Mailed treatment to augment primary care for alcohol disorders: A randomised controlled trial

Kavanagh, David J.; Connolly, Jennifer M.

doi:10.1111/j.1465-3362.2008.00011.x

Cited by 14 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intervention also resulted in fewer risks and some categories of risk than in the control group. These findings are consistent with studies of mailed SBIs implemented with younger samples of drinkers 18,19,25 and studies of more-intensive SBI with older adults. 7,[10][11][12] Most studies on mailed interventions with younger populations have demonstrated that all participants reduced their drinking, but there was a small but significantly greater reduction in drinking in participants who received the intervention than in a control group.…”

Section: Discussionsupporting

confidence: 87%

Testing the Initial Efficacy of a Mailed Screening and Brief Feedback Intervention to Reduce At‐Risk Drinking in Middle‐Aged and Older Adults: The Comorbidity Alcohol Risk Evaluation Study

Kuerbis

Yuan

Borok

et al. 2015

J American Geriatrics Society

View full text Add to dashboard Cite

Background/Objectives To determine the initial efficacy of a mailed screening and brief intervention to reduce at-risk drinking among persons aged 50 years and older. Design Pilot randomized controlled trial. Setting UCLA Department of Medicine Community Offices and Primary Care Network. Participants: 86 adults aged 50 years and above who were identified as at-risk drinkers by the Comorbidity Alcohol Risk Evaluation Tool (CARET). Intervention Participants were assigned randomly to receive personalized mailed feedback outlining their specific risks associated with alcohol use, an educational booklet on alcohol and aging, and the NIH Rethinking Drinking: Alcohol and Your Health booklet (intervention group) or nothing (control group). Measurements Alcohol-related assessments at baseline and at 3 months. CARET assessed at-risk drinking, number of risks, and types of risks. Results At 3 months, relative to controls, fewer intervention group participants were: at-risk drinkers (66% versus 88%), binge drinking (45% versus 68%), used alcohol with a medical or psychiatric condition (3% versus 17%) or with symptoms of such a condition (29% versus 49%). Conclusion A mailed brief intervention may be an effective approach to intervening with at-risk drinkers aged 50 and older.

show abstract

Section: Discussionsupporting

confidence: 87%

Testing the Initial Efficacy of a Mailed Screening and Brief Feedback Intervention to Reduce At‐Risk Drinking in Middle‐Aged and Older Adults: The Comorbidity Alcohol Risk Evaluation Study

Kuerbis

Yuan

Borok

et al. 2015

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…In retrospect, this should not have been surprising; gender often drops out of predictions of post-treatment SU in general population samples once higher SU by men at baseline is accounted for (e.g. 27 ).…”

Section: Discussionmentioning

confidence: 99%

Predictors of substance use reduction in an epidemiological first‐episode psychosis cohort

Rebgetz

Conus

Hides

et al. 2013

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

“…Kavanagh and Connolly [40] evaluated the impact of a mail intervention on 204 men and women with an alcohol use disorder (abuse or dependence). The intervention was a single-blind randomized trial with a cross-over design wherein participants receiving the intervention either immediately or delayed by three months.…”

Section: Resultsmentioning

confidence: 99%

“…For example, Brown and colleagues [31] found that a telephone-based intervention produced equivalent outcomes for participants who met criteria for abuse or dependence. A bibliotherapeutic intervention reduced drinking among participants meeting criteria for alcohol abuse or dependence by 50% [40], another bibliotherapy intervention reduced alcohol use by 30% [35], and two online interventions reduced drinking by 50% [47-49]—despite the fact that participants in these four studies reported average AUDIT scores of >19. Thus, low-intensity interventions appear to significantly reduce drinking among hazardous alcohol users and can also engage and reduce drinking among individuals with more severe alcohol-related problems.…”

Section: Discussionmentioning

confidence: 99%

Building the first step: a review of low-intensity interventions for stepped care

McKellar

Austin

Moos

2012

Addict Sci Clin Pract

View full text Add to dashboard Cite

Within the last 30 years, a substantial number of interventions for alcohol use disorders (AUDs) have received empirical support. Nevertheless, fewer than 25% of individuals with alcohol-related problems access these interventions. If several intensive psychosocial treatments are relatively effective, but most individuals in need do not access them, it seems logical to place a priority on developing more engaging interventions. Accordingly, after briefly describing findings about barriers to help-seeking, we focus on identifying an array of innovative and effective low-intensity intervention strategies, including telephone, computer-based, and Internet-based interventions, that surmount these barriers and are suitable for use within a stepped-care model. We conclude that these interventions attract individuals who would otherwise not seek help, that they can benefit individuals who misuse alcohol and those with more severe AUDs, and that they can facilitate subsequent help-seeking when needed. We note that these types of low-intensity interventions are flexible and can be tailored to address many of the perceived barriers that hinder individuals with alcohol misuse or AUDs from obtaining timely help. We also describe key areas of further research, such as identifying the mechanisms that underlie stepped-care interventions and finding out how to structure these interventions to best initiate a program of stepped care.

show abstract

Mailed treatment to augment primary care for alcohol disorders: A randomised controlled trial

Cited by 14 publications

References 20 publications

Testing the Initial Efficacy of a Mailed Screening and Brief Feedback Intervention to Reduce At‐Risk Drinking in Middle‐Aged and Older Adults: The Comorbidity Alcohol Risk Evaluation Study

Testing the Initial Efficacy of a Mailed Screening and Brief Feedback Intervention to Reduce At‐Risk Drinking in Middle‐Aged and Older Adults: The Comorbidity Alcohol Risk Evaluation Study

Predictors of substance use reduction in an epidemiological first‐episode psychosis cohort

Building the first step: a review of low-intensity interventions for stepped care

Contact Info

Product

Resources

About