Annabel Boys

Minimizing respondent attrition in longitudinal research: Practical implications from a cohort study of adolescent drinking

The methods used to maximize retention in a longitudinal study of adolescent drinking are discussed. Data were collected at three time points: at recruitment to the study, after nine months and at 18 months. Strategies to minimize attrition included the collection of detailed contact information, incentives for participation, postcard and telephone reminders and telephone interviews. Ninety-six percent of the original sample completed the first follow-up questionnaire, 92% completed the second and the study lost contact with just 3% of participants. The success of the current project is notable as this type of population is notoriously difficult to retain in longitudinal studies.

What Influences Young People's Use of Drugs? A qualitative study of decision-making

Recent surveys in the UK indicate that approximately half of all young people aged 16-22 have used an illegal drug. Despite such observations, remarkably little research has been conducted in the UK about the motivating factors which shape the decisions that young people make to use drugs or alcohol. This paper reports on a qualitative study exploring the range of factors which young people reported to be influential over such decisions. Results are presented from in-depth interviews conducted with 50 16-21-year-olds. Analysis of the data revealed individual-level influences (the perceived functions of drug use (or specific purpose for using a particular substance), drug-related expectancies, physical/psychological state, commitments and boundaries) and social/contextual-level influences (environment, availability, finance, friends/peers and media) on decision-making. Of these, the perceived function for using a particular substance was identified as particularly influential. The findings are related to e...

Personal and social correlates of alcohol consumption among mid-adolescents

A prospective, cohort survey of 540 mid-adolescent students was conducted to identify personal, family and social correlates of alcohol use. A structured questionnaire recorded alcohol involvement, other substance use, perceived parental alcohol use and related factors, alcohol-related attitudes and beliefs, psychological well-being, social and peer behaviours, and school conduct problems. Participants drank on 17.5 days in the past 3 months; on a typical drinking day they consumed 4.7 units, with 28.5% reported drinking six or more units. More frequent drinking was independently correlated with being male, perceiving that parents encouraged drinking, drinking without parental knowledge, drinking to alter mood, buying alcoholic beverages, spending more time with friends who drink, perceiving social pressure to drink, and being excluded from school and truanting. Parental discouragement for alcohol was related to more frequent drinking in females and less frequent drinking in males. Drinking more intensively was associated with use of cannabis, parental encouragement to drink, spending more time with friends who drink, school exclusion, and being in trouble with teachers. These results highlight multidimensional correlates of drinking during mid-adolescence and underline the importance of addressing personal, family, peer, and school conduct factors in school-based alcohol education programmes.

Substance misuse training among psychiatric doctors, psychiatric nurses, medical students and nursing students in a South London psychiatric teaching hospital

Background: Health professionals play an important role in the detection and subsequent management of individuals who misuse substances. Aim: This article aimed to assess self-reported levels of training received by psychiatric doctors, nurses, medical students and nursing students in a South London psychiatric teaching hospital. Method: Self-completion questionnaire assessing key aspects of training. Findings: We found low overall levels of reported training in substance misuse. Of the reported training received, most was theoretical rather than clinical. The highest level of reported training was in alcohol misuse compared to illicit drug and tobacco misuse. High numbers of respondents reported feeling responsible for helping individuals with substance misuse difficulties but low numbers actually felt skilled to do so, indicating high levels of awareness without the requisite training. Conclusion: Our findings suggest that more resources should be focused on teaching psychiatric doctors, nurses, medical students and nursing students the key issues in substance misuse, and that this training should be clinically grounded, to alleviate the perceived low levels of reported clinical training in this study and the resulting lack of confidence.

Alcohol use by young people from different ethnic groups: consumption, intoxication and negative consequences

Objective. To investigate alcohol consumption among mid‐adolescents from different ethnic groups and explore overall and gender variations in drinking behaviours. Methods. A survey of alcohol use by 609 14–16 year olds recruited from three schools in an ethnically diverse area of London. Approximately 70% of the sample was of White English, White Irish, Black Caribbean or Black African ethnic origin. Self‐report information was collected via a researcher‐administered structured interview. Results. There was a significantly lower prevalence of lifetime alcohol use among Black African respondents than among the other three ethnic groups. Black African males and males and females from the two White ethnic groups reported drinking above levels recommended by the English Department of Health. Among the recent drinkers, over half of the White Irish and White English groups and over a quarter of Black Caribbean and Black African groups had been intoxicated in the 90 days before interview. Approximately three quarters of the White English and White Irish recent drinkers, but only a half of Black Caribbean and Black African recent drinkers had experienced a negative drinking‐related consequence during the last year. Conclusions. The survey findings suggest that while young people of White English or White Irish ethnic origin from the populations studied are more likely to drink excessively and experience negative consequences from their drinking than Black African and Black Caribbean youth, a substantial minority of Black African and Black Caribbean youth also experience alcohol‐related problems.

Have Drug Workers in England Received Appropriate Training?: 1995 baseline data from a national survey

A one-day postal census was conducted in 1995 to gather data on the qualifications and training experience of workers from a sample of drug agencies in England. Information was obtained from 489 workers who comprised 95% of the workforce from 91 agencies (76% of the agencies contacted). The data from the 368 workers who described their work as mainly ‘casework’ are presented in this paper.Three-quarters of the agencies had a specific budget for staff training. The current workforce has a wide range of qualifications and training, but with many having entered the drug field unqualified. A high percentage of workers have received some form of additional training since entering the drug field. Nurses were the group least likely to have had any additional training since entering the field and they were also less likely to hold higher qualifications in counselling and therapy (i.e. diploma level and above). The most common area of training was counselling/therapeutic interventions. However, the courses attende...

The relative influence of friends and functions: modelling frequency of substance use in a non‐treatment sample of 16‐22 year olds

A range of personal and social factors influence psychoactive substance use in young people. One of these influences is the perceived “functions” (or purposes) that using a drug is intended to fulfil (e.g. “helping to relax” or “to stay awake”). Using a sample of 100 young people aged 16‐22 years recruited in the community, this study explores the relationship between patterns of alcohol, cannabis, amphetamines and ecstasy use and perceived functions and other social influences. Multiple regression analyses indicated that the frequency of substance use was more influenced by functions than by the extent of peer use and that the experience of negative effects from using had very little influence. These findings suggest that consideration of the functions associated with substance use could be valuable in the development of educational and prevention programmes

Assessing alcohol-intoxicated patients

Sir: We agree with McCaffery et al ( Psychiatric Bulletin , September 2002, 26 , 332-334) that there is little consensus among psychiatrists as to how to manage intoxicated patients when they present. We collected questionnaire data from 164 health professionals — 53 psychiatrists, 56 psychiatric