Evidence map›Paper›PMID 32898141›Full record

Trial reportPloS one2020

A pilot feasibility randomised controlled trial of two behaviour change interventions compared to usual care to reduce substance misuse in looked after children and care leavers aged 12-20 years: The SOLID study.

Hayley Alderson, Eileen Kaner, Elaine McColl, Denise Howel, Tony Fouweather, Ruth McGovern, Alex Copello, Heather Brown, Paul McArdle, Deborah Smart and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Hayley AldersonPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0002-4674-561X
Eileen KanerPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Elaine McCollPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Denise HowelPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Tony FouweatherPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0002-2292-0495
Ruth McGovernPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Alex CopelloSchool of Psychology, University of Birmingham, Birmingham, United Kingdom.
Heather BrownPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.ORCID 0000-0002-0067-991X
Paul McArdleChild and Adolescent, Mental Health Services, Northumberland, Tyne and Wear NHS Foundation Trust, Newcastle, United Kingdom.
Deborah SmartPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Rebecca BrownPopulation Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.
Raghu LingamPopulation Child Health Research Group, School of Women and Children's Health, University New South Wales, Randwick, Australia.
Newcastle University · GBCumbria Northumberland Tyne and Wear NHS Foundation Trust · GBSydney Children's Hospital · AUUniversity of Birmingham · GB

Funding

British Heart FoundationCancer Research UKDepartment of Health 14/183/08Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundYoung people in state care, often due to abuse or neglect, have a four-fold increased risk of drug and alcohol use compared to their peers.

aimThe SOLID study aimed to investigate the feasibility of a definitive randomised controlled trial, comparing two behaviour change interventions to reduce risky substance use (illicit drugs and alcohol), and improve mental health, in young people in care.

methodsWe recruited young people in care aged 12-20 years, self-reporting substance use within the previous 12 months and residing in 1 of 6 participating local authority sites in the North East of England. Participants were randomised to either i. Motivational Enhancement Therapy (MET), ii. Social Behaviour and Network Therapy (SBNT) or iii. Control (usual care). All interventions were delivered by trained drug and alcohol workers. Follow-up data were collected 12 months post recruitment. Feasibility for trial progression was compared to pre-specified stop: go criteria (recruitment of 60% of eligible participants, 80% of participants attending 60% of offered sessions and retention of 70% of participants at 12 month follow up).

resultsOf 1450 eligible participants, 860 (59%) were screened for drug and alcohol use by social workers, 211 (24.5%) met inclusion criteria for the trial and 112 young people (7.7%) consented and were randomised. Sixty of these 112 participants (54%) completed 12-month follow-up questionnaires. Only 15 out of the 76 (20%) participants allocated to an intervention arm attended any of the offered MET or SBNT sessions.

conclusionBy reference to pre-specified stop: go criteria it is not feasible to conduct a definitive trial for SOLID in its current format. Despite co-designing procedures with staff and young people in care, the screening, referral and treatment pathway did not work here. Future work may require dedicated clinically embedded research resource to evaluate effectiveness of new interventions in services.

Indexed as

Patient Education as TopicQuality of LifeAdolescentAdultBehavior TherapyCaregiversChildCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMental HealthPilot ProjectsSelf CareSubstance-Related Disorders

Identifiers

PMID32898141
PMCPMC7478815
OpenAlexW3083969694

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.