Reduction of Alcohol Consumption by Brief Alcohol Intervention in Primary Care

Bertholet, Nicolas; Daeppen, Jean‐Bernard; Wietlisbach, Vincent; Fleming, Michael F.; Burnand, Bernard

doi:10.1001/archinte.165.9.986

Cited by 606 publications

(469 citation statements)

References 48 publications

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“…Our findings also reveal that the drinking status of the control group changed little at 2 post-tests, but the drinking problems of the experimental group continued improving, supporting a 12-month effect of the brief alcohol intervention. Six-to 12-month effects of brief alcohol interventions were also supported in meta-analyses of studies on reducing alcohol consumption in primary settings (Bertholet et al, 2005) and among heavy alcohol drinkers as outpatients, inpatients, and in the general population (Wilk et al, 1997).…”

Section: Discussionmentioning

confidence: 95%

Brief Intervention for Problem Drinkers in a Chinese Population: A Randomized Controlled Trial in a Hospital Setting

Tsai

Lin

et al. 2008

Alcoholism Clin & Exp Res

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Background: Alcohol is a legal and accessible substance in Taiwan. As excessive alcohol has been linked to health and social problems, it is necessary to develop a brief, rapid, and low‐cost tool to help health care providers deal with persons in Taiwan whose alcohol consumption has become hazardous or harmful to their health.Methods: A randomized controlled clinical trial with 6‐ and 12‐month follow‐ups was designed. Eighteen medical/surgical units at a medical center in northern Taiwan were randomly assigned to 2 groups: experimental (n = 9) and control (n = 9). Inpatients on the units were enrolled if they met the following criteria: were older than 18 years, had no severe psychiatric illness, and were not pregnant. The experimental group (n = 138) received the intervention, a 15‐minute counseling visit in which nurses screened participants using the Alcohol Use Disorders Identification Test (AUDIT), provided a health promotion booklet for adults, and individually discussed the booklet contents with patients based on their drinking level (AUDIT score). The control group (n = 137) received no treatment. Patterns of alcohol consumption were determined by AUDIT scores at baseline, 6, and 12 months later.Results: Alcohol use disorders identification test scores decreased significantly in both groups at 6 months after the intervention, but did not differ significantly between the 2 groups. However, 12 months after the brief alcohol intervention, experimental subjects’ AUDIT scores were significantly better than those of the control group.Conclusions: Our brief alcohol intervention provided a 12‐month benefit for problem drinkers in Taiwan.

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Section: Discussionmentioning

confidence: 95%

Brief Intervention for Problem Drinkers in a Chinese Population: A Randomized Controlled Trial in a Hospital Setting

Tsai

Lin

et al. 2008

Alcoholism Clin & Exp Res

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“…A series of interactive text messages and images were designed (by DWF) using messaging theory 46, 47, 48, social cognition models 49, systematic reviews of interventions to tackle alcohol problems 7, 8, 9 and systematic reviews of text message intervention studies 26, 27, 29. The intervention adopted a motivational interviewing approach of helping individuals to decide for themselves that they wish to change, rather than advising them to change 50.…”

Section: Methodsmentioning

confidence: 99%

“…This may be related to binge drinking that is more prevalent among disadvantaged men 4, 5. Although there is extensive evidence showing that brief interventions are effective in reducing alcohol consumption 6, 7, 8, 9, no studies have specifically addressed disadvantaged groups. Brief interventions may need to be tailored for disadvantaged people, because they are less likely to engage in health promotion programs 10.…”

Section: Introductionmentioning

confidence: 99%

Alcohol and disadvantaged men: A feasibility trial of an intervention delivered by mobile phone

