TY  - JOUR
PY  - 2014//
TI  - The clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial
JO  - Sexually Transmitted Infections
A1  - Crawford, Mike J.
A1  - Sanatinia, Rahil
A1  - Barrett, Barbara
A1  - Byford, Sarah
A1  - Dean, Madeleine
A1  - Green, John
A1  - Jones, Rachael
A1  - Leurent, Baptiste
A1  - Sweeting, Michael J.
A1  - Touquet, Robin
A1  - Greene, Linda
A1  - Tyrer, Peter
A1  - Ward, Helen
A1  - Lingford-Hughes, Anne
SP  - 37
EP  - 43
VL  - 91
IS  - 1
N2  - OBJECTIVES: To examine the clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people who attend sexual health clinics. <br><br>METHODS: Two-arm, parallel group, assessor blind, pragmatic, randomised controlled trial. 802 people aged 19 years or over who attended one of three sexual health clinics and were drinking excessively were randomised to either brief advice or control treatment. Brief advice consisted of feedback on alcohol and health, written information and an offer of an appointment with an Alcohol Health Worker. Control participants received a leaflet on health and lifestyle. The primary outcome was mean weekly alcohol consumption during the previous 90 days measured 6 months after randomisation. The main secondary outcome was unprotected sex during this period. <br><br>RESULTS: Among the 402 randomised to brief advice, 397 (99%) received it. The adjusted mean difference in alcohol consumption at 6 months was -2.33 units per week (95% CI -4.69 to 0.03, p=0.053) among those in the active compared to the control arm of the trial. Unprotected sex was reported by 154 (53%) of those who received brief advice, and 178 (59%) controls (adjusted OR=0.89, 95% CI 0.63 to 1.25, p=0.496). There were no significant differences in costs between study groups at 6 months. <br><br>CONCLUSIONS: Introduction of universal screening and brief advice for excessive alcohol use among people attending sexual health clinics does not result in clinically important reductions in alcohol consumption or provide a cost-effective use of resources. TRIAL REGISTRATION NUMBER: Current Controlled Trials ISRCTN 99963322.<p />  <p>Language: en</p>
LA  - en
SN  - 1368-4973
UR  - http://dx.doi.org/10.1136/sextrans-2014-051561
ID  - ref1
ER  -