Screening and brief alcohol intervention in routine primary care in the UK: 12-month outcomes

Eileen Kaner, Colin Drummond, Paolo Deluca, Dorothy Newbury-birch, Simon Coulton

    Research output: Contribution to journalMeeting Abstract

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    Abstract

    Numerous brief intervention (BI) trials have reported positive effects in primary care. However, it is unclear if structured advice or counseling is the more effective form of BI. The Screening and Intervention Program for Sensible Drinking (SIPS) trial aimed to evaluate the cost-effectiveness of different intensities of BI at reducing risky drinking in primary care. Practices were randomly allocated to one of three conditions: a leaflet-only control; five minutes of brief structured advice; or 20 minutes of brief counseling. Practices were asked to recruit at least 31 risk drinkers who received a short assessment followed by BI. Patients were followed up at six and 12 months post-intervention. The primary outcome was the proportion of risky drinkers as measured by the Alcohol Use Disorders Identification Test (AUDIT). Overall, 3562 patients were assessed for eligibility in 29 practices: 2991 (84%) were eligible; 900 (30%) screened positive for risky drinking; and 752 (83.6%) consented to participate in the trial. At 12 months, 79% patients (n = 598) were available for follow-up. No significant differences in follow-up rates were observed by condition. There was an overall reduction in risky drinking of 16.5% between baseline and 12 months. By condition, the reductions were 17.3% for controls, 12.7% for brief advice, and 19.6% for brief counseling. An adjusted logistic regression model identified baseline AUDIT score and gender as significant predictors of risky drinking at 12 months. Patients with lower baseline scores and women were more likely to be negative for risky drinking at follow-up based on AUDIT score. Brief advice and brief counseling did not produce significantly greater effects in reducing risky drinking than leaflet-only. We discuss these findings in light of the current BI literature.
    Original languageEnglish
    Article numberA81
    JournalAddiction science & clinical practice
    Volume7
    Issue numberSuppl 1
    DOIs
    Publication statusPublished - 1 Jan 2012

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    Drinking
    Primary Health Care
    Alcohols
    Counseling
    Logistic Models
    Cost-Benefit Analysis
    Identification (Psychology)

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    abstract = "Numerous brief intervention (BI) trials have reported positive effects in primary care. However, it is unclear if structured advice or counseling is the more effective form of BI. The Screening and Intervention Program for Sensible Drinking (SIPS) trial aimed to evaluate the cost-effectiveness of different intensities of BI at reducing risky drinking in primary care. Practices were randomly allocated to one of three conditions: a leaflet-only control; five minutes of brief structured advice; or 20 minutes of brief counseling. Practices were asked to recruit at least 31 risk drinkers who received a short assessment followed by BI. Patients were followed up at six and 12 months post-intervention. The primary outcome was the proportion of risky drinkers as measured by the Alcohol Use Disorders Identification Test (AUDIT). Overall, 3562 patients were assessed for eligibility in 29 practices: 2991 (84{\%}) were eligible; 900 (30{\%}) screened positive for risky drinking; and 752 (83.6{\%}) consented to participate in the trial. At 12 months, 79{\%} patients (n = 598) were available for follow-up. No significant differences in follow-up rates were observed by condition. There was an overall reduction in risky drinking of 16.5{\%} between baseline and 12 months. By condition, the reductions were 17.3{\%} for controls, 12.7{\%} for brief advice, and 19.6{\%} for brief counseling. An adjusted logistic regression model identified baseline AUDIT score and gender as significant predictors of risky drinking at 12 months. Patients with lower baseline scores and women were more likely to be negative for risky drinking at follow-up based on AUDIT score. Brief advice and brief counseling did not produce significantly greater effects in reducing risky drinking than leaflet-only. We discuss these findings in light of the current BI literature.",
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    Screening and brief alcohol intervention in routine primary care in the UK: 12-month outcomes. / Kaner, Eileen; Drummond, Colin; Deluca, Paolo; Newbury-birch, Dorothy; Coulton, Simon.

