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Related Experiment Videos

Alcohol counseling: physicians will do it

A Adams1, J K Ockene, E V Wheller

  • 1General Medicine/Primary Care, University of Massachusetts Medical School, Worcester 01655, USA.

Journal of General Internal Medicine
|November 3, 1998
PubMed
Summary

Primary care providers can effectively deliver brief alcohol counseling to high-risk patients. A supportive office system and training significantly increased counseling frequency and adherence to intervention steps.

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Area of Science:

  • Primary Care Medicine
  • Behavioral Health
  • Public Health

Background:

  • High-risk drinking is prevalent in primary care settings.
  • Brief provider-delivered alcohol counseling shows promise for intervention.
  • Effective implementation requires provider training and support systems.

Purpose of the Study:

  • To evaluate a brief (5-10 minute) provider-delivered alcohol counseling intervention.
  • To assess the impact of training and an office support system on intervention delivery.
  • To determine the long-term effectiveness of this approach in primary care.

Main Methods:

  • Group randomized study design with office sites randomized to usual care or special intervention.
  • Twenty-nine primary care providers received training and an office support system.

Related Experiment Videos

  • Patient exit interviews measured the implementation of counseling steps.

    • Main Results:

    • Providers in the special intervention group were twice as likely to discuss alcohol use.
    • Counseling sequence steps were performed significantly more often by intervention providers (p < .001).
    • Intervention effects persisted for up to 32 months.

    Conclusions:

    • Trained primary care providers can deliver brief alcohol interventions effectively.
    • A supportive office system is crucial for cueing providers and facilitating intervention.
    • This approach successfully engages high-risk drinking patients in counseling.