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Capacity for Alcohol Policy
Effectiveness Research (CAPER)
http://www.sheffield.ac.uk/scharr/
sections/ph/research/alpol/caper
CAPER’s point of departure
• Public policy is not a “treatment” aimed at a
“subject” (Pawson 2005).
• Complex intervention (multiple inter-dependent
active ingredients) introduced into a complex
system (unstable, adapts to changes, multi-faceted,
non-linear behaviour, long-term effects unclear).
• It follows that policies are never implemented
the same way twice - non-equivalence is the
norm.
CAPER The “BIG” AIM
To help policy makers in predicting the likely
impact of policy by starting to answer the
questions
• In what circumstances, within what time frames,
in what respect and for whom is a policy
expected to work?
• What are the contextual factors and mechanisms
that can explain the successful implementation
and impact of a policy?
• Which policy combinations are particularly
effective?
Dr Bill Ponicki (US)
Dr Paul Gruenewald (US)
Modelling
Prof Alan Brennan
Dr Robin Purshouse
Alcohol
Prof Petra Meier
Ben Baumberg
Prof Moira Plant
Prof Peter Anderson (NL)
Prof Robin Room (AUS)
Prof Tim Stockwell (CAN)
Prof Alex Wagenaar (US)
Dr Liddy Goyder
Public Health Dr R Maheswaran
Prof John Britton (Tobacco)
Prof G Hastings (Marketing)
Dr Richard Cooper
(pharma addictions)
Tobacco and other
Economics
addictions policy
Prof Paul Dobson
(Competition Economics)
Social Sciences
Dr Andrew Leicester
Dr Andrew Booth (Evidence synthesis)
(Econometrics)
Prof John Brazier
Prof Joanna Shapland (Crime)
Prof Aki Tsuchiya
Prof Gill Valentine (Youth Culture)
(Quality of Life/Wellbeing)
Cluster meetings
• Pre-workshop meet with internationals
• Cluster workshop 2/10/2009 with
professional facilitator, attended by 14 of
(then) 17 UK & 3 of 6 international members
• Part-cluster meetings at KBS Alcohol
Epidemiology Conference (Melbourne) and
Alcohol Policy AP15 conference (Washington)
• Series of 1-to-1 meetings, lots of emails &
telephone calls
Part 2
CAPER ACHIEVEMENTS
Interdisciplinary Alcohol Policy
Effectiveness Research Programme (IARP)
• MRC funded, £1.1m with cluster members Paul Dobson,
Andrew Leicester, Ben Baumberg, Ravi Maheswaran, Alan Brennan, Robin
Purshouse and others on international steering group
• Includes work on:
– Time lags
– Contextual effects
– Alcohol, pleasure and policy
– Under-reporting and CBAs
Grants/bids associated with CAPER Cluster
Funded
• Canadian Institute for Health Research: Evaluation and Modelling of Canadian Minimum
Pricing Policy – ongoing, led by Canadian cluster member Tim Stockwell
• EU FP7 grant led by cluster member Peter Anderson, Optimising Healthcare Delivery
(ODHIN), a project on the implementation of alcohol screening and brief intervention, again
involving several cluster members.
• Home Office Research Study on Alcohol Pricing and Crime with Cluster Member Prof Joanna
Shapland - completed in 2009
• EU FP7 grant led by cluster member Peter Anderson and involving various other cluster
members including myself - Addictions and Lifestyle in Europe (ALICE RAP Project) -funded
2011-2016, just starting up (not a CAPER bid, but one arising from new collaborations on
CAPER)
Submitted
• MRC NPRI bid for UK branch of the International Alcohol Control Study - under review (led
by cluster member Prof Gerard Hastings)
• Bid on Alcohol Harm to Third Parties in preparation with Australian and Canadian Cluster
Members, UK bid to be submitted to Alcohol Research UK in Dec. Part of the International
H2O study, based on previous Australian and New Zealand work in this area.
Not funded
• ARF/Government of Victoria: Price and taxation policy modelling for the Victoria, Australia
• Leverhulme: Use of scientific evidence in the policy process
Peer-reviewed outputs in alcohol policy
(all associated with funding other than just cluster £10k)
Manuscripts in print:
Meier, P. (2011) Alcohol Marketing Research: The Need for a New Agenda. Addiction
106(3):466-471.
• Meier, P. (2011) Small beer. New Scientist 209(2797):22-23.
• Meier, P. (2010) Polarized drinking patterns and alcohol deregulation. NAT Nordic Studies on
Alcohol and Drugs 27(5):383-408.
• Meier, P.S., Brennan, A., Purshouse, P. (2010) Policy Options for Alcohol Price Regulation: The
Importance of Modelling Population Heterogeneity. Addiction 105(3):383-393
• Purshouse, R., Meier, P., Brennan, A., Taylor, K., Rafia, R. (2010). Estimated effect of alcohol
pricing policies on health epidemiological model. Lancet, 375(9723), 1355-64.
Manuscripts in submission:
• Adjusting for unrecorded consumption in survey and per capita sales data: Quantification of
impact on alcohol policy evaluations by Meier, Petra; Meng, Yang; Holmes, John; Baumberg,
Ben; Purshouse, Robin; Hill-McManus, Daniel; Brennan, Alan - submitted to Addiction
• The temporal relationship between per capita alcohol consumption and harm: A systematic
review of time lag specifications in aggregate time series analyses by Holmes, John; Meier,
Petra; Booth, Andrew; Guo, Yelan; Brennan, Alan, submitted to Drug and Alcohol
Dependence
Report:
Home Office Research Report Alcohol Pricing and Criminal Harm: a Rapid Evidence
Assessment of the Published Research Literature
http://www.homeoffice.gov.uk/publications/alcohol-drugs/alcohol/alcohol-pricing/rapidevidence-assessment?view=Binary Booth, A., Meier, P., Shapland, J., Wong, R., Paisley, S.
Stakeholder engagement
• Substantive meetings with senior civil servants (different
departments) in 2009, 2010, 2011 (new alcohol strategy),
further work for Home Office in 2009, ongoing conversations
with DH
• Ongoing work with Scottish Government, including linking
international expertise into policy making process (Tim
Stockwell to visit Scottish Government in October 2011 whilst
working with us on MRC project)
• Northern Ireland Consultation evidence briefing
• Various presentations to international governments/bodies
(WHO/EU, Canada, Australia)
• Media engagement
Future directions
• Bridge between micro and macro
• Pleasure – neuroscience/ psychology/
economics/ philosophy/ modelling
• Existing data pushed to limits
– New longitudinal alcohol survey?
– Use of GLF data?