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Curr Psychiatry Rep. 2011 Oct;13(5):422-9. doi: 10.1007/s11920-011-0219-x.

New developments in brief interventions to treat problem drinking in nonspecialty health care settings.

Author information

1
Institute of Health and Society, Newcastle University, Newcastle Upon Tyne NE2 4AX, UK. g.b.wilson@ncl.ac.uk

Abstract

The delivery of brief interventions (BIs) in health care settings to reduce problematic alcohol consumption is a key preventive strategy for public health. However, evidence of effectiveness beyond primary care is inconsistent. Patient populations and intervention components are heterogeneous. Also, evidence for successful implementation strategies is limited. In this article, recent literature is reviewed covering BI effectiveness for patient populations and subgroups, and design and implementation of BIs. Support is evident for short-term effectiveness in hospital settings, but long-term effects may be confounded by changes in control groups. Limited evidence suggests effectiveness with young patients not admitted as a consequence of alcohol, dependent patients, and binge drinkers. Influential BI components include high-quality change plans and provider characteristics. Health professionals endorse BI and feel confident in delivering it, but training and support initiatives continue to show no significant effects on uptake, prompting calls for systematic approaches to implementing BI in health care.

PMID:
21744155
PMCID:
PMC3166704
DOI:
10.1007/s11920-011-0219-x
[Indexed for MEDLINE]
Free PMC Article

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