To systematically review rigorous evaluation studies into the effectiveness of interventions in and around licensed premises that aimed to reduce severe intoxication and disorder.
A systematic search was conducted. Papers that rigorously evaluated interventions based in and around licensed premises to reduce disorder or intoxication were included.
Fifteen studies were identified, three randomised controlled trials and twelve non-randomised quasi-experimental evaluations. Outcome measures were intoxication (n = 6), disorder (n = 6), and intoxication and disorder (n = 3). Interventions included responsible beverage service training (n = 5), server violence prevention training (n=1) enhanced enforcement of licensing regulations (n = 1), multi-level interventions (n = 5), licensee accords (n = 2) and a risk-focused consultation (n = 1). Intervention effects varied, even across studies using similar interventions.
Server training courses that are designed to reduce disorder have some potential, although there is a lack of evidence to support their use to reduce intoxication but the evidence base is weak.
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Request Reprint E-Mail: mooresc2@cardiff.ac.uk
