Health and Social Behaviour Change

Relapse Prevention Project - A Randomised Controlled Trial.

d2 Digital by Design is thrilled to be involved in a pilot randomised control trial into our innovative, relapse prevention digital system. We are hoping to build upon the evidence from the pilot project that we ran in Bolton Alcohol Misuse Treatment Services, throughout 2010/11.

Working in close partnership with Public Health England, The Bayswater Institute, The University of Bradford; School of Health Studies, Bridge; Bradford, Bradford Drug and Alcohol Action Team, NECA Integrated Drug and Alcohol Services, Darlington and Darlington Drug and Alcohol Action Team, this study will go further than the initial pilot study in Bolton.

The aims of the study are to identify;

  • If the digital engagement technology is applicable to wider drug treatment settings.
  • If the technology is an effective way of maximising client-service contact.
  • If the project increases perceptions of service support that clients hold
  • Reduce relapse rates and increase successful completions. 

This current study, has received approval from ethics committee and is a multi-method pilot study using a randomised controlled trial and qualitative interview data. The number of clients enrolled onto the study will be 98, with 49 receiving the digital intervention and 49 receiving standard care. This will be the same across both sites and allow for a direct comparison between the intervention group and standard care groups. Data from National Drug Treatment Monitoring System which is be routinely collected from all clients accessing structured treatment in England, will be used to evaluate the  effectiveness of the project and will be subject to statistical testing. Those clients who drop out of treatment will be included in some of the analysis.

Qualitative evaluation of the project aims to identify client and service personnel perception of the project. This information will be gathered through face to face interviews, on a voluntary basis and undertaken by independent researchers at The Bayswater Institute and The University of Bradford, School of Health Studies.

The initial pilot project in Bolton Alcohol Misuse services was well received by clients and service personnel and helped to achieve improved outcomes for clients. The final evaluations of the Bolton pilot showed;

  • Engagement rates for clients engaged on the project were 72% compared to a baseline measurement of 42%.
  • 69% of clients engaged on the project achieved successful discharge from structured services compared to 41% of those who did not enrol on the project.
  • In year, re-referral rates for clients who had engaged on the project were 2% compared to 9% for those clients not engaged on the project
  • Clients who enrolled on the project were found to engage with services for longer and achieved better outcomes.
  • The project was well received by clients and service personnel alike.

We are hoping to replicate these outstanding results across the services in both Bradford and Darlington and hope that both clients and service personnel find the system supportive in helping them respond to and meet changing and often complex levels of need.

To find out more about the results of the initial pilot study in Bolton please see our final report here..... /evidence-based/project-reports