Brief intervention for male heavy drinkers in routine general practice: a three-year randomized controlled study.
Mauri Aalto,Kaija Seppä,Pekka Mattila,Heikki Mustonen,Kirsti Ruuth,Hannu Hyvärinen,Hannu Pulkkinen,Hannu Alho,Pekka Sillanaukee +8 more
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Depending on the outcome measure used and the study group analysed, clinically significant reduction of drinking was found in 25-53% of the subjects, and in routine general practice, giving additional sessions of brief intervention may not be as effective as in special research conditions.Abstract:
The aim of this research was to evaluate the effectiveness of long-term brief intervention in routine general practice. In five primary care out-patient clinics in a Finnish town, 296 male early-phase heavy drinkers consulting a general practitioner (GP) for various reasons were identified. Control group C (n = 88) was informed of the risks of drinking after the screening and were advised at the subsequent feedback about 2 weeks later to reduce their drinking. Groups A (n = 109) and B (n = 99) were offered in addition seven and three brief intervention sessions, respectively. All GPs took part, whether or not they indicated a special interest. The main outcome measures were differences between beginning and end-point at 3 years in self-reported alcohol consumption, mean corpuscular volume (MCV), and serum carbohydrate-deficient transferrin, aspartate aminotransferase, alanine aminotransferase and gamma-glutamyltransferase. There were no statistically significant differences between study groups A, B and C in mean changes in outcome measures. Within all the groups, MCV decreased. Depending on the outcome measure used and the study group analysed, clinically significant reduction of drinking was found in 25-53% of the subjects. In routine general practice, giving additional sessions of brief intervention may not be as effective as in special research conditions. Factors reducing the effectiveness of brief intervention programmes should be investigated, so that primary health care staff can be better supported in their efforts.read more
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Effectiveness of brief alcohol interventions in primary care populations
Eileen Kaner,Fiona Beyer,Colin Muirhead,Fiona Campbell,Elizabeth D Pienaar,Nicolas Bertholet,Jean B. Daeppen,John B. Saunders,Bernard Burnand +8 more
TL;DR: Brief interventions consistently produced reductions in alcohol consumption, and the effect was clear in men at one year of follow up, but unproven in women.
Behavioral Counseling Interventions in Primary Care to Reduce Risky/Harmful Alcohol Use
Evelyn P Whitlock,Carla A. Green,Michael R. Polen,Alfred O. Berg,Jonathan Klein,Albert Siu,C. Tracy Orleans +6 more
TL;DR: In this article, the authors identified 12 controlled alcohol intervention trials conducted with general adult patients, 3 with pregnant women, and 1 with adolescents that took place in primary care settings and were of good or fair internal validity according to US Preventive Services Task Force (USPSTF) criteria.
Journal ArticleDOI
Behavioral counseling interventions in Primary care To reduce risky/harmful alcohol use by adults: A summary of the evidence for the U.S. preventive services task force
TL;DR: The assumption underlying brief behavioral counseling interventions in primary care is that, for identified risky or harmful drinkers, reducing overall alcohol consumption or adopting safer drinking patterns will reduce the risk for medical, social, and psychological problems, and little experimental evidence supports this assumption.
Journal ArticleDOI
Reduction of alcohol consumption by brief alcohol intervention in primary care: systematic review and meta-analysis
Nicolas Bertholet,Jean-Bernard Daeppen,Vincent Wietlisbach,Michael F. Fleming,Bernard Burnand,Bernard Burnand +5 more
TL;DR: Focusing on patients in primary care, a systematic review and meta-analysis indicated that brief alcohol intervention is effective in reducing alcohol consumption at 6 and 12 months.
Journal ArticleDOI
The efficacy of motivational interviewing as a brief intervention for excessive drinking: A meta-analytic review.
TL;DR: Brief MI is effective and future studies should focus on possible predictors of efficacy such as gender, age, employment status, marital status, mental health, initial expectations, readiness to change, and whether the population is drawn from treatment-seeking or non-treatment-seeking populations.
References
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Motivational Interviewing: Preparing People to Change Addictive Behavior
TL;DR: The second edition of the Motivational Interviewing (MI) has been published by as mentioned in this paper, which includes 25 nearly all-new chapters, including guidelines for using their approach with a variety of clinical populations and reflect on the process of learning MI.
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The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument
TL;DR: The authors indicate that the CAGE questionnaire is not a sensitive alcoholism detector if a four-item positive response is the criterion; however, if a two- or three-item criterion is used, it becomes a viable rapid alcoholism screening techniquefor large groups.
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Brief interventions for alcohol problems: a review
TL;DR: There is encouraging evidence that the course of harmful alcohol use can be effectively altered by well-designed intervention strategies which are feasible within relatively brief-contact contexts such as primary health care settings and employee assistance programs.
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Changing Physicians' Practices
Peter J. Greco,John M. Eisenberg +1 more
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Brief Physician Advice for Problem Alcohol Drinkers A Randomized Controlled Trial in Community-Based Primary Care Practices
TL;DR: This study provides the first direct evidence that physician intervention with problem drinkers decreases alcohol use and health resource utilization in the US health care system.