The effectiveness of brief alcohol interventions in primary care settings: A systematic review

Kaner, Eileen; Dickinson, Heather O; Beyer, Fiona; Pienaar, Elizabeth; Schlesinger, Carla; Campbell, Fiona; Saunders, John B.; Burnand, Bernard; Heather, Nick

doi:10.1111/j.1465-3362.2009.00071.x

Cited by 378 publications

(323 citation statements)

References 83 publications

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“…The baseline interviews from the feasibility study showed that 57% of men consumed >8 units on at least three occasions in the previous 30 days. A recent systematic review of conventional brief interventions 8 found an 11% difference in the frequency of binge drinking between intervention and control. Thus, the proposed effect size is that the intervention will reduce the frequency of binge drinking from 57 to 46%, a net reduction of 11%.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…Randomized controlled trials of brief alcohol interventions in primary care settings have previously been shown to reduce alcohol use (Kaner et al, 2009). However, just three studies have focused on older adults (Fink et al, 2005;Fleming et al, 1999;Moore et al, 2011).…”

mentioning

confidence: 99%

The Effect of an Educational Intervention on Alcohol Consumption, At-Risk Drinking, and Health Care Utilization in Older Adults: The Project SHARE Study

Ettner

Duru

et al. 2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The purpose of this study was to examine the effectiveness of a patient-provider educational intervention in reducing at-risk drinking among older adults. Method: This was a cluster-randomized controlled trial of 31 primary care providers and their patients ages 60 years and older at a community-based practice with seven clinics. Recruitment occurred from July 2005 to August 2007. Eligibility was determined by telephone and a baseline mailed survey. A total of 1,186 at-risk drinkers were identifi ed by the Comorbidity Alcohol Risk Evaluation Tool. Follow-up patient surveys were administered at 3, 6, and 12 months after baseline. Study physicians and their patients were randomly assigned to usual care (n = 640 patients) versus the Project SHARE (Senior Health and Alcohol Risk Education) intervention (n = 546 patients), which included personalized reports, educational materials, drinking diaries, physician advice during offi ce visits, and telephone counseling delivered by a health educator. Main outcomes were alcohol consumption, at-risk drinking (overall and by type), alcohol discussions with physicians, health care utilization, and screening and intervention costs. Results: At 12 months, the intervention was signifi cantly associated with an increase in alcohol-related discussions with physicians (23% vs. 13%; p .01) and reductions in at-risk drinking (56% vs. 67%; p .01), alcohol consumption (-2.19 drinks per week; p .01), physician visits (-1.14 visits; p = .03), emergency department visits (16% vs. 25%; p .01), and nonprofessional caregiving visits (12% vs. 17%; p .01). Average variable costs per patient were $31 for screening and $79 for intervention. Conclusions:The intervention reduced alcohol consumption and at-risk drinking among older adults. Effects were sustained over a year and may have been associated with lower health care utilization, offsetting screening and intervention costs. (J. Stud. Alcohol Drugs, 75, 447-457, 2014)

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“…Such discussions include screening and brief interventions (SBI) [1][2][3], as well as management of alcohol dependence. Nevertheless, only a minority of patients report such discussions.…”

mentioning

confidence: 99%

Commentary on Nilsen et al. (2011): The importance of asking patients—the potential value of patient report of brief interventions

Bradley

Johnson²,

Williams³

2011

Addiction

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The effectiveness of brief alcohol interventions in primary care settings: A systematic review

Cited by 378 publications

References 83 publications

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

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

The Effect of an Educational Intervention on Alcohol Consumption, At-Risk Drinking, and Health Care Utilization in Older Adults: The Project SHARE Study

Commentary on Nilsen et al. (2011): The importance of asking patients—the potential value of patient report of brief interventions

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