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Titolo:
BRIEF INTERVENTION IN A PRIMARY-CARE SETTING FOR HAZARDOUS DRINKERS
Autore:
SENFT RA; POLEN MR; FREEBORN DK; HOLLIS JF;
Indirizzi:
KAISER PERMANENTE CTR HLTH RES,3800 N KAISER CTR DR PORTLAND OR 97227
Titolo Testata:
American journal of preventive medicine
fascicolo: 6, volume: 13, anno: 1997,
pagine: 464 - 470
SICI:
0749-3797(1997)13:6<464:BIIAPS>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
IDENTIFICATION TEST AUDIT; ALCOHOL-PROBLEMS; GENERAL-PRACTICE; EXCESSIVE DRINKERS; DISORDERS; SMOKERS; PREVALENCE; AUSTRALIA; DRINKING; COSTS;
Keywords:
ALCOHOL DRINKING; INTERVENTION STUDIES; COUNSELING; PREVENTION; PRIMARY HEALTH CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
37
Recensione:
Indirizzi per estratti:
Citazione:
R.A. Senft et al., "BRIEF INTERVENTION IN A PRIMARY-CARE SETTING FOR HAZARDOUS DRINKERS", American journal of preventive medicine, 13(6), 1997, pp. 464-470

Abstract

Introduction: The study was designed to test a brief intervention forreducing alcohol consumption among moderate to heavy (hazardous) drinkers in a busy HMO primary care setting. Methods: In a randomized controlled trial, hazardous drinkers (n = 516) were identified by the AUDIT screening questionnaire. Intervention included brief clinician advice (30 seconds), a 15-minute motivational session by counselors, and printed materials. Results: At six-month follow-up, intervention subjects reported fewer total standard drinks in the past three months (176 versus 216, P = .04, one-tailed) and fewer drinking days per week (2.8 versus 3.3, P = .02) than controls, but similar drinks per drinking day (3.3 versus 3.5; P = .13). At 12 months, intervention subjects againreported fewer drinking days per week (2.7 versus 3.1; P = .04) than controls, but similar numbers of standard drinks (157 versus 179; P = .13) and drinks per drinking day more likely than controls to report drinking within daily recommended limits (less than or equal to 3 for men, less than or equal to 2 for women) at both six months (79% versus 71%; P = .06) and 12 months (80% versus 73%; P = .07), but did not differ significantly from controls on other drinking outcomes (percent abstinent, frequency of drinking greater than or equal to 6 drinks per drinking occasion, estimated peak blood alcohol concentration), or use of medical care in the year following intervention.Conclusions: A one-time, brief motivational intervention using minimal clinician time supplemented by trained counselors resulted in a modest reduction in frequency of alcohol consumption in a busy primary care population. Futureresearch should focus on strengthening and maintaining intervention effects.

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Documento generato il 09/04/20 alle ore 07:40:36