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The effectiveness of an intervention to reduce alcohol-related violence in premises licensed for the sale and on-site consumption of alcohol: a randomized controlled trial: All-Wales licensed premises intervention

Moore, Simon C.; Alam, M. Fasihul; Heikkinen, Marjukka; Hood, Kerenza; Huang, Chao; Moore, Laurence; Murphy, Simon; Playle, Rebecca; Shepherd, Jonathan; Shovelton, Claire; Sivarajasingam, Vaseekaran; Williams, Anne

Authors

Simon C. Moore

M. Fasihul Alam

Marjukka Heikkinen

Kerenza Hood

Laurence Moore

Simon Murphy

Rebecca Playle

Jonathan Shepherd

Claire Shovelton

Vaseekaran Sivarajasingam

Anne Williams



Abstract

Background and Aims
Premises licensed for the sale and consumption of alcohol can contribute to levels of assault‐related injury through poor operational practices that, if addressed, could reduce violence. We tested the real‐world effectiveness of an intervention designed to change premises operation, whether any intervention effect changed over time, and the effect of intervention dose.

Design
A parallel randomized controlled trial with the unit of allocation and outcomes measured at the level of individual premises.

Setting
All premises (public houses, nightclubs or hotels with a public bar) in Wales, UK.

Participants
A randomly selected subsample (n = 600) of eligible premises (that had one or more violent incidents recorded in police‐recorded crime data; n = 837) were randomized into control and intervention groups.

Intervention and comparator
Intervention premises were audited by Environmental Health Practitioners who identified risks for violence and provided feedback by varying dose (informal, through written advice, follow‐up visits) on how risks could be addressed. Control premises received usual practice.

Measurements
Police data were used to derive a binary variable describing whether, on each day premises were open, one or more violent incidents were evident over a 455‐day period following randomization.

Findings
Due to premises being unavailable at the time of intervention delivery 208 received the intervention and 245 were subject to usual practice in an intention‐to‐treat analysis. The intervention was associated with an increase in police recorded violence compared to normal practice (hazard ratio = 1.34, 95% confidence interval = 1.20–1.51). Exploratory analyses suggested that reduced violence was associated with greater intervention dose (follow‐up visits).

Conclusion
An Environmental Health Practitioner‐led intervention in premises licensed for the sale and on‐site consumption of alcohol resulted in an increase in police recorded violence.

Journal Article Type Article
Publication Date 2017-11
Journal Addiction
Print ISSN 0965-2140
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 112
Issue 11
Pages 1898-1906
APA6 Citation Moore, S. C., Alam, M. F., Heikkinen, M., Hood, K., Huang, C., Moore, L., …Williams, A. (2017). The effectiveness of an intervention to reduce alcohol-related violence in premises licensed for the sale and on-site consumption of alcohol: a randomized controlled trial: All-Wales licensed premises intervention. Addiction, 112(11), 1898-1906. https://doi.org/10.1111/add.13878
DOI https://doi.org/10.1111/add.13878
Keywords Alcohol; Environmental health; Intervention; Licensed premises; Randomized controlled trial; Violence
Publisher URL https://onlinelibrary.wiley.com/doi/full/10.1111/add.13878

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Copyright Statement
© 2017 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.





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