Psychological Intervention Alcohol Misuse Learning Disability

Not Applicable

Completed

• Conditions: Topic: Mental Health Research Network; Subtopic: Addictions, Learning difficulties development disorders; Disease: Addictive Substances? alcohol, Learning difficulties; Mental and Behavioural Disorders

• Registration Number: ISRCTN58783633
• Lead Sponsor: Hertfordshire Partnership Foundation NHS Trust (UK)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2013-12-17
• Last Update Posted: 2 October 2017

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

Adults with mild to moderate learning disabilities aged 18 years who are known to professionals within the learning disabilities services as possibly having an alcohol problem will be eligible to be referred to the study. Once found to be eligible to take part, they will be further assessed with the WASI to assess their level of cognitive functioning (unless results from a previous cognitive assessment are available). Once consented to participate, they will be screened using the Alcohol Use Disorder Identification Test (AUDIT).

1. AUDIT score >8 and up to 19. We appreciate that the NICE (18) advice is to reduce scores in particular populations in which prevalence of AUD is lower than the general population such as older people, females and younger people. Local data, however, suggests that the prevalence of AUD in the local population with mild to moderate learning disability in contact with treatment services using AUDIT 8 as the cut-off point is 22.5%, which is similar to the prevalence in the general population. Therefore, we have decided to adopt the same cut-off AUDIT score as in the general population and to consider any changes, e.g. lowering the cut-off, following the findings from the study.
2. Residents in the area within the last 12 months.
3. Full Scale IQ<70 (+/5% CI).
4. Target Gender: Male & Female; Upper Age Limit 65 years; Lower Age Limit 18 years

Exclusion Criteria

1. Severe to profound learning disabilities
2. Non-English speaking
3. Receipt of treatment for alcohol-related problems in the last 12 months
4. Severe and enduring mental illness
5. Polysubstance misuse including alcohol where the illicit substance, e.g. cocaine/heroin/cannabis is the main problem

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Reduction in primary outcome scores: the percentage of days of abstinence (PDAS) and percentage of days of heavy drinking

Secondary Outcome Measures

Name	Time	Method
Secondary outcomes will be willingness to change, health status, service use and mental status<br>Feasibility outcomes: weekly recruitment rates, loss to follow up, compliance rates (number of sessions attended) and basic costs<br>Completion rates are also measured to assess acceptability