Christine Ann Godfrey

Christine Ann Godfrey
The University of York · Department of Health Sciences

BA Economics and Statistics, University of Exeter,

About

228
Publications
51,209
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
7,101
Citations
Additional affiliations
January 2004 - present
The University of York
Position
  • Professor Emeritus

Publications

Publications (228)
Article
Full-text available
Aims: To compare the clinical effectiveness and cost-effectiveness of a stepped-care intervention versus a minimal intervention for the treatment of older hazardous alcohol users in primary care. Method: Multi-centre, pragmatic RCT, set in Primary Care in UK. Patients aged ≥ 55 years scoring ≥ 8 on the Alcohol Use Disorders Identification Test w...
Article
Full-text available
Aims: The aim of the study was to explore the relative efficiency and effectiveness of targeted versus universal screening for at-risk alcohol use in a primary care population in the UK. Methods: The study was a randomized evaluation of screening approach (targeted versus universal) for consecutive attendees at primary care aged 18 years or more...
Article
Aims: To explore client characteristics that predict drinking outcomes using data from the UK Alcohol Treatment Trial (UKATT). Methods: Multiple linear regression was used to determine if there were any characteristics, measured before the start of treatment, that could predict drinking outcomes at three and 12months, as measured by percent day...
Article
Full-text available
Background: The abbreviated Alcohol Use Disorder Identification Test for Consumption (AUDIT-C) is rapidly becoming the alcohol screening tool of choice for busy practitioners in clinical settings and by researchers keen to limit assessment burden and reactivity. Cut-off scores for detecting drinking above recommended limits vary by population, set...
Article
Full-text available
Aims: A pilot randomized controlled trial (RCT) to assess the feasibility and potential efficacy of assertive community treatment (ACT) in adults with alcohol dependence. Methods: Single blind, individually randomized, pilot RCT of 12 months of ACT plus treatment as usual (TAU) versus TAU alone in adults (age 18+ years) with alcohol dependence and...
Article
Full-text available
To examine the relative feasibility, acceptability, applicability, effectiveness and explore cost-effectiveness of a healthy living focused intervention (HL) compared to an alcohol-focused intervention (AF) for problem drinkers identified in hospital. A pragmatic, randomised, controlled, open pilot trial. Feasibility and acceptability were measured...
Article
Full-text available
Delivering brief interventions for hazardous and harmful drinking on the Internet may broaden the availability of services and overcome some barriers to accessing help in person. The Down Your Drink (DYD) website, an extended brief intervention, attracted a large number of people looking to reduce their drinking. The aim was to explore the experien...
Article
Full-text available
Aim: To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in the probation setting. Offender managers were randomized to three interventions, each of which built on the previous one: feedback on screening outcome and a client information leaflet control group, 5 min of structured brief...
Article
Aims To explore the feasibility and cost effectiveness of screening and delivery of a brief intervention for hazardous drinking employees. Methods A pilot randomised controlled trial of a brief intervention delivered by an Occupational Health nurse versus no delivery of brief intervention (control group) conducted in a Local Authority Council (LCA...
Article
Full-text available
Background Alcohol misuse is common in people attending emergency departments (EDs) and there is some evidence of efficacy of alcohol screening and brief interventions (SBI). This study investigated the effectiveness of SBI approaches of different intensities delivered by ED staff in nine typical EDs in England: the SIPS ED trial. Methods and Find...
Article
Full-text available
Introduction: Smoking remains a significant public health problem and is a leading cause of preventable morbidity and mortality around the world. By combining the behavioral intervention principles used in specialist services with the high reach rates of public health interventions, personal tailored self-help cessation intervention provides a pot...
Article
This is an updated version of a Cochrane review first published in Issue 3, 2006 (Perry 2006). The review represents one in a family of four reviews focusing on the effectiveness of interventions in reducing drug use and criminal activity for offenders. This specific review considers interventions for female drug-using offenders. To assess the effe...
Article
This is an updated version of an original Cochrane review published in Issue 3 2006 (Perry 2006). The review represents one from a family of four reviews focusing on interventions for drug-using offenders. This specific review considers interventions aimed at reducing drug use or criminal activity, or both for drug-using offenders with co-occurring...
Article
Full-text available
This paper explores the competing influences which inform public health policy and describes the role that research evidence plays within the policy-making process. In particular it draws on a recent English alcohol policy case study to assess the role of evidence in informing policy and practice. Semi-structured interviews with key national, regio...
Article
The review represents one in a family of four reviews focusing on a range of different interventions for drug-using offenders. This specific review considers pharmacological interventions aimed at reducing drug use and/or criminal activity for illicit drug-using offenders. To assess the effectiveness of pharmacological interventions for drug-using...
