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Controlled evaluation of a general practice-based brief intervention for excessive drinking

R Richmond1, N Heather, A Wodak

  • 1National Drug and Alcohol Research Centre, University of New South Wales, Australia.

Addiction (Abingdon, England)
|January 1, 1995
PubMed
Summary

The Alcoholscreen Program, a brief intervention for excessive drinkers, did not significantly reduce alcohol consumption but did decrease alcohol-related problems. Further research into general practitioner-based interventions is suggested.

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Area of Science:

  • General Practice
  • Addiction Medicine
  • Public Health

Background:

  • Excessive alcohol consumption is a significant public health issue.
  • Brief interventions in primary care settings can be a viable approach to address alcohol misuse.
  • General practitioners (GPs) are well-positioned to identify and intervene with at-risk patients.

Purpose of the Study:

  • To evaluate the effectiveness of a multi-session general practitioner (GP)-based brief intervention program (Alcoholscreen) for excessive drinkers.
  • To compare the Alcoholscreen Program with minimal intervention, assessment-only, and no-intervention control groups.
  • To assess the impact of the intervention on alcohol consumption and alcohol-related problems.

Main Methods:

  • A controlled evaluation involving 378 excessive drinkers identified via screening in 40 metropolitan Sydney group practices.

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  • Participants were randomized into four groups: Alcoholscreen Program (5 sessions), minimal intervention (1 session + manual), assessment only, or no intervention.
  • Outcomes including alcohol consumption and alcohol-related problems were assessed at follow-up.

    • Main Results:

    • The Alcoholscreen Program did not significantly reduce alcohol consumption compared to control groups.
    • Patients receiving the Alcoholscreen Program reported a significantly greater reduction in alcohol-related problems at 6 months follow-up.
    • Patients who completed the second Alcoholscreen visit showed a greater proportion drinking below recommended levels at follow-up.
    • Minimal intervention and assessment-only groups showed no significant reduction in consumption or problems.

    Conclusions:

    • The Alcoholscreen Program may be effective in reducing alcohol-related problems, though not overall consumption, in excessive drinkers.
    • The findings suggest potential benefits of multi-session GP-based interventions for addressing alcohol-related harm.
    • Further research is warranted to optimize GP-based brief interventions for excessive alcohol consumption.