An N-of-1 study of daily alcohol consumption following minimum unit pricing implementation in Scotland.
An N-of-1 study of daily alcohol consumption following minimum unit pricing implementation in Scotland.
复制标题
DOI：
10.1111/add.15382
复制
发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
McCann M
中科院分区：
文献类型：
--
作者：
Kwasnicka D;Boroujerdi M;O'Gorman A;Anderson M;Craig P;Bowman L;McCann M
在苏格兰的政策变化的背景下，实施最低单价（MUP）每单位的酒精在许可的处所出售，这项研究使用了一个N-的-1设计，以评估与日常饮酒相关的心理和社会因素的人与人之间的差异。一种混合方法结合了1项观察性研究中的N项，包括每日调查，然后是定性社交网络访谈（此处未报告）。同行的研究人员与物质使用的生活经验参与了研究设计和实地考察在苏格兰东部的城镇和农村地区进行。招募了25名目前或近期有酒精依赖史的成年人，分为3个12周波：波1（MUP前）11名，波2（MUP前和后）11名，波3（MUP后）3名。性别、年龄、酒精和其他药物使用史。为期12周的每日调查收集了过去24小时内有关因素的信息，例如饮酒量和类型，压力，社会接触。每个参与者平均每天进行64天的调查[标准差（SD）= 42;中位数= 59]，应答率为48%; 15名参与者提供了足够的数据进行分析。与每日饮酒量相关的因素在个体之间存在差异。模型表明，一些初始消费量高的人在MUP后减少饮酒，但解释因素不同，例如改变动机对一些人很重要，而酒精的可用性对其他人很重要。采用N-of-1方法进行观察性研究，发现在苏格兰实施最低单位定价之前和之后酒精消费变化的差异，与酒精消费模式相关的因素的个体差异的证据以及MUP后消费变化可能与心理社会因素变化有关的一些证据。
Within the context of Scotland's policy change to implement a minimum unit price (MUP) per unit of alcohol sold in licensed premises, this study used an N‐of‐1 design to assess between‐person differences in the psychological and social factors associated with daily alcohol consumption. A mixed‐methods approach combined N‐of‐1 observational studies, comprising daily surveys followed by qualitative social network interviews (not reported here). Peer researchers with lived experience of substance use were involved in the study design and fieldwork was conducted in towns and rural areas in the East of Scotland. Twenty‐five adults with current or recent history of alcohol dependence recruited for three 12‐week waves: 11 in wave 1 (pre‐MUP), 11 in wave 2 (pre‐ and post‐MUP) and three in wave 3 (post MUP). Gender, age, alcohol and other drug use history. Daily surveys for 12 weeks captured information about factors in the last 24 hours, e.g. amount and type of alcohol consumed, stress, social contact. Each participant was in the daily survey for a mean of 64 days [standard deviation (SD) = 42; median = 59], with a response rate of 48%; 15 participants provided sufficient data for analysis. Factors related to daily alcohol consumption differed between individuals. Models suggested that some individuals with high initial consumption reduced drinking after MUP, but explanatory factors differed, e.g. changing motivation was important for some, while alcohol availability was important for others. Adapting N‐of‐1 methods for an observational study uncovered differences in alcohol consumption change before and after minimum unit pricing implementation in Scotland, evidence of individual differences in the factors relating to alcohol consumption patterns and some evidence that post‐MUP consumption changes may be related to changing psychosocial factors.
登录
查看更多内容
影响因子：
9.8
作者：
Kwasnicka D;Dombrowski SU;White M;Sniehotta F
通讯作者：
Sniehotta F
影响因子：
3.1
作者：
Hawe, Penelope;Shiell, Alan;Riley, Therese
通讯作者：
Riley, Therese
影响因子：
5.4
作者：
Michiels, Bart;Onghena, Patrick
通讯作者：
Onghena, Patrick
影响因子：
3.6
作者：
Piasecki, Thomas M.;Cooper, M. Lynne;Heath, Andrew C.
通讯作者：
Heath, Andrew C.
影响因子：
0.9
作者：
Livingston, Wulf;Perkins, Andrew
通讯作者：
Perkins, Andrew