Jump to ContentJump to Main Navigation
Show Summary Details
More options …

Nordic Studies on Alcohol and Drugs

The Journal of Nordic Centre for Welfare and Social Issues

6 Issues per year


IMPACT FACTOR 2016: 0.746

CiteScore 2016: 0.54

SCImago Journal Rank (SJR) 2016: 0.348
Source Normalized Impact per Paper (SNIP) 2016: 0.383

Open Access
Online
ISSN
1458-6126
See all formats and pricing
More options …
Ahead of print

No issues found

Implementation of a Multicomponent Responsible Beverage Service Programme in Sweden – A Qualitative Study of Promoting and Hindering Factors

Ulrika Haggård / Björn Trolldal / Pia Kvillemo / Karin Guldbrandsson
Published Online: 2014-12-16 | DOI: https://doi.org/10.2478/nsad-2014-0038

Abstract

AIMS – The objective of this study was to identify factors that either promote or hinder implementation of a multicomponent Responsible Beverage Service programme in Swedish municipalities. DESIGN – Forty semi-structured interviews were conducted in six municipalities and directed content analysis, guided by the Consolidated Framework for Implementation Research (CFIR), was performed. RESULTS – The CFIR framework was useful as an underlying theoretical model in this study. Importance of the following factors, described in the five domains of CFIR, was empirically supported in this study: local needs, evidence strength and advantages of the intervention, costs and available resources, clear goals, evaluation and feedback, access to knowledge and information, clear role definitions and cooperation, and enthusiastic key persons with high confidence in the effectiveness of the intervention. Hindering factors listed by the informants were lack of enthusiasm and opportunities to specialise, low degree of self-efficacy, unengaged decision-makers, complexities of the programme, and a top-down approach. CONCLUSIONS – This study indicates that previously identified factors shown to promote and hinder implementation processes are also valid in the context of multicomponent community action programmes like RBS. Suggestions on how to elude some of the hindering factors are proposed, e.g. to develop long-time financial plans, to provide better information about the RBS program in full, and to stress the importance of collaboration between representatives from the municipalities, police authorities and owners of on-licenced premises.

Keywords: implementation; Responsible Beverage Service programme; community-based interventions; on-licenced premises; violence

References

  • Anderson, P., & Baumberg, B. (2006). Alcohol in Europe. London: Institute of Alcohol Studies.Google Scholar

  • Anderson, P., Chisholm, D., & Fuhr, D. C. (2009). Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol. Lancet, 373, 2234–2246.Google Scholar

  • Andréasson, S., Sjöström, E., & Bränström, R. (2007). A Six-Community Prevention Trial to Reduce Alcohol and Drug Use–Related Problems in Sweden: Planning and Early Findings. Substance Use & Misuse, 42, 2017–2027.Google Scholar

  • Babor, T. F., Caetano, R., Casswell, S., Edwards, G., Giesbrecht, N., Graham, K., et al. (2010). Alcohol No Ordinary Commodity, Research and Public Policy (2nd ed.). Oxford, UK: Oxford University Press.Google Scholar

  • Buvik, K. & Baklien, B. (2006). Skal det være noe mer før vi stenger – en evaluering av Ansvarlig vertskap i Trondheim. SIRUS rapport nr 4/2006: Statens institutt for rusmiddelforskning.Google Scholar

  • Casswell, S. (2000). A decade of community action research. Substance Use & Misuse, 35, 55–74.Google Scholar

  • Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2, 40.Google Scholar

  • Damschroder, L. J., Aron, D., Keith, R., Kirsh, S., Alexander, J., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 4, 50. doi:10.1186/1748-5908-4-50CrossrefGoogle Scholar

  • Damschroder, L. J., & Hagedorn, H. J. (2011). A Guiding Framework and Approach for Implementation Research in Substance Use Disorders Treatment. Psychology of Addictive Behaviors, 25(2), 194–205.Google Scholar

  • Damschroder, L. J. & Lowery, J. C. (2013). Evaluation of a large-scale weight management programme using the consolidated framework for implementation research (CFIR). Implementation Science, 8, 51. doi:10.1186/1748-5908-8-51CrossrefGoogle Scholar

  • Demers, A., Kairouz, S., Adlaf, E. M., Gliksman, L., Newton-Taylor, B., & Marchand, A. (2002). Multilevel analysis of situational drinking among Canadian undergraduates. Social Science & Medicine, 55, 415–424.CrossrefGoogle Scholar

