Pragmatic randomised controlled trial to evaluate the effectiveness and cost effectiveness of a multi-component intervention to reduce substance use and risk-taking behaviour in adolescents involved in the criminal justice system: A trial protocol (RISKIT-CJS)

BMC Public Health

Study Protocol

Steve Butler¹  Nadine Hendrie²  Simon Coulton²  Catherine Marchand²  Jenny Billings²  Tracy Pellatt-Higgins²  Ed Wilson³  Dorothy Newbury-Birch⁴  Kelly Stockdale⁴  Colin Drummond⁵  Paolo Deluca⁵  Sadie Boniface⁵  Alex Sutherland⁶  Alex Stevens⁷ 

[1] Addaction Young Peoples Service, Canterbury, Kent, UK;Centre for Health Services Studies, University of Kent, Canterbury, UK;Dept. of Public Health and Primary Care, University of Cambridge, Cambridge, UK;Health and Social Care Institute, Teesside University, Middlesbrough, UK;Institute of Psychiatry Psychology and Neurosciences, Kings College, London, UK;RAND Europe, Cambridge, UK;School of Sociology, Social Policy and Social Research, University of Kent, Canterbury, Kent, UK;

关键词: Adolescent;    Youth offending;    Criminal justice;    Substance use;    Risk-taking behaviour;    Randomised controlled trial;    Health economics;    Motivational interviewing;   

DOI  :  10.1186/s12889-017-4170-6

 received in 2017-02-10, accepted in 2017-03-04,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAdolescence is a critical developmental stage when young people make lifestyle choices that have the potential to impact on their current and future health and social wellbeing. The relationship between substance use and criminal activity is complex but there is clear evidence that the prevalence of problematic substance use is far higher among adolescent offenders than the general adolescent population. Adolescent offenders are a marginalized and vulnerable population who are significantly more likely to experience health and social inequalities in later life than their non-offending peers.There is a paucity of evidence on effective interventions to address substance use and risk-taking behaviours in adolescent offender populations but it is clear that preventative or abstinence orientated interventions are not effective. RISKIT-CJS is an intervention developed in collaboration with young people taking account of the current best evidence. Feasibility and pilot studies have found the intervention addresses the needs of adolescents, is acceptable and has demonstrated potential in reducing substance use and risk-taking behavior.MethodsThe study is a mixed method, two-armed, prospective, pragmatic randomized controlled trial with individual randomisation to either treatment as usual alone or the RISKIT-CJS intervention in addition to treatment as usual. Adolescents, aged 13 to 17 years inclusive, engaged with the criminal justice system who are identified as having problematic substance use are eligible to participate. The study will be conducted across three geographical areas; South and South East England, London and North East England between March 2017 and February 2019.DiscussionThe study represents an ambitious programme of work to address an area of need for a marginalized and vulnerable population.Trial registrationISRCTN77037777 registered 15/09/2016.

【 授权许可】

CC BY   
© The Author(s). 2017