Cargando…

Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial

Young people in care have a four-fold increased risk of drug and alcohol use compared to their peers. The SOLID study aimed to deliver two behaviour change interventions to reduce risky substance use (illicit drugs and alcohol) and improve mental health in young people in care. The study was carried...

Descripción completa

Detalles Bibliográficos
Autores principales: Alderson, Hayley, McGovern, Ruth, Copello, Alex, McColl, Elaine, Kaner, Eileen, Smart, Deborah, McArdle, Paul, Lingam, Raghu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037471/
https://www.ncbi.nlm.nih.gov/pubmed/33810478
http://dx.doi.org/10.3390/ijerph18073461
_version_ 1783677151436865536
author Alderson, Hayley
McGovern, Ruth
Copello, Alex
McColl, Elaine
Kaner, Eileen
Smart, Deborah
McArdle, Paul
Lingam, Raghu
author_facet Alderson, Hayley
McGovern, Ruth
Copello, Alex
McColl, Elaine
Kaner, Eileen
Smart, Deborah
McArdle, Paul
Lingam, Raghu
author_sort Alderson, Hayley
collection PubMed
description Young people in care have a four-fold increased risk of drug and alcohol use compared to their peers. The SOLID study aimed to deliver two behaviour change interventions to reduce risky substance use (illicit drugs and alcohol) and improve mental health in young people in care. The study was carried out in 6 local authorities in the North East of England. Young people in care aged 12–20 years, who self-reported substance use within the previous 12 months were randomised to Motivational Enhancement Therapy, Social Behaviour and Network Therapy or control. In-depth 1:1 interviews and focus groups were used with young people in care, foster carers, residential workers, social workers and drug and alcohol practitioners to explore the key lessons from implementing the interventions. The Consolidated Framework of Implementation Research framed the analysis. Findings illustrated that the everyday interaction between individuals, service level dynamics and external policy related factors influenced the implementation of these new interventions at scale. We concluded that unless interventions are delivered in a way that can accommodate the often-complex lives of young people in care and align with the drug and alcohol practitioners’ and social workers priorities, it is unlikely to be successfully implemented and become part of routine practice.
format Online
Article
Text
id pubmed-8037471
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-80374712021-04-12 Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial Alderson, Hayley McGovern, Ruth Copello, Alex McColl, Elaine Kaner, Eileen Smart, Deborah McArdle, Paul Lingam, Raghu Int J Environ Res Public Health Article Young people in care have a four-fold increased risk of drug and alcohol use compared to their peers. The SOLID study aimed to deliver two behaviour change interventions to reduce risky substance use (illicit drugs and alcohol) and improve mental health in young people in care. The study was carried out in 6 local authorities in the North East of England. Young people in care aged 12–20 years, who self-reported substance use within the previous 12 months were randomised to Motivational Enhancement Therapy, Social Behaviour and Network Therapy or control. In-depth 1:1 interviews and focus groups were used with young people in care, foster carers, residential workers, social workers and drug and alcohol practitioners to explore the key lessons from implementing the interventions. The Consolidated Framework of Implementation Research framed the analysis. Findings illustrated that the everyday interaction between individuals, service level dynamics and external policy related factors influenced the implementation of these new interventions at scale. We concluded that unless interventions are delivered in a way that can accommodate the often-complex lives of young people in care and align with the drug and alcohol practitioners’ and social workers priorities, it is unlikely to be successfully implemented and become part of routine practice. MDPI 2021-03-26 /pmc/articles/PMC8037471/ /pubmed/33810478 http://dx.doi.org/10.3390/ijerph18073461 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Article
Alderson, Hayley
McGovern, Ruth
Copello, Alex
McColl, Elaine
Kaner, Eileen
Smart, Deborah
McArdle, Paul
Lingam, Raghu
Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title_full Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title_fullStr Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title_full_unstemmed Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title_short Implementation Factors for the Delivery of Alcohol and Drug Interventions to Children in Care: Qualitative Findings from the SOLID Feasibility Trial
title_sort implementation factors for the delivery of alcohol and drug interventions to children in care: qualitative findings from the solid feasibility trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8037471/
https://www.ncbi.nlm.nih.gov/pubmed/33810478
http://dx.doi.org/10.3390/ijerph18073461
work_keys_str_mv AT aldersonhayley implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT mcgovernruth implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT copelloalex implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT mccollelaine implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT kanereileen implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT smartdeborah implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT mcardlepaul implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial
AT lingamraghu implementationfactorsforthedeliveryofalcoholanddruginterventionstochildrenincarequalitativefindingsfromthesolidfeasibilitytrial