  • Durlak, J. A., & DuPre, E. (2008). Implementation Matters: A Review of Research on the Influence of Implementation on Program Outcomes and the Factors Affecting Implementation. American Journal of Community Psychology, 41, 327–350.Google Scholar

  • Durlak, J. A. (1997). Successful prevention programs for children and adolescents. New York: Plenum Press.Google Scholar

  • Dusenbury, L., Brannigan, R., Falco, M., & Hansen, W. B. (2003). A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings. Health Education Research, 18, 237–256.CrossrefPubMedGoogle Scholar

  • Eccles, MP., Armstrong, D., Baker, R., Cleary, K., Davies, H., Davies, S., et al. (2009). An implementation research agenda. Implementation Science, 4, 18. doi:10.1186/1748-5908-4-18CrossrefGoogle Scholar

  • Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M., & Wallace, F. (2005). Implementation Research: A Synthesis of the Literature. Tampa, Florida, US: Louis de la Parte Florida Mental Health Institute Publication.Google Scholar

  • Flay, B., Biglan, A., Boruch, R., Castro, F., Gottfredson, D., Kellam, S. et al. (2005). Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination. Prevention Science, 6(3), 151–175.CrossrefGoogle Scholar

  • Gliksman, L., McKenzie, D., Single, E., Douglas, R., Brunet, S., & Moffatt, K. (1993). The role of alcohol providers in prevention: an evaluation of a server intervention programme. Addiction, 88, 1195–1203.CrossrefPubMedGoogle Scholar

  • Graham, K., & Homel, R. (2008). Raising the bar: Preventing aggression in and around bars, pubs and clubs. Cullompton, UK: Willan Publishing.Google Scholar

  • Graham, K., Osgood, D. W., Wells, S., & Stockwell, T. (2006). To what extent is intoxication associated with aggression in bars? A multilevel analysis. Journal of Studies on Alcohol, 67, 382–390.Google Scholar

  • Graham, K., Osgood, D. W., Zibrowski, E., Purcell, J., Gliksman, L., Leonard, K., et al. (2004). The effect of the Safer Bars programme on physical aggression in bars: results of a randomized controlled trial. Drugs and Alcohol Review, 23, 31–41.Google Scholar

  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education, 24, 105–112.Google Scholar

  • Greenhalgh, T., Robert, G., Bate, P., Macfarlane, F., & Kyriakidou, O. (2004). Diffusion of innovations in health service organisations. A systematic literature review. Oxford, UK: BMJ Books, Blackwell Publishing.Google Scholar

  • Holder, H. D. (1998). Alcohol and the community: a systems approach to prevention. Cambridge, UK: Cambridge University Press.Google Scholar

  • Holder, H. D. (2000). Community prevention of alcohol problems. Addictive Behaviors, 25(6), 843–859.CrossrefPubMedGoogle Scholar

  • Holder, H. D., & Moore, R. (2000). Institutionalization of community action projects to reduce alcohol use–related problems: Systematic facilitators. Substance Use & Misuse, 35, 75–86.Google Scholar

  • Holder, H. D., Gruenewald, P. J., Ponicki, W. R., Treno, A. J., Grube, J. W., Saltz, R. et al. (2000). Effects of community-based interventions on high-risk drinking and alcohol-related injuries. JAMA, 284, 2341–2347.Google Scholar

  • Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 1277–1288.Google Scholar

  • Ilott, I., Gerrish, K., Booth, A., & Field, B. (2013). Testing the Consolidated Framework for Implementation Research on health care innovations from South Yorkshire. Journal of Evaluation in Clinical Practice, 19(5), 915–924. doi: 10.1111/j.1365-2753.2012.01876.xCrossrefGoogle Scholar

  • John, P. (1998). Analysing public policy. London: Continuum.Google Scholar

  • Johnsson, K. O. & Berglund, M. (2009). Do Responsible Beverage Programs reduce breath alchol concentration among patrons: a five-month follow-up of a randomized controlled trial. Substance Use & Misuse, 44, 1592–1601.Google Scholar

  • Jones, L., Hughes, K., Atkinson, A. M., & Bellis, M. A. (2011). Reducing harm in drinking environments: a systematic review of effective apporaches. Health Place, 17, 508–518.CrossrefGoogle Scholar

  • Knafl, K. A., & Breitmayer, B. J. (1991). Triangulation in qualitative research: issues of conceptual clarity and purpose. In J. M. Morse (Ed.), Qualitative nursing research. Newbury Park: SAGE Publications.Google Scholar

