Study protocol: a stepped wedge cluster randomised controlled trial of a healthy lifestyle intervention for people attending residential substance abuse treatment

BMC Public Health

Study Protocol

Christopher Oldmeadow¹  John R Attia²  Frank P Deane³  Isabella Ingram³  Carol A Keane³  Peter J Kelly³  Camilla J Townsend³  Gerard Byrne⁴  Robin Callister⁵  Clare E Collins⁶  Amanda L Baker⁷ 

[1] Clinical Research Design, IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, Kookaburra Circuit, 2305, New Lambton Heights, Australia;Clinical Research Design, IT and Statistical Support Unit (CReDITSS), Hunter Medical Research Institute, Kookaburra Circuit, 2305, New Lambton Heights, Australia;School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, University Drive, 2308, Callaghan, Australia;Illawarra Institute for Mental Health, School of Psychology, University of Wollongong, Northfields Avenue, 2522, Wollongong, Australia;Recovery Services, Australia Eastern Territory, The Salvation Army, Elizabeth Street, 2000, Sydney, Australia;School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine and Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, University Drive, 2308, Callaghan, Australia;School of Health Sciences, Faculty of Health and Medicine and Medicine and Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, University Drive, 2308, Callaghan, Australia;School of Medicine and Public Health, Faculty of Medicine, University of Newcastle, University Drive, 2308, Callaghan, Australia;

关键词: Nicotine Replacement Therapy;    Substance Abuse Treatment;    Recovery Service;    Substance Abuse Problem;    Step Wedge Design;   

DOI  :  10.1186/s12889-015-1729-y

 received in 2015-03-21, accepted in 2015-03-31,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundCardiovascular disease and cancer are leading causes of mortality for people with a history of alcohol or other substance use disorders. These chronic diseases share the same four primary behavioural risk factors i.e. excessive alcohol use, smoking, low intake of fruit and vegetables and physical inactivity. In addition to addressing problematic alcohol use, there is the potential for substance abuse treatment services to also address these other behaviours. Healthy Recovery is an 8-session group-based intervention that targets these multiple behavioural health risk factors and was developed specifically for people attending substance abuse treatment. This protocol describes a Cancer Institute NSW funded study that assesses the effectiveness of delivering Healthy Recovery for people who are attending residential alcohol and other substance abuse treatment.Methods/DesignThe study uses a stepped wedge randomised controlled design, where randomisation occurs at the service level. Participants will be recruited from residential rehabilitation programs provided by The Australian Salvation Army. All participants who (1) currently smoke tobacco and (2) are expected to be in the residential program for the duration of the 5-week intervention will be asked to participate in the study. Those participants residing at the facilities assigned to the treatment condition will complete Healthy Recovery. The intervention is manual guided and will be delivered over a 5-week period, with participants attending 8 group sessions. All participants will continue to complete The Salvation Army residential program, a predominantly 12-step based, modified therapeutic community. Participants in the control condition will complete treatment as usual. Research staff blind to treatment allocation will complete the primary and secondary outcome assessments at baseline and then at weeks 8, 20 and 32 weeks post intervention.DiscussionThis study will provide comprehensive data on the effect of delivering a healthy lifestyle intervention (i.e. Healthy Recovery) within a residential substance abuse setting. If shown to be effective, this intervention can be disseminated within other residential substance abuse programs.Trial registrationAustralian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12615000165583. Registered 19th February 2015.

【 授权许可】

CC BY   
© Kelly et al.; licensee BioMed Central. 2015