Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force
- PMID: 15068985
- DOI: 10.7326/0003-4819-140-7-200404060-00017
Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force
Abstract
Background: Primary health care visits offer opportunities to identify and intervene with risky or harmful drinkers to reduce alcohol consumption.
Purpose: To systematically review evidence for the efficacy of brief behavioral counseling interventions in primary care settings to reduce risky and harmful alcohol consumption.
Data sources: Cochrane Database of Systematic Reviews, Database of Research Effectiveness (DARE), MEDLINE, Cochrane Controlled Clinical Trials, PsycINFO, HealthSTAR, CINAHL databases, bibliographies of reviews and included trials from 1994 through April 2002; update search through February 2003.
Study selection: An inclusive search strategy (alcohol* or drink*) identified English-language systematic reviews or trials of primary care interventions to reduce risky/harmful alcohol use. Twelve controlled trials with general adult patients met our quality and relevance inclusion criteria.
Data extraction: Investigators abstracted study design and setting, participant characteristics, screening and assessment procedures, intervention components, alcohol consumption and other outcomes, and quality-related study details.
Data synthesis: Six to 12 months after good-quality, brief, multicontact behavioral counseling interventions (those with up to 15 minutes of initial contact and at least 1 follow-up), participants reduced the average number of drinks per week by 13% to 34% more than controls did, and the proportion of participants drinking at moderate or safe levels was 10% to 19% greater compared with controls. One study reported maintenance of improved drinking patterns for 48 months.
Conclusions: Behavioral counseling interventions for risky/harmful alcohol use among adult primary care patients could provide an effective component of a public health approach to reducing risky/harmful alcohol use. Future research should focus on implementation strategies to facilitate adoption of these practices into routine health care.
Comment in
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Summaries for patients. Screening and counseling to reduce alcohol misuse: recommendations from the United States Preventive Services Task Force.Ann Intern Med. 2004 Apr 6;140(7):I64. doi: 10.7326/0003-4819-140-7-200404060-00007. Ann Intern Med. 2004. PMID: 15069007 No abstract available.
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Review: brief multicontact behavioural counselling interventions in primary care reduce risky or harmful alcohol use.Evid Based Nurs. 2004 Oct;7(4):108. doi: 10.1136/ebn.7.4.108. Evid Based Nurs. 2004. PMID: 15487085 No abstract available.
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