  • Kvale, S. (1996). InterWiews. London: Sage Publications.Google Scholar

  • Lauritzen, H. C. & Baklien, B. (2007). Overskjenking i Bergen – en oppfølgingsevaluering av Ansvarlig vertskap i Bergen. SIRUS rapport nr 5/2007: Statens institutt for rusmiddelforskning.Google Scholar

  • Leonard, K. E., Quigley, B. M., & Collins, R. L. (2002). Physical aggression in the lives of young adults: Prevalence, location and severity among college and community samples. Journal of Interpersonal Violence, 17, 533–550.CrossrefGoogle Scholar

  • Lepp, M., & Ringsberg, K. C. (2002). Phenomenography – a qualitative research approach. In L. R. M. Hallberg (Ed.), Qualitative methods in public health research – Theoretical foundations and practical examples. Lund, Sweden: Studentlitteratur.Google Scholar

  • Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis. An expanded sourcebook. (2nd ed.). Thousands Oaks, California, USA: Sage Publications.Google Scholar

  • Norström, T. (1998). Effects on criminal violence of different beverage types and private and public drinking. Addiction, 93, 689–699.CrossrefPubMedGoogle Scholar

  • OECD (2011). Health at a glance 2011: OECD indicators. OECD, 2011Google Scholar

  • Rehm, J., Colin, M., Popoya, S., Thavorncharoensap, M., Teerawattananon, Y., & Jayadeep, P. (2009). Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet, 373, 2223–2233.Google Scholar

  • Rogers, E. (2003). Diffusion of Innovations (5 uppl. ed.). London: Free Press.Google Scholar

  • Room, R., & Rossow, I. (2001). The share of violence attributable to drinking. Journal of Substance Use, 6, 218–228.Google Scholar

  • Rossow, I. & Baklien, B. (2011). Applying mixed methods in evaluation of a community prevention project: reflections on strengths and challenges. Nordic Studies on Alcohol and Drugs, 28, 487–500.Google Scholar

  • Swedish National Institute of Public Health. (2006). Responsible Beverage Service – a method for preventing alcohol-related injuries in bars, pubs and restaurants. Östersund, Sweden: Swedish National Institute of Public Health.Google Scholar

  • Stockwell, T. (2001). Responsible alcohol service: lessons from evaluations of server training and policing initiatives. Drug and Alchol Review, 20, 257–265.Google Scholar

  • Trolldal, B., Brännström, L., Mallie, I., Paschall, M. J., & Leifman, H. (2013a). Effects of a multi-component responsible beverage service programme on violent assaults in Sweden. Addiction, 108, 89–96.CrossrefPubMedGoogle Scholar

  • Trolldal, B., Haggård, U., & Guldbrandsson, K. (2013b). Factors associated with implementation of a multicomponent responsible beverage service program-results from two surveys in 290 Swedish municipalities. Substance Abuse Treatment, Prevention, and Policy, 8, 11. doi:10.1186/1747-597X-8-1..CrossrefGoogle Scholar

  • Trolldal, B., Holder, H., Agnéus, H., & Edin, A. (2000). Description of the Swedish Alcohol System 1995–2000: Production, import, export, wholesale and retail. In H. Holder (Ed.), Sweden and the European Union – Changes in national alcohol policy and their consequences. Stockholm, Sweden: Almqvist & Wiksell International.Google Scholar

  • Wagenaar, A., Murray, D., & Toomey, T. (2000). Communities mobilizing for change on alcohol (CMCA): Effects of a randomized trial on arrests and traffic crashes. Addiction, 95, 209–217.PubMedCrossrefGoogle Scholar

  • Wallin, E. (2004). Responsible beverage service. Effects of a community action project. Stockholm, Sweden: Karolinska Institutet.Google Scholar

  • Wallin, E., Norström, T., & Andréasson, S. (2003). Alcohol prevention targeting licensed premises: a study of effects on violence. Journal of Studies on Alcohol, 64, 270–277.Google Scholar

  • Warpenius, K., Holmila, M., & Mustonen, H. (2010). Effects of a community intervention to reduce the serving of alcohol to intoxicated patrons. Addiction, 105, 1032–1040.CrossrefPubMedGoogle Scholar

About the article

Received: 2014-01-27

Accepted: 2014-05-16

Published Online: 2014-12-16


Citation Information: Nordic Studies on Alcohol and Drugs, ISSN (Online) 1458-6126, DOI: https://doi.org/10.2478/nsad-2014-0038.

Export Citation

© 2014 Ulrika Haggård et. al.. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

Comments (0)

Please log in or register to comment.
Log in