A randomised controlled trial of a primary care-based electronic screening and brief intervention for hazardous drinking
A randomised controlled trial to evaluate the effects of web-based motivational feedback on hazardous drinking for the prevention of alcohol-related harm in healthy participants
Dr Kypros Kypri
572 participants
Mar 3, 2003
Interventional
Conditions
Summary
There is compelling evidence for the efficacy of screening and brief intervention (SBI) for hazardous drinking, yet it is not widely available in primary healthcare. Electronic (computer/web-based) intervention offers the prospect of ease, simplicity, and economy of access. The objective was to examine whether electronic SBI (single- and multi-intervention) reduces hazardous drinking and related problems compared with an information leaflet alone (control condition). Design and Setting: Randomized controlled trial at a university health service (enrolment 8/2003), with follow-up measures taken at 6 and 12 months.
Eligibility
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Interventions
B: Screening (The screening involves patients to complete the 10-item Alcohol Use Disorders Identification Test (AUDIT) at a computer in the waiting area which is connected to the Internet. They also answered questions about the largest amount they consumed in a single episode in the last 4 weeks, the duration of the episode, their age, gender, and ethnicity. It takes 3 minutes.), information leaflet (An educational leaflet providing information on the effects of alcohol and recommended upper limits for low-risk consumption) plus assessment of alcohol use, perceptions of peer drinking norms, and problems 4 weeks later. The assessment involves a 14-day retrospective account of drinks per day, the Alcohol Problems Scale - 14 items, the Academic Role Expectations and Alcohol Scale - 5 items, estimates of others' drinking (7 items) and their height and weight. Median completion time is 11 minutes. C: Web-based motivational intervention (single-dose); including comparison of patient's drinking with age/gender norms and recommended upper limits. This intervention takes 11 minutes to answer the questions (see above) plus the time required to read the feedback, which we estimate to be 3-5 minutes. Overall, total time is approximately 15 minutes. D: Web-based motivational intervention (multi-dose); as in C, provided at the commencement of the trial, at 6 months and at 12 months. This intervention takes 15 minutes at baseline and a further 10 minutes four weeks later for assessment and feedback.
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ACTRN12607000103460