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Assertive community treatment for people with alcohol dependence: a pilot randomized controlled trial

Assertive community treatment for people with alcohol dependence: a pilot randomized controlled trial
Assertive community treatment for people with alcohol dependence: a pilot randomized controlled trial
Aims: A pilot randomized controlled trial (RCT) to assess the feasibility and potential efficacy of assertive community treatment (ACT) in adults with alcohol dependence.

Methods: Single blind, individually randomized, pilot RCT of 12 months of ACT plus treatment as usual (TAU) versus TAU alone in adults (age 18+ years) with alcohol dependence and a history of previous unsuccessful alcohol treatment attending specialist community alcohol treatment services. ACT aimed to actively engage participants for 12 months with assertive, regular, minimum weekly contact. ACT was combined with TAU. TAU comprised access to the full range of services provided by the community teams. Primary outcome is mean drinks per drinking day and percent days abstinent at 12 months follow up. Analysis of covariance was conducted using 80% confidence intervals, appropriate in the context of a pilot trial.

Results: A total of 94 participants were randomized, 45 in ACT and 49 in TAU. Follow-up was achieved with 98 and 88%, respectively at 12 months. Those in ACT had better treatment engagement, and were more often seen in their homes or local community than TAU participants. At 12 months the ACT group had more problems related to drinking and lower quality of life than TAU but no differences in drinking measures. The ACT group had a higher percentage of days abstinent but lower quality of life at 6 months. The ACT group had less unplanned healthcare use than TAU.

Conclusions: An trial of ACT was feasible to implement in an alcohol dependent treatment population
0735-0414
1-8
Drummond, Colin
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Gilburt, Helen
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Burns, Tom
e9e49214-6bbb-43ce-b39f-0d814abbc83e
Copello, Alex
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Crawford, Michael
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Day, Ed
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Deluca, Paolo
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Godfrey, Christine
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Parrott, Steve
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Rose, Abigail
7e1f0e36-2ad5-4e29-b9b9-756484f1f8c6
Sinclair, Julia
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Coulton, Simon
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Drummond, Colin
87227d1b-4253-42b7-9ee4-f9ac7c7d37b3
Gilburt, Helen
6ec8da9a-2a47-4b07-bd41-0d3a11ee7103
Burns, Tom
e9e49214-6bbb-43ce-b39f-0d814abbc83e
Copello, Alex
2c5bbe0a-1888-433d-a718-e7f1f8095c9f
Crawford, Michael
2b519ce1-5405-4953-bfec-b23cda327b31
Day, Ed
4d5448eb-d0cc-4d58-bd75-9ac96e89e9aa
Deluca, Paolo
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Godfrey, Christine
7da52f92-1fcb-44ae-a613-e92e21990416
Parrott, Steve
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Rose, Abigail
7e1f0e36-2ad5-4e29-b9b9-756484f1f8c6
Sinclair, Julia
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Coulton, Simon
5f87f257-7f3e-4f62-b4e5-7dd8c31722e2

Drummond, Colin, Gilburt, Helen, Burns, Tom, Copello, Alex, Crawford, Michael, Day, Ed, Deluca, Paolo, Godfrey, Christine, Parrott, Steve, Rose, Abigail, Sinclair, Julia and Coulton, Simon (2016) Assertive community treatment for people with alcohol dependence: a pilot randomized controlled trial. Alcohol and Alcoholism, 1-8. (doi:10.1093/alcalc/agw091). (PMID:27940571)

Record type: Article

Abstract

Aims: A pilot randomized controlled trial (RCT) to assess the feasibility and potential efficacy of assertive community treatment (ACT) in adults with alcohol dependence.

Methods: Single blind, individually randomized, pilot RCT of 12 months of ACT plus treatment as usual (TAU) versus TAU alone in adults (age 18+ years) with alcohol dependence and a history of previous unsuccessful alcohol treatment attending specialist community alcohol treatment services. ACT aimed to actively engage participants for 12 months with assertive, regular, minimum weekly contact. ACT was combined with TAU. TAU comprised access to the full range of services provided by the community teams. Primary outcome is mean drinks per drinking day and percent days abstinent at 12 months follow up. Analysis of covariance was conducted using 80% confidence intervals, appropriate in the context of a pilot trial.

Results: A total of 94 participants were randomized, 45 in ACT and 49 in TAU. Follow-up was achieved with 98 and 88%, respectively at 12 months. Those in ACT had better treatment engagement, and were more often seen in their homes or local community than TAU participants. At 12 months the ACT group had more problems related to drinking and lower quality of life than TAU but no differences in drinking measures. The ACT group had a higher percentage of days abstinent but lower quality of life at 6 months. The ACT group had less unplanned healthcare use than TAU.

Conclusions: An trial of ACT was feasible to implement in an alcohol dependent treatment population

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More information

Accepted/In Press date: 29 November 2016
e-pub ahead of print date: 8 December 2016
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 403757
URI: https://eprints.soton.ac.uk/id/eprint/403757
ISSN: 0735-0414
PURE UUID: 6204ce52-90b0-43d6-9666-a93f0a1cef6f
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

Catalogue record

Date deposited: 16 Dec 2016 09:24
Last modified: 10 Dec 2019 01:53

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Contributors

Author: Colin Drummond
Author: Helen Gilburt
Author: Tom Burns
Author: Alex Copello
Author: Michael Crawford
Author: Ed Day
Author: Paolo Deluca
Author: Christine Godfrey
Author: Steve Parrott
Author: Abigail Rose
Author: Julia Sinclair ORCID iD
Author: Simon Coulton

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