Article
INTRODUCTION: Smoking remains a significant public health problem and is a leading cause of preventable morbidity and mortality around the world. By combining the behavioral intervention principles used in specialist services with the high reach rates of public health interventions, personal tailored self-help cessation intervention provides a pote...
Article
Full-text available
To investigate the ability of the EQ-5D to discriminate between levels of alcohol risk in a large sample of hazardous and harmful drinkers, and to explore the relationship between transitions between alcohol risk levels and changes in EQ-5D up to 12 months. This is a web-based randomised controlled trial evaluating a novel intervention for hazardou...
Article
Full-text available
Background Attrition is a noted feature of eHealth interventions and trials. In 2005, Eysenbach published a landmark paper calling for a “science of attrition,” suggesting that the 2 forms of attrition—nonusage attrition (low adherence to the intervention) and dropout attrition (poor retention to follow-up)—may be related and that this potential re...
Article
Full-text available
Regional Alcohol Managers (RAMs) were employed in the nine English health regions over 2008–2011. Their mission was to impact on the ‘hard target’ of Alcohol-Related Hospital Admissions (AHRAs) through the ‘soft methods’ of persuasion and influence: working with local partners on evidence-based interventions. Drawing on a qualitative evaluation, th...
Article
Full-text available
Background: There is clear evidence of the detrimental impact of hazardous alcohol consumption on the physical and mental health of the population. Estimates suggest that hazardous alcohol consumption annually accounts for 150,000 hospital admissions and between 15,000 and 22,000 deaths in the UK. In the older population, hazardous alcohol consumpt...
Article
Full-text available
Aims: The evaluation aimed to assess the impact of The Alcohol Improvement Programme (AIP). This was a UK Department of Health initiative (April 2008-March 2011) aiming to contribute to the reduction of alcohol-related harm as measured by a reduction in the rate of increase in alcohol-related hospital admissions (ARHAs). Methods: The evaluation...
Article
Full-text available
Background: Alcohol misuse is a major cause of premature mortality and ill health. Although there is a high prevalence of alcohol problems among patients presenting to general hospital, many of these people are not help seekers and do not engage in specialist treatment. Hospital admission is an opportunity to steer people towards specialist treatme...
Article
Full-text available
This study aimed to determine the validity and reliability of the Treatment Outcomes Profile (TOP) psychological health scale (item 4a) as a case finding tool for common mental disorders. This cross-sectional diagnostic validation study involving 103 outpatients in a mainstream community drugs treatment service in Leeds, United Kingdom. Psychiatric...
Article
Full-text available
Background: Alcohol misuse is a major cause of premature mortality and ill health. Although there is a high prevalence of alcohol problems among patients presenting to general hospital, many of these people are not help seekers and do not engage in specialist treatment. Hospital admission is an opportunity to steer people towards specialist treatm...
Article
Issues Research evidence indicates a high prevalence of substance abuse among patients presenting in general hospital settings. Such misuse of alcohol and illicit drugs has a major impact on population health and on costs to health services and to society at large. This review aimed to identify the interventions for alcohol or illicit drug misuse p...
Article
Full-text available
Depression and anxiety disorders commonly coexist with drug and alcohol use. Several general population surveys suggest non-linear associations between alcohol and depression symptoms. It is unclear whether such association patterns occur in clinical samples and in the context of poly-substance use. The aim of the study was to investigate the assoc...
Article
Full-text available
To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in primary care. The hypothesis was that more intensive intervention would result in a greater reduction in hazardous or harmful drinking. Pragmatic cluster randomised controlled trial. Primary care practices in the north east and sout...
Data
Full-text available
Mean alcohol problems questionnaire (APQ) score by intervention group
Data
Full-text available
Results of interaction tests
Data
Full-text available
PaT plot of procedures
Book
Full-text available
Alcohol Policy in Europe: Evidence from AMPHORA
Article
Full-text available
There is a wealth of evidence on the detrimental impact of excessive alcohol consumption on physical, psychological, and social health. There also exists a substantial evidence base for the efficacy of alcohol brief intervention (BI) aimed at reducing consumption across a range of settings. Research conducted in emergency departments (EDs) has rein...
Article
Full-text available
Aims: To describe the development and evaluation of an innovative web-based service for hazardous or harmful drinkers. Methods: Patients were identified in General Practice and referred to the new service. Mixed methods were used for evaluation. Results: The service was feasible and acceptable to patients, primary care professionals and commis...
Article
Full-text available
