Brief Interventions in Primary Care: an Evidence Overview of Practitioner and Digital Intervention Programmes

Beyer, Fiona; Lynch, Ellen; Kaner, Eileen

doi:10.1007/s40429-018-0198-7

Cited by 51 publications

(35 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brief interventions are short (5 to 60 min), traditionally one to five sessions, interventions designed to increase motivation for behavioral change and encourage self-monitoring of high-risk situations for heavy drinking (2). Although specific therapeutic techniques vary, many of these interventions seek to increase motivation by providing individuals normative feedback about individualized risk of developing AUD, inquiring about the desire to change their drinking, and working collaboratively to explore and develop behavior change options (3). Meta-analyses have identified small yet robust effects of brief interventions on alcohol consumption that can be flexibly administered in multiple settings, including hospital emergency departments, primary care, and via digital/tele-therapy (2–4).…”

Section: Introductionmentioning

confidence: 99%

An Examination of Motivation to Change and Neural Alcohol Cue Reactivity Following a Brief Intervention

et al. 2019

View full text Add to dashboard Cite

Background: Brief interventions represent a promising psychological intervention targeting individuals with heavy alcohol use. Motivation to change represents an individual’s openness to engage in a behavior change strategy and is thought to be a crucial component of brief interventions. Neuroimaging techniques provide a translational tool to investigate the neurobiological mechanisms underlying potential mediators of treatment response, including motivation to change. Therefore, this study aimed to examine the effect of a brief intervention on motivation to change drinking behavior and neural alcohol taste cue reactivity. Methods: Non–treatment-seeking heavy drinkers were randomized to receive a brief drinking intervention (n = 22) or an attention-matched control (n = 24). Three indices of motivation to change were assessed at baseline and after the intervention or control session: importance, confidence, and readiness. Immediately following the intervention or control session, participants also underwent an functional magnetic resonance imaging (fMRI) during which they completed an alcohol taste cues paradigm. Results: There was a significant effect of the brief intervention on increasing ratings of importance of changing drinking behavior, but not on ratings of confidence or readiness to change. Ratings of importance after the intervention or control session were associated with neural alcohol taste cue reactivity, but notably, this effect was only significant for participants who received the intervention. Individuals in the intervention condition showed a positive association between ratings of importance and activation in the precuneus, posterior cingulate, and insula. Conclusions: The brief drinking intervention was successful at improving one dimension of motivation to change among non–treatment-seeking heavy drinkers. The brief intervention moderated the relationship between ratings of importance and brain activation in circuitry associated with interoceptive awareness and self-reflection. Together, findings represent an initial step toward understanding the neurobiological mechanisms through which a brief intervention may improve motivation to change.

show abstract

Section: Introductionmentioning

confidence: 99%

An Examination of Motivation to Change and Neural Alcohol Cue Reactivity Following a Brief Intervention

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Recent reviews of alcohol interventions further highlight the importance of clear reporting of intervention content. 75,118 The field of behavioural science offers a precise and systematic approach to reporting on the content of behavioural interventions. Specifically, the Behaviour Change Technique (BCT) Taxonomy v1 119 provides standardised definitions of BCTs to make reporting more consistent across disciplines, allowing comparisons of interventions to be made.…”

Section: Chapter 2 Defining the Intervention And Comparatormentioning

confidence: 99%

Preoperative behavioural intervention to reduce drinking before elective orthopaedic surgery: the PRE-OP BIRDS feasibility RCT

Snowden

Lynch

Avery

et al. 2020

Health Technol Assess

Self Cite

View full text Add to dashboard Cite

Background Heavy alcohol consumption is associated with an increased risk of postoperative complications and extended hospital stay. Alcohol consumption therefore represents a modifiable risk factor for surgical outcomes. Brief behavioural interventions have been shown to be effective in reducing alcohol consumption among increased risk and risky drinkers in other health-care settings and may offer a method of addressing preoperative alcohol consumption. Objectives To investigate the feasibility of introducing a screening process to assess adult preoperative drinking levels and to deliver a brief behavioural intervention adapted for the target population group. To conduct a two-arm (brief behavioural intervention plus standard preoperative care vs. standard preoperative care alone), multicentre, pilot randomised controlled trial to assess the feasibility of proceeding to a definitive trial. To conduct focus groups and a national web-based survey to establish current treatment as usual for alcohol screening and intervention in preoperative assessment. Design A single-centre, qualitative, feasibility study was followed by a multicentre, two-arm (brief behavioural intervention vs. treatment as usual), individually randomised controlled pilot trial with an embedded qualitative process evaluation. Focus groups and a quantitative survey were employed to characterise treatment as usual in preoperative assessment. Setting The feasibility study took place at a secondary care hospital in the north-east of England. The pilot trial was conducted at three large secondary care centres in the north-east of England. Participants Nine health-care professionals and 15 patients (mean age 70.5 years, 86.7% male) participated in the feasibility study. Eleven health-care professionals and 68 patients (mean age 66.2 years, 80.9% male) participated in the pilot randomised trial. An additional 19 health-care professionals were recruited to one of three focus groups, while 62 completed an electronic survey to characterise treatment as usual. Interventions The brief behavioural intervention comprised two sessions. The first session, delivered face to face in the preoperative assessment clinic, involved 5 minutes of structured brief advice followed by 15–20 minutes of behaviour change counselling, including goal-setting, problem-solving and identifying sources of social support. The second session, an optional booster, took place approximately 1 week before surgery and offered the opportunity to assess progress and boost self-efficacy. Main outcome measures Feasibility was assessed using rates of eligibility, recruitment and retention. The progression criteria for a definitive trial were recruitment of ≥ 40% of eligible patients and retention of ≥ 70% at 6-month follow-up. Acceptability was assessed using themes identified in qualitative data. Results The initial recruitment of eligible patients was low but improved with the optimisation of recruitment processes. The recruitment of eligible participants to the pilot trial (34%) fell short of the progression criteria but was mitigated by very high retention (96%) at the 6-month follow-up. Multimethod analyses identified the methods as acceptable to the patients and professionals involved and offers recommendations of ways to further improve recruitment. Conclusions The evidence supports the feasibility of a definitive trial to assess the effectiveness of brief behavioural intervention in reducing preoperative alcohol consumption and for secondary outcomes of surgical complications if recommendations for further improvements are adopted. Trial registration Current Controlled Trials ISRCTN36257982. Funding This project was funded by the National Institute for Health Research Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 24, No. 12. See the National Institute for Health Research Journals Library website for further project information.

show abstract

“…There is evidence for the effectiveness of interventions as brief as providing a patient information leaflet 15. However, there is less evidence to support the use of brief interventions for other substances16 and limited understanding of how this may translate to women in pregnancy.…”

Section: Managing Substance Use In Pregnancymentioning

confidence: 99%

Alcohol, smoking, and other substance use in the perinatal period

Wilson

Finch

Kerr³

et al. 2020

BMJ

View full text Add to dashboard Cite

Brief Interventions in Primary Care: an Evidence Overview of Practitioner and Digital Intervention Programmes

Cited by 51 publications

References 50 publications

An Examination of Motivation to Change and Neural Alcohol Cue Reactivity Following a Brief Intervention

An Examination of Motivation to Change and Neural Alcohol Cue Reactivity Following a Brief Intervention

Preoperative behavioural intervention to reduce drinking before elective orthopaedic surgery: the PRE-OP BIRDS feasibility RCT

Alcohol, smoking, and other substance use in the perinatal period

Contact Info

Product

Resources

About