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Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study

Citation
Stead M, Parkes T, Nicoll A, Wilson S, Burgess C, Eadie D, Fitzgerald N, McKell J, Reid G, Jepson R, McAteer J & Bauld L (2017) Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study, BMC Public Health, 17 (1), Art. No.: 357.

Abstract
Background 

Alcohol Brief Interventions (ABIs) are increasingly being delivered in community-based youth work settings. However, little attention has been paid to how they are being implemented in such settings, or to their feasibility and acceptability for practitioners or young people. The aim of this qualitative study was to explore the context, feasibility and acceptability of ABI delivery in youth work projects across Scotland. 
Methods 
Individual, paired and group interviews were conducted with practitioners and young people in nine community projects that were either involved in the delivery of ABIs or were considering doing so in the near future. A thematic analysis approach was used to analyse data. 
Results 
ABIs were delivered in a diverse range of youth work settings including the side of football pitches, on the streets as part of outreach activities, and in sexual health drop-in centres for young people. ABI delivery differed in a number of important ways from delivery in other health settings such as primary care, particularly in being largely opportunistic and flexible in nature. ABIs were adapted by staff in line with the ethos of their project and their own roles, and to avoid jeopardising their relationships with young people. Young people reacted positively to the idea of having conversations about alcohol with youth project workers, but confirmed practitioners’ views about the importance of these conversations taking place in the context of an existing trusting relationship. 
Conclusion 
ABIs were feasible in a range of youth work settings with some adaptation. Acceptability to staff was strongly influenced by perceived benefits, and the extent to which ABIs fitted with their project’s ethos. Young people were largely comfortable with such conversations. Future implementation efforts should be based on detailed consideration of current practice and contexts. Flexible models of delivery, where professional judgement can be exercised over defined but adaptable content, may be better appreciated by staff and encourage further development of ABI activity.

Keywords
Alcohol; Brief intervention; Implementation; Young people; Youth work; Brief advice; Qualitative research; Feasibility; Acceptability

StatusPublished
AuthorsStead Martine, Parkes Tessa, Nicoll Avril, Wilson Sarah, Burgess Cheryl, Eadie Douglas, Fitzgerald Niamh, McKell Jennifer, Reid Garth, Jepson Ruth, McAteer John, Bauld Linda
Publication date04/2017
Publication date online24/04/2017
Date accepted by journal11/04/2017
PublisherBioMed Central
ISSN 1471-2458
LanguageEnglish

Journal
bmc Public Health: Volume 17, Issue 1

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