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Addiction. 2007 Nov;102(11):1762-70. Epub 2007 Sep 3.

The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting.

Author information

1
School of Nursing, University of Nottingham, Nottingham, UK. aisha.holloway@nottingham.ac.uk

Abstract

AIMS:

(i) To evaluate the effect of receiving one of two brief interventions in reducing alcohol consumption among general hospital patients compared with usual care. (ii) To assess whether a brief intervention of self-efficacy enhancement was superior to a self-help booklet in reducing alcohol consumption.

DESIGN:

A three-arm cluster randomized controlled trial.

SETTING:

Seven general medical, six general surgical, one dermatology and two otolaryngology wards of a large teaching hospital covering a large urban and rural area.

PARTICIPANTS:

A total of 215 of 789 in-patients aged 18-75 years, who screened positive for alcohol consumption in excess of national recommended limits according to a 7-day retrospective drinking diary.

INTERVENTIONS:

Participants were allocated to receive one of three interventions: (i) face-to-face self-efficacy enhancement; (ii) a self-help booklet; or (iii) usual care.

MEASUREMENTS:

The primary outcome measure was change in reported alcohol consumption at 6-month follow-up as measured by a 7-day retrospective drinking diary. Secondary outcomes were change in: number of alcohol drinking days in last week; the maximum units of alcohol consumed on any one day in last week; and Drinking Refusal Self-efficacy Expectancy Questionnaire score.

FINDINGS:

Compared to the usual care group the self-efficacy enhancement group (-10.1 units 95% CI -16.1 to -4.1) and the self-help booklet group (-10.0 units 95% CI -16.0 to -3.9) had greater reductions in self-reported weekly alcohol consumption. There was no evidence that self-efficacy enhancement was superior to the self-help booklet (P = 0.96).

CONCLUSIONS:

Brief interventions delivered in hospital offer simple means of helping heavy drinkers to reduce their alcohol consumption.

[Indexed for MEDLINE]

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