TY  - JOUR
PY  - 2007//
TI  - The effect of brief interventions on alcohol consumption among heavy drinkers in a general hospital setting
JO  - Addiction
A1  - Holloway, Aisha S.
A1  - Watson, Hazel E.
A1  - Arthur, A. J.
A1  - Starr, George
A1  - McFadyen, Angus K.
A1  - McIntosh, James
SP  - 1762
EP  - 1770
VL  - 102
IS  - 11
N2  - Aims (i) To evaluate the effect of receiving one of two brief interventions in reducing alcohol consumption among general hospital patients compared with usual care. (ii) To assess whether a brief intervention of self-efficacy enhancement was superior to a self-help booklet in reducing alcohol consumption. Design A three-arm cluster randomized controlled trial. Setting Seven general medical, six general surgical, one dermatology and two otolaryngology wards of a large teaching hospital covering a large urban and rural area. Participants A total of 215 of 789 in-patients aged 18-75 years, who screened positive for alcohol consumption in excess of national recommended limits according to a 7-day retrospective drinking diary. Interventions Participants were allocated to receive one of three interventions: (i) face-to-face self-efficacy enhancement; (ii) a self-help booklet; or (iii) usual care. Measurements The primary outcome measure was change in reported alcohol consumption at 6-month follow-up as measured by a 7-day retrospective drinking diary. Secondary outcomes were change in: number of alcohol drinking days in last week; the maximum units of alcohol consumed on any one day in last week; and Drinking Refusal Self-efficacy Expectancy Questionnaire score. Findings Compared to the usual care group the self-efficacy enhancement group (-10.1 units 95% CI -16.1 to -4.1) and the self-help booklet group (-10.0 units 95% CI -16.0 to -3.9) had greater reductions in self-reported weekly alcohol consumption. There was no evidence that self-efficacy enhancement was superior to the self-help booklet (P = 0.96). Conclusions Brief interventions delivered in hospital offer simple means of helping heavy drinkers to reduce their alcohol consumption.    <p></p>    <p>Language: en</p>
LA  - en
SN  - 0965-2140
UR  - http://dx.doi.org/10.1111/j.1360-0443.2007.01968.x
ID  - ref1
ER  -