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Brief physician and nurse practitioner-delivered counseling for high-risk drinking

Brief physician and nurse practitioner-delivered counseling for high-risk drinking BACKGROUND: The objective of this study was to determine the effects of a brief primary care provider-delivered counseling intervention on the reduction of alcohol consumption by high-risk drinkers. The intervention was implemented as part of routine primary care medical practice.METHODS: We performed a controlled clinical trial with 6- and 12-month follow-up. Three primary care practices affiliated with an academic medical center were randomly assigned to special intervention (SI) or usual care (UC). A total of 9,772 primary care patients were screened for high-risk drinking. A fourth site was added later. From the group that was screened, 530 high-risk drinkers entered into the study, with 447 providing follow-up at 12 months. The intervention consisted of brief (5–10 minute) patient-centered counseling plus an office system that cued providers to intervene and provided patient educational materials.RESULTS: At 12-month follow-up, after controlling for baseline differences in alcohol consumption, SI participants had significantly larger changes (P=.03) in weekly alcohol intake compared to UC (SI=−5.7 drinks per week; UC=−3.1 drinks per week), and of those who changed to safe drinking at 6 months more SI participants maintained that change at 12 months than UC.CONCLUSIONS: Project Health provides evidence that screening and very brief (5–10 minute) advice and counseling delivered by a patient’s personal physician or nurse practitioner as a routine part of a primary care visit can reduce alcohol consumption by high-risk drinkers. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of General Internal Medicine Springer Journals

Brief physician and nurse practitioner-delivered counseling for high-risk drinking

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References (41)

Publisher
Springer Journals
Copyright
Copyright © Society of General Internal Medicine 2005
Subject
Medicine & Public Health; Internal Medicine
ISSN
0884-8734
eISSN
1525-1497
DOI
10.1111/j.1525-1497.2005.21240.x
pmid
15693921
Publisher site
See Article on Publisher Site

Abstract

BACKGROUND: The objective of this study was to determine the effects of a brief primary care provider-delivered counseling intervention on the reduction of alcohol consumption by high-risk drinkers. The intervention was implemented as part of routine primary care medical practice.METHODS: We performed a controlled clinical trial with 6- and 12-month follow-up. Three primary care practices affiliated with an academic medical center were randomly assigned to special intervention (SI) or usual care (UC). A total of 9,772 primary care patients were screened for high-risk drinking. A fourth site was added later. From the group that was screened, 530 high-risk drinkers entered into the study, with 447 providing follow-up at 12 months. The intervention consisted of brief (5–10 minute) patient-centered counseling plus an office system that cued providers to intervene and provided patient educational materials.RESULTS: At 12-month follow-up, after controlling for baseline differences in alcohol consumption, SI participants had significantly larger changes (P=.03) in weekly alcohol intake compared to UC (SI=−5.7 drinks per week; UC=−3.1 drinks per week), and of those who changed to safe drinking at 6 months more SI participants maintained that change at 12 months than UC.CONCLUSIONS: Project Health provides evidence that screening and very brief (5–10 minute) advice and counseling delivered by a patient’s personal physician or nurse practitioner as a routine part of a primary care visit can reduce alcohol consumption by high-risk drinkers.

Journal

Journal of General Internal Medicine – Springer Journals

Published: Jan 1, 2005

Keywords: high-risk drinking; primary care; provider-delivered intervention

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