Crombie

Irvine

Falconer

et al. 2017

Drug and Alcohol Review

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Introduction and AimsDisadvantaged men suffer substantial harm from heavy drinking. This feasibility study developed and evaluated the methods for a trial of a brief intervention delivered by text messages to disadvantaged men. It aimed to test the methods for recruitment and retention, to monitor engagement with the intervention and assess the overall acceptability of study methods.Design and MethodsDisadvantaged men aged 25–44 years who had ≥2 episodes of binge drinking (≥8 units in one session) in the preceding month were recruited. Two recruitment strategies were assessed: recruitment from general practice registers and by a community outreach strategy. Theoretically and empirically based text messages were tailored to the target group.ResultsThe study recruited 67 disadvantaged men at high risk of alcohol‐related harm, exceeding the target of 60. Evaluation showed that 95% of text messages were delivered, and the men engaged enthusiastically with the intervention. Retention at follow up was 96%. Outcomes were successfully measured on all men followed up. This provided data for the sample size calculation for the full trial. Post‐study evaluation showed high levels of satisfaction with the study.Discussion and ConclusionsThis study has shown that disadvantaged men can be recruited and follow‐up data obtained in an alcohol intervention study. The study methods were acceptable to the participants. The men recruited were at high risk of alcohol‐related harms. It also clarified ways in which the recruitment strategy, the baseline questionnaire and the intervention could be improved. The full trial is currently underway. [Crombie IK, Irvine L, Falconer DW, Williams B, Ricketts IW, Jones C, Humphris G, Norrie J, Slane P, Rice P. Alcohol and disadvantaged men: A feasibility trial of an intervention delivered by mobile phone. Drug Alcohol Rev 2017;36:468‐476]

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“…Informed consent procedures, the need to provide contact information for follow-up contacts and the desire to meet outcome expectations or please a researcher might influence treatment and control patients [7][8][9]. Regression to the mean [10,11] probably explains a large portion of 'improvement' seen in all patients who qualified for the study based on a relatively high screening score. In addition to these potential problems, Saitz [3] notes that the magnitude of improvement in outcomes reported by Madras et al are unrealistic and are five times the best absolute outcomes reported for randomized controlled trials (RCTs) (e.g.…”

Section: Introductionmentioning

confidence: 99%

Substance use outcomes of patients served by a large US implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT)

2017

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Aims To estimate changes in the substance use behaviors of patients who received services as part of the US Substance Abuse and Mental Health Services Administration's (SAMHSA) Screening, Brief Intervention and Referral to Treatment (SBIRT) grant program. Methods We use a pre-post design and performance monitoring data collected by SBIRT organizations. For a sample of 17 575 patients, we compare pre-SBIRT substance use with substance use 6 months after receipt of SBIRT services. SBIRT's correlation with changes in substance use was estimated using generalized linear mixed models to account for the clustering of patients within health-care facility and US state. Results From pre-to post-SBIRT we found large and statistically significant decreases for almost every measure of substance use. Model-adjusted means indicate that the prevalence of alcohol use was lower 6 months later by 35.6%, heavy drinking by 43.4% and illicit drug use by 75.8%. Greater intervention intensity was associated with larger decreases in substance use. The study design does not support causal conclusions and estimated decreases in reported substance use are due, at least in part, to a well-known set of confounders and natural substance use patterns that may be unrelated to any particular SBIRT intervention.Conclusions Compared with previously published findings on the Screening, Brief Intervention and Referral to Treatment grant program, our estimates of substance use reduction were smaller, but still consistently large in absolute magnitude and within ranges of estimates from past trials of Screening, Brief Intervention and Referral to Treatment.

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Reduction of Alcohol Consumption by Brief Alcohol Intervention in Primary Care

Abstract: Focusing on patients in primary care, our systematic review and meta-analysis indicated that brief alcohol intervention is effective in reducing alcohol consumption at 6 and 12 months.

Cited by 606 publications

References 48 publications

Brief Intervention for Problem Drinkers in a Chinese Population: A Randomized Controlled Trial in a Hospital Setting

Brief Intervention for Problem Drinkers in a Chinese Population: A Randomized Controlled Trial in a Hospital Setting

Alcohol and disadvantaged men: A feasibility trial of an intervention delivered by mobile phone

Substance use outcomes of patients served by a large US implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT)

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