However, the optimal and most cost-effective methods of supporting these patients to remain abstinent from alcohol have not yet been identified. Alcohol monitoring and contingency management (where incentives are used to moderate behaviour) are two intervention approaches that have been shown to be highly effective in other contexts (e.g. criminal justice populations, drug misusers), and are relatively inexpensive to administer.
In this project the research team will evaluate the impact of psychosocial interventions in reducing alcohol harm in patients with acute alcoholic liver disease. They will assess the effectiveness and cost-effectiveness of interventions and develop a contingency management (CM) manual for patients with acute alcoholic liver injury in collaboration with multicentre partners across England (Liverpool, Newcastle, Southampton, Hull). They will also assess the evidence of effectiveness and cost-effectivenes, health economic impact and the implementation of contingency management to inform commissioning.
