Penny A. Cook|Suzy C. Hargreaves|Elizabeth J. Burns|Frank de Vocht|Steve Parrott|Margaret Coffey|Suzanne Audrey|Cathy Ure|Paul Duffy|David Ottiwell|Kiran Kenth|Susan Hare|Kate Ardern
Communities in charge of alcohol (CICA): a protocol for a stepped-wedge randomised control trial of an alcohol health champions programme
University of Salford|University of Salford|University of Salford|University of Bristol|University of York|University of Salford|University of Bristol|University of Salford|Health Education North West|Public Health England|Greater Manchester Combined Authority|Royal Society for Public Health|University of Salford|Wrightington, Wigan and Leigh NHS Foundation Trust
communities charge alcohol cica takes asset based community development abcd approach reducing alcohol harm cascade training model supported designated local coordinator local volunteers trained become accredited alcohol health champions provide brief opportunistic advice individual level mobilise action alcohol availability community level cica programme first time devolved uk region attempted coordinate approach building health champion capacity presenting opportunity investigate implementation impact scale paper describes protocol stepped wedge randomised controlled trial alcohol health champions programme greater manchester aims strengthen evidence base abcd approaches health improvement reducing alcoholrelated harm natural experiment examine effect cica area level alcoholrelated hospital admissions accident emergency attendances ambulance call outs streetlevel crime antisocial behaviour data using stepped wedged randomised design whereby intervention rolled sequentially randomly assigned order potential changes health criminal justice primary outcomes analysed using mixedeffects lograte models differencesindifferences models bayesian structured time series models economic evaluation identifies setup running costs cica using hm treasury approved standardised methods resolves costconsequences sector process evaluation explores context implementation response intervention qualitative analyses utilise framework method identify underlying themes investigate whether training lay people offer brief advice take action licensing decisions impact alcoholrelated harm local areas costconsequences health criminal justice sectors mechanisms influence intervention outcomes well providing evidence effectiveness intervention reduce harm alcohol evaluation contribute broader understanding asset based approaches improve public health isrctn 81942890 date registration 12092017