Author(s): Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE
Background: Alcohol screening, brief intervention, and referral to specialized treatment (ASBIR) reduce drinking and related harms. Unanswered questions are how to manage nondependent patients with poor response to brief interventions, how to manage dependent patients who do not obtain treatment, and how to ensure population-wide delivery of ASBIR. Telephone-administered counseling may provide answers.
Methods: We conducted a 12-month randomized controlled trial of a telephone and mail intervention for non-treatment-seeking primary care patients with alcohol use disorders. We enrolled 897 subjects after systematic screening in 18 primary care clinic waiting rooms in and around Madison and Milwaukee, Wisconsin, and subsequent telephone-administered diagnostic interviews. Experimental subjects received up to six sessions of protocol-driven telephone counseling based on principles of motivational interviewing and stages of readiness to change. Control subjects received a pamphlet on healthy lifestyles. The paper reports on 3-month drinking outcomes for men and women with alcohol abuse and dependence.
Results: Male experimental subjects (N=199) manifested a 30.6% decline in risky drinking days, compared with a 8.3% decline in controls (N=201, p<0.001). The total consumption declined by 17.3% compared with 12.9% by controls (p=0.001). Female experimental subjects (N=246) manifested a 17.2% decrease in risky drinking days compared with an 11.5% decrease by controls (N=251; p=NS) and a 13.9% decline in total consumption compared with 11.0% by controls (p=NS). Greater numbers of telephone counseling sessions were associated with greater declines in drinking.
Conclusion: Following systematic screening, a six-session telephone and mail intervention is more effective than a pamphlet in reducing drinking at 3 months for non-treatment-seeking men with alcohol abuse and dependence. An intervention effect of the enrollment procedures may have obscured further intervention effectiveness. Telephone counseling shows promise for non-treatment-seeking primary care patients with alcohol use disorders.
Referred From: https://www.ncbi.nlm.nih.gov/pubmed/17550366
Author(s): Brubacher JR, Mabie A, Ngo M, Abu-Laban RB, Buchanan J, et al.
Author(s): Hungerford DW, Williams JM, Furbee PM, Manley WG, Helmkamp JC, et al.
Author(s): Barros RE, Tung TC, Mari JJ
Author(s): Del-Ben CM, Tung TC
Author(s): Foli-Andersen NJ
Author(s): Kohler S, Hofmann A
Author(s): McCullumsmith C, Clark B, Blair C, Cropsey K, Shelton R
Author(s): Hungerford DW, Pollock DA, Todd KH
Author(s): Helmkamp JC, Hungerford DW, Williams JM, Manley WG, Furbee PM, et al.
Author(s): Cherpitel CJ, Ye Y
Author(s): Allen JP, Litten RZ, Fertig JB, Babor T
Author(s): Brown JM, Miller WR
Author(s): Booth RH, Corsi KF, Mikulich-Giberson SK
Author(s): Heffner JL, Tran GQ, Johnson CS, Barrett SW, Blom TJ, et al.
Author(s): Longabaugh R, Woolard RF, Nirenberg TD, Minugh AP, Becker B, et al.
Author(s): Chafetz ME, Blane HT, Abrams HS, Golner JH, Lacy E, et al.
Author(s): McCambridge J, Cunningham JA
Author(s): D’Onofrio G, Degutis LC
Author(s): Stange K, Flocke S, Goodwin M
Author(s): Wallace P
Author(s): Nordqvist C, Johansson K, Bendtsen P
Author(s): Segatto ML, Pinsky I, Laranjeira R, Rezende FF, Vilela TR
Author(s): Jayaram G, Triplett P
Author(s): Havard A, Shakeshaft A, Sanson-Fischer R
Author(s): Carr CJA, Xu J, Redko C, Lane DT, Rapp RC, et al.
Author(s): Xu J, Rapp RC, Carr CA, Lane DT, Wang J, et al.
Author(s): Allen K
Author(s): Allen K
Author(s): Rapp RC, Xu J, Carr CA, Lane DT, Wang J, et al.
Author(s): Breton AR, Taira DA, Burns E, O´Leary J, Chung RS
Author(s): Aseltine RH
Author(s): Babor TF, Higgins-Biddle, JC
Author(s): Daeppen JB, Gaume J, Bady P, Yersin B, Calmes JM, et al.
Author(s): Leontieva L, Kimberly HE, Helmkamp J, Furbee M, Jarrett T, et al.
Author(s): Wright S, Moran L, Meyrick M, O’Connor R, Touquet R
Author(s): Rockett IRH, Putnam SL, Jia H, Smith GS
Author(s): Curran GM, Sullivan G, Williams K, Han X, Allee E, et al.
Author(s): Pal HR, Yadav D, Mehta AS, Mohan I
Author(s): Blow FC, Walton MA, Murray R, Cunningham RM, Chermack ST, et al.
Author(s): Barros A, Hirakata V
Author(s): Stokes ME, Davis CS, Koch GG