    In: Addiction science & clinical practice, Vol. 7, No. Suppl 1, A81, 01.01.2012.

    Research output: Contribution to journalMeeting Abstract

    TY - JOUR

    T1 - Screening and brief alcohol intervention in routine primary care in the UK: 12-month outcomes

    AU - Kaner, Eileen

    AU - Drummond, Colin

    AU - Deluca, Paolo

    AU - Newbury-birch, Dorothy

    AU - Coulton, Simon

    PY - 2012/1/1

    Y1 - 2012/1/1

    N2 - Numerous brief intervention (BI) trials have reported positive effects in primary care. However, it is unclear if structured advice or counseling is the more effective form of BI. The Screening and Intervention Program for Sensible Drinking (SIPS) trial aimed to evaluate the cost-effectiveness of different intensities of BI at reducing risky drinking in primary care. Practices were randomly allocated to one of three conditions: a leaflet-only control; five minutes of brief structured advice; or 20 minutes of brief counseling. Practices were asked to recruit at least 31 risk drinkers who received a short assessment followed by BI. Patients were followed up at six and 12 months post-intervention. The primary outcome was the proportion of risky drinkers as measured by the Alcohol Use Disorders Identification Test (AUDIT). Overall, 3562 patients were assessed for eligibility in 29 practices: 2991 (84%) were eligible; 900 (30%) screened positive for risky drinking; and 752 (83.6%) consented to participate in the trial. At 12 months, 79% patients (n = 598) were available for follow-up. No significant differences in follow-up rates were observed by condition. There was an overall reduction in risky drinking of 16.5% between baseline and 12 months. By condition, the reductions were 17.3% for controls, 12.7% for brief advice, and 19.6% for brief counseling. An adjusted logistic regression model identified baseline AUDIT score and gender as significant predictors of risky drinking at 12 months. Patients with lower baseline scores and women were more likely to be negative for risky drinking at follow-up based on AUDIT score. Brief advice and brief counseling did not produce significantly greater effects in reducing risky drinking than leaflet-only. We discuss these findings in light of the current BI literature.

    AB - Numerous brief intervention (BI) trials have reported positive effects in primary care. However, it is unclear if structured advice or counseling is the more effective form of BI. The Screening and Intervention Program for Sensible Drinking (SIPS) trial aimed to evaluate the cost-effectiveness of different intensities of BI at reducing risky drinking in primary care. Practices were randomly allocated to one of three conditions: a leaflet-only control; five minutes of brief structured advice; or 20 minutes of brief counseling. Practices were asked to recruit at least 31 risk drinkers who received a short assessment followed by BI. Patients were followed up at six and 12 months post-intervention. The primary outcome was the proportion of risky drinkers as measured by the Alcohol Use Disorders Identification Test (AUDIT). Overall, 3562 patients were assessed for eligibility in 29 practices: 2991 (84%) were eligible; 900 (30%) screened positive for risky drinking; and 752 (83.6%) consented to participate in the trial. At 12 months, 79% patients (n = 598) were available for follow-up. No significant differences in follow-up rates were observed by condition. There was an overall reduction in risky drinking of 16.5% between baseline and 12 months. By condition, the reductions were 17.3% for controls, 12.7% for brief advice, and 19.6% for brief counseling. An adjusted logistic regression model identified baseline AUDIT score and gender as significant predictors of risky drinking at 12 months. Patients with lower baseline scores and women were more likely to be negative for risky drinking at follow-up based on AUDIT score. Brief advice and brief counseling did not produce significantly greater effects in reducing risky drinking than leaflet-only. We discuss these findings in light of the current BI literature.

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    DO - 10.1186/1940-0640-7-S1-A81

    M3 - Meeting Abstract

    VL - 7

    JO - Addiction science & clinical practice

    JF - Addiction science & clinical practice

    SN - 1940-0632

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