A comparison of brief intervention versus simple advice for alcohol use disorders in a North India Community-based sample followed for 3 months

Author(s): Pal HR, Yadav D, Mehta AS, Mohan I


Aim: To examine the change in alcohol use parameters following a brief intervention (BI) based on the FRAMES protocol, compared to simple advice (SA), in a community setting in North India.

Method: Ninety male subjects, 20-45 years old, with an AUDIT score between 8 and 24, consented to participate in this study. They were recruited from an earlier study on treatment, non-seeking, and allocated alternatively to the BI or SA protocols. The subjects were compared on drinking parameters, Addiction Severity Index (ASI), WHO Quality of Life (WHOQOL_Bref) and readiness to change (RCQ) after 1 month and 3 months post intervention. The assessments were made by an investigator blind to the intervention status of the subject.

Results: Of the 90 subjects, 87 (96.7%) were available for follow up in the first month and 86 (95.6%) in the third month. There was significant improvement across many drinking and QOL parameters in both the BI and SA groups, Significant differences were noticed across interventions, with a decrease in severity of dependence as measured by alcohol use in the last 30 days, composite ASI scores & improvement in physical and psychological quality of life, in those who received BI compared to those who received SA. Changes in motivation toward action were documented at first follow up, but were not sustained in either of the interventions.

Conclusions: BI had a slight advantage over SA in excessive users of alcohol in this community setting in India. It is probable that booster sessions would be needed to achieve sustained effect.

Similar Articles

Substance-related problems in patients visiting an urban Canadian emergency department

Author(s): Brubacher JR, Mabie A, Ngo M, Abu-Laban RB, Buchanan J, et al.

Feasibility of screening and intervention for alcohol problems among young adults in the ED

Author(s): Hungerford DW, Williams JM, Furbee PM, Manley WG, Helmkamp JC, et al.

Rapid follow-up for patients after psychiatric crisis

Author(s): McCullumsmith C, Clark B, Blair C, Cropsey K, Shelton R

A review of research on the Alcohol Use Disorders Identification Test (AUDIT)

Author(s): Allen JP, Litten RZ, Fertig JB, Babor T

Evaluating the effects of a brief motivational intervention for injury drinkers in the Emergency Department

Author(s): Longabaugh R, Woolard RF, Nirenberg TD, Minugh AP, Becker B, et al.

Establishing treatment relations with alcoholics

Author(s): Chafetz ME, Blane HT, Abrams HS, Golner JH, Lacy E, et al.

The early history of ideas on brief interventions for alcohol

Author(s): McCambridge J, Cunningham JA

Individual and system influences on waiting time for substance abuse treatment

Author(s): Carr CJA, Xu J, Redko C, Lane DT, Rapp RC, et al.

Treatment barriers identified by substance abusers assessed at a centralized intake unit

Author(s): Rapp RC, Xu J, Carr CA, Lane DT, Wang J, et al.

Follow-up services after an emergency department visit for substance abuse

Author(s): Breton AR, Taira DA, Burns E, O´Leary J, Chung RS

Intervention by an alcohol health worker in an accident and emergency department

Author(s): Wright S, Moran L, Meyrick M, O’Connor R, Touquet R

Intervention attendance among Emergency Department patients with alcohol- and drug-use disorders

Author(s): Blow FC, Walton MA, Murray R, Cunningham RM, Chermack ST, et al.

Categorical Data Analysis using the SAS System

Author(s): Stokes ME, Davis CS, Koch GG