Evaluation of a telephone-based stepped care intervention for alcohol-related disorders: A randomized controlled trial

Bischof, Gallus; Grothues, Janina; Reinhardt, Susa; Meyer, Christian; John, Ulrich; Rumpf, Hans‐Jürgen

doi:10.1016/j.drugalcdep.2007.10.003

Cited by 99 publications

(102 citation statements)

References 24 publications

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“…19 According to a meta-analysis on the efficacy of brief interventions on problem drinking, 20 the majority of studies have targeted individuals with regular, hazardous consumption of alcohol but excluded individuals with alcohol dependence. Although the BMI is more acceptable to individuals with less severe drinking problems, 21 our data support its use in people with alcohol addiction. These individuals were highly motivated for treatment.…”

Section: Discussionmentioning

confidence: 59%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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Background: The Brief Motivational Intervention (BMI) is an effective treatment for alcohol misuse but has not been adequately tested for use in helplines for alcoholics. The main objective of this study was to evaluate the efficacy of a telephone-based BMI for Brazilians seeking help with alcohol use cessation. Methods: A randomized, controlled trial was performed with Brazilian subjects. Participants were randomly assigned to either the minimal intervention group (i.e., given reference materials) or the BMI group. Alcohol abstinence was evaluated in a 6-month follow-up telephone counseling session. The analysis was based on the intention to treat (ITT). Results: Of the 5,896 drug users who called the helpline, 700 (12%) used alcohol, 637 of whom enrolled in this study. At 6-month follow-up, 70% of the BMI group had stopped consuming alcohol compared to 41% in the control group (odds ratio = 1.5; 95% confidence interval = 1.2-1.9; p = 0.001). Conclusions: A helpline-based BMI helps alcohol users achieve abstinence.

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Section: Discussionmentioning

confidence: 59%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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“…When supplementary human support was used (for 7 trials that enrolled adults and 3 that enrolled students), it was typically limited, consisting only of technical support from a research assistant in more than one half of the cases (for 4 trials that enrolled adults and 3 that enrolled students). However, therapeutic support varied substantially, with some e-interventions supplemented by 1.5 to 6.5 hours of support (33)(34)(35)(36).…”

Section: E-intervention Characteristics and Supportmentioning

confidence: 99%

“…All trials that used relatively intensive human support (n = 3) were conducted in adults (33)(34)(35), and 2 (34,35) In college students, mean alcohol consumption at baseline ranged from 85 to 439 grams per week (median, 183 grams per week). In 11 trials rated as low to moderate risk of bias that used 14 comparisons (37-39, 48-55), e-interventions were associated with a small, statistically significant reduction in alcohol consumption at 6-month follow-up (MD, −11.…”

Section: E-intervention Characteristics and Supportmentioning

confidence: 99%

“…In a subgroup of patients with alcohol dependence recruited from primary care, computerized feedback was combined with up to four 30-to 40-minute motivational interviewing phone counseling sessions conducted by psychologists (33). At 12-month follow-up, the intervention and control groups did not differ in alcohol consumption (P = 0.62) or binge drinking (P = 0.69).…”

Section: Effects Of E-interventions In Adults With Likely Diagnosis Omentioning

confidence: 99%

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Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders

et al. 2015

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“…The evidence for telephone-based BIs to reduce harmful alcohol consumption is not currently strong, but there is evidence to suggest that BIs using telephone support and multiple sessions, such as the GHS, can be effective in reducing alcohol consumption for nondependent drinkers. 12 The GHS is predominantly used by population groups who are not dependent drinkers and are motivated to engage in lifestyle-related behaviour change, making this cohort suitable for the GHS Alcohol Program.…”

Section: Feasibility Of a Ghs Alcohol Programmentioning

confidence: 99%

Developing a new Get Healthy Service program on reducing risky alcohol consumption

Moore

Ahmed

Russell

et al. 2016

Public Health Res Pract

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Risky alcohol use has significant individual health and social impacts, and is related to short-and long-term harm, including injuries, accidents, liver diseases, some cancers, cardiovascular diseases and alcohol dependence. The Get Healthy Information & Coaching Service (GHS) is a free telephone coaching service supporting adults 16 years or older to reduce weight, improve nutrition and increase physical activity. Tailored programs are available for Aboriginal people, pregnant women and people at risk of type 2 diabetes. The GHS provides an opportunity to implement a specific program for participants wishing to reduce or cease their alcohol consumption. This paper describes the processes used to develop an Alcohol Program for the GHS. It outlines the contributions from clinical and program experts, the evidence base for the program's development, clinical screening tools, training for health coaches and referral processes for participants. The Alcohol Program has the potential to provide effective coaching to adults to voluntarily reduce short-and long-term risky alcohol consumption. BackgroundThe Australian guidelines to reduce health risks from drinking alcohol (2009) recommend that, for healthy women and men, drinking no more than two standard drinks of alcohol on any given day reduces the lifetime risk of harm from alcohol-related injury or disease (Guideline 1). To reduce the likelihood of risk from a single occasion of drinking, the guidelines recommend consuming four or fewer standard drinks (Guideline 2).1 Alcohol consumption has been associated with a range of health-related harms, as well as a high economic cost arising from alcohol misuse.2 Collins and Lapsley calculated that the total cost to Australia from alcohol-related harm was $15.3 billion in 2004-05. 3 The New South Wales (NSW) Auditor-General estimated the cost of alcohol-related abuse to NSW Government services at $1.03 billion in 2010. 4 The NSW state health plan: towards 2021 has a stated target of reducing drinking at levels posing lifetime risk (Guideline 1) to below 25% by 2015.

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Evaluation of a telephone-based stepped care intervention for alcohol-related disorders: A randomized controlled trial

Cited by 99 publications

References 24 publications

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders

Developing a new Get Healthy Service program on reducing risky alcohol consumption

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