scholarly journals Nurse-Delivered Screening and Brief Intervention Among College Students with Hazardous Alcohol Use: A Double-Blind Randomized Clinical Trial from India

2020 ◽  
Vol 55 (3) ◽  
pp. 284-290
Author(s):  
Kumar Kamal ◽  
Sharma Sunita ◽  
Das Karobi ◽  
Ghosh Abhishek
Keyword(s):  
College Students ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Secondary Outcome ◽  
Hazardous Alcohol Use ◽  
Screening And Brief Intervention ◽  
Double Blind ◽  
Hazardous Alcohol ◽  
Audit Score ◽  
The Mean

Abstract Aim To determine the effectiveness of individual-based, nurse-delivered, on-campus screening and brief intervention (SBI) for hazardous alcohol use among college students. Methods It was a parallel-design, double-blind, randomized controlled trial. Out of 793 students screened, 130 met the selection criteria of hazardous alcohol use, defined by alcohol use disorder identification test (AUDIT) score 8–19. Participants were randomly allocated to either SBI or general advice group. Both interventions were delivered by one specially trained nurse. Outcome was assessed after 3 months. Primary outcome was the change in the mean AUDIT score and the secondary outcome was difference in the proportion of students transited from the high- to low-risk category of AUDIT. General linear model with repeated measures and logistic regression were used to determine the primary and secondary outcome, respectively. Results Majority (80.7%) of the participants were men. Among all the baseline demography and clinical characteristics, only family history of alcohol use was significantly different in the groups. Intention to treat analysis showed a significant but small effect (0.16) of SBI on the mean AUDIT score. Gender did not moderate the effect. SBI was also observed to have a significant effect (adjusted odds ratio 3.7 95% CI 1.529–8.850) on shifting the students from high- to low-risk AUDIT zone. Conclusion SBI among college students is acceptable and has a small but significant effect on alcohol use. In countries like India, where despite the increasing magnitude of hazardous drinking in students no formal system exists to deal with the problem, SBI might be useful.

scholarly journals Outcome of a “modified brief intervention” program delivered at work place for a population with hazardous alcohol use

2019 ◽  
Vol 28 (2) ◽  
pp. 294
Author(s):  
Harpreet Singh ◽  
Sojan Baby ◽  
Ranveer Singh ◽  
Siddharth Dixit ◽  
Amit Chail ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Brief Intervention ◽  
Intervention Program ◽  
Work Place ◽  
Hazardous Alcohol Use ◽  
Hazardous Alcohol

Abstract 13745: Hazardous Alcohol Use is a Common but Infrequently Addressed Problem Among Hospitalized Cardiovascular Patients

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Kyle Gobeil ◽  
Theodore Medling ◽  
Paolo Tarvaez ◽  
khalid sawalha ◽  
Mohammed Abozenah ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Binge Drinking ◽  
Problem Drinking ◽  
Drinking Behavior ◽  
Hazardous Drinking ◽  
Hazardous Alcohol Use ◽  
Hazardous Alcohol ◽  
Audit Score ◽  
National Estimates ◽  
Excessive Alcohol

Introduction: Excessive alcohol intake and binge drinking behavior has known detrimental cardiovascular impacts. National estimates suggest that about 7% of U.S. adults has hazardous drinking behavior, but it is unclear if this is different among the inpatient cardiac population and, furthermore, how often this issue is addressed during hospitalization. Hypothesis: Prevalence of alcohol use is underappreciated in the cardiac population due to purported health benefits, and therefore, likely to be overlooked. Methods: Disorders Identification Test (AUDIT), among patients hospitalized for cardiac surgery, heart failure (HF) or myocardial infarction (MI) between June and September 2019. Problem drinking was defined as an AUDIT score of ≥8 with binge drinking defined as 5+ drinks for men or 4+ for women on a single occasion within the past 30 days. Hazardous drinking was defined as a combination of either problem or binge drinking behavior. Results: Of 300 patients approached, a total of 290 (96.7%) completed the survey (33% non-drinkers, age 69 ± 11 years, 70% male, 4% Spanish-speaking, 31% surgical). The rate (95% CI) of problem, binge, and hazardous drinking was 12% (9-16), 16% (12-20), and 18% (14-23), respectively. Irrespective of alcohol use, 58% of patients reported being asked about alcohol use during their admission, mostly by nurses (56%). Patients with hazardous drinking were counseled more frequently about their alcohol use compared to non-hazardous drinkers, (11% vs 3%, p = 0.03), but the large majority (89%) of hazardous drinkers received no advice about their alcohol use while hospitalized and only 34 (12%) patients reported having ever been given a recommendation about alcohol consumption by a cardiologist or cardiac surgeon. Conclusions: In patients hospitalized for acute cardiac illnesses, the prevalence of problem drinking was more than double national estimates. About half of patients with problem drinking behavior were asked about their alcohol, and only a minority of patients received counseling. Our findings suggest that hazardous alcohol use is more common that previously appreciated, and that there are substantial health-system gaps in screening and counseling for this important cardiovascular risk factor.

scholarly journals Patterns of non-medical use of methylphenidate among 5th and 6th year students in a medical school in southern Brazil

2014 ◽  
Vol 36 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Rodrigo da Rosa Silveira ◽  
Betina Lejderman ◽  
Pedro Eugênio Mazzucchi Santana Ferreira ◽  
Gibsi Maria Possapp da Rocha
Keyword(s):  
Medical Students ◽  
Alcohol Use ◽  
Alcohol Intake ◽  
Cross Sectional Study ◽  
Hazardous Alcohol Use ◽  
Cross Sectional ◽  
Medical Indication ◽  
Use Patterns ◽  
Hazardous Alcohol ◽  
Audit Score

Objectives: To evaluate the prevalence of methylphenidate (MPH) use among 5th and 6th year medical students, to discriminate MPH use with and without medical indication, and to correlate MPH use with alcohol intake. Methods: This is a cross-sectional study in which medical students were invited to answer a questionnaire to evaluate academic and socioeconomic status, MPH use patterns, and attitudes towards neuroenhancing drugs. The Alcohol Use Disorders Identification Test (AUDIT) was used to assess alcohol intake; a score ≥ 8 suggests potentially hazardous alcohol use. Results: Fifty-two participants (34.2%) had already used MPH, of which 35 (23.02%) had used it without medical indication. The number of 6th year students who had used MPH was more than twice higher than that of their 5th year counterparts (32.89 vs. 13.15%, respectively; p = 0.004). Also, 43.6% (p = 0.031) of the users of MPH had an AUDIT score ≥ 8; 33.3% (p = 0.029) of non-medical users of MPH had an AUDIT score ≥ 8. Conclusions: In this study, the use of MPH without medical indication was prevalent. Our findings also confirmed the association between non-medical use of MPH and potentially hazardous alcohol use.

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