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

Moore, Simon C., Alam, M. Fasihul, Heikkinen, Marjukka, Hood, Kerenza, Huang, Chao, Moore, Laurence, Murphy, Simon, Playle, Rebecca, Shepherd, Jonathan, Shovelton, Claire, Sivarajasingam, Vaseekaran and Williams, Anne 2017. The effectiveness of an intervention to reduce alcohol-related violence in premises licensed for the sale and on-site and consumption of alcohol: a randomised controlled trial. Addiction 112 (11) , pp. 1898-1906. 10.1111/add.13878

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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.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Social Sciences (Includes Criminology and Education)
Uncontrolled Keywords: Alcohol; Environmental Health; intervention; licensed premises; randomized controlled trial; violence
Additional Information: 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.
Publisher: Wiley
ISSN: 0965-2140
Date of First Compliant Deposit: 23 May 2017
Date of Acceptance: 12 May 2017
Last Modified: 19 Nov 2020 10:10

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