Electronic Alcohol Screening and Brief Intervention and Referral to Treatment for College Students With Increased Alcohol Use Risk

Introduction/Objectives: Alcohol screening and brief intervention (ASBI) strategies are useful in general practice (GP) but their effectiveness in the emergency department (ED) is unclear. We evaluated the effect of ED-based ASBI on re-admissions. Methods: 453 ED subjects exceeding the threshold score on the three-item Alcohol Use Disorders Identification Test-Consumption (females 3+: males 4+) were randomized. We conducted telephone follow-up at 1 and 3 months and recorded hospital events 6 months pre- and post-enrolment. Results: Median weekly alcohol use was 20 standard drinks (interquartile range (IQR) 9-45) on enrolment. After 3 months, 247 (55%) were able to be re-interviewed. Median alcohol use was 10 drinks (IQR 4-26). Six months later, subjects receiving ED-ASBI without GP follow-up had significantly greater risk of re-admission compared with those having GP follow-up (OR 1.68, 95%CI 1.06-2.65; P = .028). Conclusions: ASBI reduces the likelihood of ED re-presentation only in subjects who have GP follow-up. The study has been registered as a clinical trial (Australian and New Zealand Clinical Trial Registry ACTRN12617001254381).

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Development of an Electronic Alcohol Screening and Brief Intervention Program for Hospital Outpatients With Unhealthy Alcohol Use

JMIR Research Protocols ◽

10.2196/resprot.2697 ◽

2013 ◽

Vol 2 (2) ◽

pp. e36 ◽

Cited By ~ 8

Author(s):

Natalie A Johnson ◽

Kypros Kypri ◽

John Attia

Keyword(s):

Alcohol Use ◽

Brief Intervention ◽

Intervention Program ◽

Alcohol Screening ◽

Screening And Brief Intervention ◽

Unhealthy Alcohol Use ◽

Unhealthy Alcohol ◽

Hospital Outpatients

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

Alcohol and Alcoholism ◽

10.1093/alcalc/agaa014 ◽

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.

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Enhancing alcohol screening and brief intervention among people receiving opioid agonist treatment: qualitative study in primary care

Drugs and Alcohol Today ◽

10.1108/dat-03-2016-0010 ◽

2016 ◽

Vol 16 (4) ◽

pp. 247-258 ◽

Cited By ~ 4

Author(s):

Geoff McCombe ◽

Anne Marie Henihan ◽

Jan Klimas ◽

Davina Swan ◽

Dorothy Leahy ◽

...

Keyword(s):

Primary Care ◽

Alcohol Use ◽

Qualitative Study ◽

Brief Intervention ◽

Complex Intervention ◽

Alcohol Screening ◽

Time Constraints ◽

Opioid Agonist ◽

Screening And Brief Intervention ◽

Content Type

Purpose Problem alcohol use (PAU) is common and associated with considerable adverse outcomes among patients receiving opioid agonist treatment (OAT). The purpose of this paper is to describe a qualitative feasibility assessment of a primary care-based complex intervention to promote screening and brief intervention for PAU, which also aims to examine acceptability and potential effectiveness. Design/methodology/approach Semi-structured interviews were conducted with 14 patients and eight general practitioners (GPs) who had been purposively sampled from practices that had participated in the feasibility study. The interviews were transcribed verbatim and analysed thematically. Findings Six key themes were identified. While all GPs found the intervention informative and feasible, most considered it challenging to incorporate into practice. Barriers included time constraints, and overlooking and underestimating PAU among this cohort of patients. However, the intervention was considered potentially deliverable and acceptable in practice. Patients reported that (in the absence of the intervention) their use of alcohol was rarely discussed with their GP, and were reticent to initiate conversations on their alcohol use for fear of having their methadone dose reduced. Research limitations/impelications Although a complex intervention to enhance alcohol screening and brief intervention among primary care patients attending for OAT is likely to be feasible and acceptable, time constraints and patients’ reticence to discuss alcohol as well as GPs underestimating patients’ alcohol problems is a barrier to consistent, regular and accurate screening by GPs. Future research by way of a definitive efficacy trial informed by the findings of this study and the Psychosocial INTerventions for Alcohol quantitative data is a priority. Originality/value To the best of the knowledge, this is the first qualitative study to examine the capability of primary care to address PAU among patients receiving OAT.

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