organisations: organisational development; workforce development; resource allocation; and leadership. Such intervention-implementation strategies have been effective in enhancing intervention fidelity in a number of public-health intervention trials 34 35. These strategies are detailed in box 2.…”

Section: Methods and Analysismentioning

confidence: 99%

A cluster randomised controlled trial of a comprehensive accreditation intervention to reduce alcohol consumption at community sports clubs: study protocol: Figure 1

Kingsland,

Wolfenden,

Rowland

et al. 2011

BMJ Open

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IntroductionExcessive alcohol consumption is responsible for considerable harm from chronic disease and injury. Within most developed countries, members of sporting clubs consume alcohol at levels above that of communities generally. Despite the potential benefits of interventions to address alcohol consumption in sporting clubs, there have been no randomised controlled trials to test the effectiveness of these interventions. The aim of this study is to examine the effectiveness of a comprehensive accreditation intervention with community football clubs (Rugby League, Rugby Union, soccer/association football and Australian Rules football) in reducing excessive alcohol consumption by club members.Methods and analysisThe study will be conducted in New South Wales, Australia, and employ a cluster randomised controlled trial design. Half of the football clubs recruited to the trial will be randomised to receive an intervention implemented over two and a half winter sporting seasons. The intervention is based on social ecology theory and is comprehensive in nature, containing multiple elements designed to decrease the supply of alcohol to intoxicated members, cease the provision of cheap and free alcohol, increase the availability and cost-attractiveness of non-alcoholic and low-alcoholic beverages, remove high alcohol drinks and cease drinking games. The intervention utilises a three-tiered accreditation framework designed to motivate intervention implementation. Football clubs in the control group will receive printed materials on topics unrelated to alcohol. Outcome data will be collected pre- and postintervention through cross-sectional telephone surveys of club members. The primary outcome measure will be alcohol consumption by club members at the club, assessed using a graduated frequency index and a seven day diary.Ethics and disseminationThe study was approved by The University of Newcastle Human Research Ethics Committee (reference: H-2008-0432). Study findings will be disseminated widely through peer-reviewed publications and conference presentations.Trial registration numberAustralian New Zealand Clinical Trials Registry: ACTRN12609000224224.

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“…As all Australian jurisdictions have responsible service laws in place, encouraging responsible service is usually more a matter of enforcing existing laws than creating new ones. Providing licensees with data-based feedback on crime following drinking on specific licensed premises can reduce alcohol-related harm [32].…”

Section: Modifying the Drinking Contextmentioning

confidence: 99%

Alcohol policy and harm reduction in Australia

Loxley

Gray

Wilkinson

et al. 2005

Drug and Alcohol Review

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With consultations having been held across Australia this year as part of the process of developing a new National Alcohol Strategy, it seemed timely to invite my colleagues from the National Drug Research Institute who are experts in the alcohol field to write this Harm Reduction Digest. The authors have canvassed a range of alcohol policy options and discussed their effectiveness in reducing harm for what is arguably Australia's number one drug problem. Australia's response to alcohol and other drug problems has, historically, been based on 'harm minimization--incorporating supply reduction, demand reduction and harm reduction'. At this time where the policy options for alcohol are being set for the next 5 years in a climate of 'small government', removing restrictions of 'fair competition' in business and a belief in the free market, what does the research have to say about recommended policies and strategies to reduce alcohol-related harm?

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Strategies and outcomes in translating alcohol harm reduction research into practice: the Alcohol Linking Program

Cited by 37 publications

References 41 publications

Reducing intoxication among bar patrons: some lessons from prevention of drinking and driving

Reducing intoxication among bar patrons: some lessons from prevention of drinking and driving

A cluster randomised controlled trial of a comprehensive accreditation intervention to reduce alcohol consumption at community sports clubs: study protocol: Figure 1

Alcohol policy and harm reduction in Australia

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