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Published on: June 23, 2023
Alcohol misuse
1Professor, CHSS, George Allen Wing, University of Kent, Canterbury, UK.
This systematic review found that interventions like brief counseling can help hazardous or harmful alcohol users. Screening and brief interventions in primary care and emergency departments show effectiveness in managing alcohol consumption.
Area of Science:
- Public Health
- Addiction Medicine
- Evidence-Based Medicine
Background:
- Alcohol use is a major global cause of death and disease.
- Approximately 16% of hazardous drinkers may develop alcohol dependence without intervention.
- This review focuses on interventions for non-dependent hazardous or harmful alcohol users.
Purpose of the Study:
- To evaluate interventions for hazardous or harmful alcohol drinkers in primary care settings.
- To assess the effects of interventions for hazardous or harmful alcohol drinkers in emergency department settings.
Main Methods:
- Systematic review of 21 studies including systematic reviews, RCTs, and observational studies.
- Searched major databases (Medline, Embase, Cochrane Library) up to September 2010.
- Included harms alerts from regulatory agencies like FDA and MHRA.
Main Results:
- Identified interventions for hazardous or harmful alcohol use.
- Evaluated the quality of evidence for these interventions using the GRADE system.
- Included information on the effectiveness and safety of various interventions.
Conclusions:
- Brief interventions (single or multiple sessions) are effective.
- Universal and targeted screening combined with brief interventions show promise.
- These interventions are applicable in both primary care and emergency department settings.
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