Objectives: This study explored individual and organisational barriers to and facilitators of effective implementation of alcohol screening and brief intervention in 9 Emergency Departments (EDs). This study was part of a large UK research programme on Screening and Intervention Programme for Sensible Drinking (SIPS). Methods: Nine EDs were recruit...
Article
Full-text available
To examine the feasibility and acceptability of alcohol screening and delivery of brief interventions within criminal justice settings. A quantitative survey of those aged 18 or over in English criminal justice settings (three custody suites within police stations, three prisons and three probation offices). The Fast Alcohol Screening Test (FAST) a...
Article
Anxiety disorders are the most common mental health problems and often co-exist with substance use. Little evidence exists to support the use of brief screening tools for anxiety disorders in routine addictions treatment. This is the first study to test the validity and reliability of GAD-7 and GAD-2 in an outpatient drugs treatment population. A s...
Article
Full-text available
Alcohol dependence is a significant and costly problem in the UK yet only 6% of people a year receive treatment. Current service provision based on the treatment of acute episodes of illness and emphasising personal choice and motivation results in a small proportion of these patients engaging with alcohol treatment. There is a need for interventio...
Article
This NIHR HTA-funded smoking, nicotine and pregnancy (SNAP) trial investigated whether or not nicotine replacement therapy (NRT) is effective, cost-effective and safe when used for smoking cessation by pregnant women. We randomised 1050 women who were between 12 and 24 weeks pregnant as they attended hospital for ante-natal ultrasound scans. Women...
Article
Full-text available
Depression accounts for the greatest burden of disease among all mental health problems, and is expected to become the second-highest amongst all general health problems by 2020. By the age of 75, 1 in 7 older people meet formal diagnostic criteria for depression. Efforts to ameliorate the burden of illness and personal suffering associated with de...
Article
Full-text available
There has been limited study of factors influencing response rates and attrition in online research. Online experiments were nested within the pilot (study 1, n = 3780) and main trial (study 2, n = 2667) phases of an evaluation of a Web-based intervention for hazardous drinkers: the Down Your Drink randomized controlled trial (DYD-RCT). The objecti...
Article
Full-text available
Behavioural activation by non-specialists appears effective in the treatment of depression. We examined incremental cost-effectiveness of behavioural activation (n = 24) v. treatment as usual (n = 23) in a randomised controlled trial. Intention-to-treat analyses indicated a quality-adjusted life-year (QALY) difference in favour of behavioural activ...
Conference Paper
Full-text available
The Alcohol Needs Assessment Project estimated that 20% of people aged ≥55 years consume alcohol at levels hazardous to their health, which is associated with a wide range of physical, psychological, and social problems, including coronary heart disease, hypertension, stroke, liver disease, and increased risk of a range of cancers. The Alcohol—Eval...
Article
Full-text available
To identify client characteristics that predict attendance at treatment sessions and to investigate the effect of attendance on outcomes using data from the UK Alcohol Treatment Trial. Logistic regression was used to determine whether there were characteristics that could predict attendance and then continuation in treatment. Linear regression was...
Article
Depression is highly comorbid with alcohol and drug problems, resulting in greater impairment, reduced treatment adherence and poor outcomes. Little evidence exists to support the use of mental health screening tools in routine addiction treatment. This study tested the validity and reliability of PHQ-9 and PHQ-2 as depression case finding tools in...
Article
Full-text available
Following the publication of initial and 3-month data from a prospective cluster randomised comparative trial [Copello, A., Templeton, L., Orford, J., Velleman, R., Patel, A., Moore, L., ...aEuro broken vertical bar , Godfrey, C. (2009). The relative efficacy of two levels of a primary care intervention for family members affected by the addiction...
Data
Use of intervention and comparator websites. (0.03 MB DOC)
Data
Summary of costs incurred in developing the intervention and comparator (2008 costs). (0.03 MB DOC)
Data
Baseline data by randomised group. (0.04 MB DOC)
Data
Patterns of reported alcohol consumption over time by randomised group. (0.04 MB DOC)
Data
Secondary outcome measures (assessed in 1:4 participants). (0.05 MB DOC)
Data
Reported alcohol consumption in last week (units) by randomised group: alternative analyses allowing for missing outcome data. (0.04 MB DOC)
Data
Effect of intervention on reported alcohol consumption in last week (units): sensitivity analyses allowing for missing data. (0.05 MB DOC)
Data
Differences in design between phases of the trial. (0.04 MB DOC)
Data
Cumulative recruitment to trial. (0.01 MB TIF)
Data
Self-efficacy, intention and EQ5D scores over time. (0.04 MB DOC)
Data
Subgroup analyses adjusting for baseline values. (0.07 MB DOC)
Data
Causal effects of using the intervention website on reported alcohol consumption in last week (units). (0.03 MB DOC)
Article
Full-text available
Interventions delivered via the Internet have the potential to address the problem of hazardous alcohol consumption at minimal incremental cost, with potentially major public health implications. It was hypothesised that providing access to a psychologically enhanced website would result in greater reductions in drinking and related problems than g...