Title

Brief physician and nurse practitioner-delivered counseling for high-risk drinking. Results at 12-month follow-up

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Date

1-2005

Document Type

Article

Subjects

Adult; Aged; Alcohol Drinking; *Counseling; Female; Humans; Internal Medicine; Life Style; Male; Middle Aged; Nurse Practitioners; Patient Education as Topic; Physicians; Primary Health Care

Disciplines

Life Sciences | Medicine and Health Sciences | Women's Studies

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.

Rights and Permissions

Citation: J Gen Intern Med. 2005 Jan;20(1):7-13. Link to article on publisher's site

Related Resources

Link to article in PubMed

PubMed ID

15693921