Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men

Linda Irvine, Iain K. Crombie, Kathryn B. Cunningham, Brian Williams, Falko F. Sniehotta, John Norrie, Ambrose J. Melson, Claire Jones, Peter Rice, Peter W. Slane, Marcus Achison, Andrew McKenzie, Elena D. Dimova, Sheila Allan

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Abstract

Objectives Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability. Methods Men aged 35–64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach. The intervention was delivered by a face to face session followed by a series of text messages. Trained lay people (Study Coordinators) delivered the face to face session. Participants were followed up for 5 months from baseline to measure weekly alcohol consumption and BMI. Results The recruitment target of 60 was exceeded, with 69 men recruited and randomized. At baseline, almost all the participants (95%) exceeded the threshold for a 19-fold increase in the risk of dying from liver disease. The intervention was delivered with high fidelity. A very high follow-up rate was achieved (98%) and the outcomes for the full trial were measured. Process evaluation showed that participants responded as intended to key steps in the behaviour change strategy. The acceptability of the study methods was high: e.g. 80% of men would recommend the study to others. Conclusions This feasibility study identified a group at high risk of liver disease. It showed that a full trial could be conducted to test the effectiveness and cost-effectiveness of the intervention.
Original languageEnglish
Pages (from-to)677–684
JournalAlcohol & Alcoholism
Volume52
Issue number6
Early online date18 Sep 2017
DOIs
Publication statusPublished - Nov 2017

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Feasibility Studies
Alcohol Drinking
Liver Diseases
Obesity
Alcohols
Community-Institutional Relations
Text Messaging
Drinking
Cost-Benefit Analysis

Keywords

  • alcohol consumption
  • obesity

Cite this

Irvine, L., Crombie, I. K., Cunningham, K. B., Williams, B., Sniehotta, F. F., Norrie, J., ... Allan, S. (2017). Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men. Alcohol & Alcoholism, 52(6), 677–684. https://doi.org/10.1093/alcalc/agx067
Irvine, Linda ; Crombie, Iain K. ; Cunningham, Kathryn B. ; Williams, Brian ; Sniehotta, Falko F. ; Norrie, John ; Melson, Ambrose J. ; Jones, Claire ; Rice, Peter ; Slane, Peter W. ; Achison, Marcus ; McKenzie, Andrew ; Dimova, Elena D. ; Allan, Sheila. / Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men. In: Alcohol & Alcoholism. 2017 ; Vol. 52, No. 6. pp. 677–684.
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title = "Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men",
abstract = "Objectives Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability. Methods Men aged 35–64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach. The intervention was delivered by a face to face session followed by a series of text messages. Trained lay people (Study Coordinators) delivered the face to face session. Participants were followed up for 5 months from baseline to measure weekly alcohol consumption and BMI. Results The recruitment target of 60 was exceeded, with 69 men recruited and randomized. At baseline, almost all the participants (95{\%}) exceeded the threshold for a 19-fold increase in the risk of dying from liver disease. The intervention was delivered with high fidelity. A very high follow-up rate was achieved (98{\%}) and the outcomes for the full trial were measured. Process evaluation showed that participants responded as intended to key steps in the behaviour change strategy. The acceptability of the study methods was high: e.g. 80{\%} of men would recommend the study to others. Conclusions This feasibility study identified a group at high risk of liver disease. It showed that a full trial could be conducted to test the effectiveness and cost-effectiveness of the intervention.",
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Irvine, L, Crombie, IK, Cunningham, KB, Williams, B, Sniehotta, FF, Norrie, J, Melson, AJ, Jones, C, Rice, P, Slane, PW, Achison, M, McKenzie, A, Dimova, ED & Allan, S 2017, 'Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men', Alcohol & Alcoholism, vol. 52, no. 6, pp. 677–684. https://doi.org/10.1093/alcalc/agx067

Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men. / Irvine, Linda; Crombie, Iain K.; Cunningham, Kathryn B.; Williams, Brian; Sniehotta, Falko F.; Norrie, John; Melson, Ambrose J.; Jones, Claire; Rice, Peter; Slane, Peter W.; Achison, Marcus; McKenzie, Andrew; Dimova, Elena D.; Allan, Sheila.

In: Alcohol & Alcoholism, Vol. 52, No. 6, 11.2017, p. 677–684.

Research output: Contribution to journalArticle

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T1 - Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men

AU - Irvine, Linda

AU - Crombie, Iain K.

AU - Cunningham, Kathryn B.

AU - Williams, Brian

AU - Sniehotta, Falko F.

AU - Norrie, John

AU - Melson, Ambrose J.

AU - Jones, Claire

AU - Rice, Peter

AU - Slane, Peter W.

AU - Achison, Marcus

AU - McKenzie, Andrew

AU - Dimova, Elena D.

AU - Allan, Sheila

N1 - Acceptance from webpage OA article Applied Gold exception, in hybrid journal and to best of our knowledge this was immediate OA (corresponding author not at GCU - Dundee U). ET 19/12/19

PY - 2017/11

Y1 - 2017/11

N2 - Objectives Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability. Methods Men aged 35–64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach. The intervention was delivered by a face to face session followed by a series of text messages. Trained lay people (Study Coordinators) delivered the face to face session. Participants were followed up for 5 months from baseline to measure weekly alcohol consumption and BMI. Results The recruitment target of 60 was exceeded, with 69 men recruited and randomized. At baseline, almost all the participants (95%) exceeded the threshold for a 19-fold increase in the risk of dying from liver disease. The intervention was delivered with high fidelity. A very high follow-up rate was achieved (98%) and the outcomes for the full trial were measured. Process evaluation showed that participants responded as intended to key steps in the behaviour change strategy. The acceptability of the study methods was high: e.g. 80% of men would recommend the study to others. Conclusions This feasibility study identified a group at high risk of liver disease. It showed that a full trial could be conducted to test the effectiveness and cost-effectiveness of the intervention.

AB - Objectives Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability. Methods Men aged 35–64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach. The intervention was delivered by a face to face session followed by a series of text messages. Trained lay people (Study Coordinators) delivered the face to face session. Participants were followed up for 5 months from baseline to measure weekly alcohol consumption and BMI. Results The recruitment target of 60 was exceeded, with 69 men recruited and randomized. At baseline, almost all the participants (95%) exceeded the threshold for a 19-fold increase in the risk of dying from liver disease. The intervention was delivered with high fidelity. A very high follow-up rate was achieved (98%) and the outcomes for the full trial were measured. Process evaluation showed that participants responded as intended to key steps in the behaviour change strategy. The acceptability of the study methods was high: e.g. 80% of men would recommend the study to others. Conclusions This feasibility study identified a group at high risk of liver disease. It showed that a full trial could be conducted to test the effectiveness and cost-effectiveness of the intervention.

KW - alcohol consumption

KW - obesity

U2 - 10.1093/alcalc/agx067

DO - 10.1093/alcalc/agx067

M3 - Article

VL - 52

SP - 677

EP - 684

IS - 6

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Irvine L, Crombie IK, Cunningham KB, Williams B, Sniehotta FF, Norrie J et al. Modifying alcohol consumption to reduce obesity: a randomized controlled feasibility study of a complex community-based intervention for men. Alcohol & Alcoholism. 2017 Nov;52(6):677–684. https://doi.org/10.1093/alcalc/agx067