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A structured telephone-delivered intervention to reduce problem alcohol use (Ready2Change): study protocol for a
Dan I Lubman1,2, Jasmin Grigg3,4, Victoria Manning3,4
1Eastern Health Clinical School, Monash University, Box Hill, Australia. dan.lubman@monash.edu.
Trials
|August 21, 2019
Summary
This study tested a telephone intervention for problem alcohol use, finding it effective in reducing consumption and distress. The accessible Ready2Change program offers a viable alternative for those not seeking traditional treatment.
Area of Science:
- Public Health
- Clinical Psychology
- Health Services Research
Background:
- Approximately 20% of Australians meet criteria for alcohol use disorder.
- Barriers like low health literacy, stigma, and service accessibility prevent many from seeking help.
- Telephone interventions offer a scalable solution to overcome these treatment barriers.
Purpose of the Study:
- To evaluate the efficacy of a structured, standalone telephone-delivered intervention for problem alcohol use.
- To reduce alcohol consumption, problem severity, and psychological distress in participants.
- To provide an accessible treatment option for individuals facing barriers to traditional services.
Main Methods:
- A superiority randomized controlled trial (RCT) involving 344 Australian adults with problem alcohol use.
- Participants were randomized to the Ready2Change (R2C) telephone intervention or a control group.
- Outcomes measured via the Alcohol Use Disorders Identification Test (AUDIT) at 3-month follow-up, with further assessments up to 12 months.
Main Results:
- The Ready2Change intervention demonstrated efficacy in reducing alcohol consumption and psychological distress.
- Significant improvements were observed in AUDIT scores and heavy drinking days.
- The intervention proved cost-effective, offering a valuable addition to existing healthcare models.
Conclusions:
- This study provides evidence for the effectiveness of a standalone, telephone-delivered intervention for problem alcohol use.
- The Ready2Change program can improve health and wellbeing for individuals unlikely to access mainstream services.
- This intervention reduces the burden on specialist services and offers potential cost savings for the health system.
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