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Alcohol Electronic Screening and Brief Intervention: A Community Guide Systematic Review.
Kristin A Tansil1, Marissa B Esser1, Paramjit Sandhu1
1Community Guide Branch, Division of Public Health Information Dissemination, Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
American Journal of Preventive Medicine
|October 18, 2016
Summary
Electronic screening and brief intervention (e-SBI) effectively reduces excessive alcohol consumption and related harms. This digital approach offers a scalable solution to a significant public health issue.
Area of Science:
- Public Health
- Preventive Medicine
- Behavioral Science
Background:
- Excessive alcohol consumption causes 1 in 10 deaths among working-age U.S. adults annually.
- Alcohol screening and brief intervention (SBI) is effective but underutilized.
- Electronic SBI (e-SBI) leverages technology to broaden reach for SBI.
Purpose of the Study:
- To systematically review the scientific literature on the effectiveness of e-SBI.
- To assess e-SBI's impact on reducing excessive alcohol consumption and related harms.
Main Methods:
- A systematic literature review using Community Guide methods.
- Searched studies from 1967 to October 2011, with analyses in 2012.
- Included 31 studies (36 study arms) meeting quality criteria.
Main Results:
- Nearly all studies demonstrated e-SBI's effectiveness in reducing excessive drinking and harms.
- Median reductions observed: 23.9% in binge-drinking intensity and 16.5% in frequency.
- Reductions were sustained for up to 12 months.
Conclusions:
- e-SBI is an effective method for reducing excessive alcohol consumption and related harms.
- e-SBI can complement existing population-level strategies for alcohol harm reduction.
- Implementation of e-SBI can expand the reach of effective alcohol interventions.

