Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial
•Effect of electronic alcohol screening and brief intervention in adults was tested.•Most trials of this kind have been conducted in young people.•Participants were hospital outpatients with hazardous or harmful drinking.•There were no significant differences between the treatment groups on any outc...
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| Veröffentlicht in: | Drug and alcohol dependence 2018-10, Vol.191, p.78-85 |
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| creator | Johnson, Natalie A. Kypri, Kypros Saunders, John B. Saitz, Richard Attia, John Latter, Joanna McElduff, Patrick Dunlop, Adrian Doran, Christopher Wolfenden, Luke McCambridge, Jim |
| description | •Effect of electronic alcohol screening and brief intervention in adults was tested.•Most trials of this kind have been conducted in young people.•Participants were hospital outpatients with hazardous or harmful drinking.•There were no significant differences between the treatment groups on any outcome.•This program should not be implemented in the hospital outpatient setting.
Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evaluate the effect of e-SBI in adults with hazardous or harmful drinking.
This individually randomized, parallel, two-group, double-blind controlled trial was conducted in the outpatient department of a large public hospital in Australia. Consenting adults who scored 5–9 on the AUDIT-C (837/3225; 26%) were randomized in a 1:1 ratio by computer to screening alone (442/837; 53%) or to 10 min of assessment and personalized feedback on their alcohol consumption (comparisons with medical guidelines and age and sex-specific norms), peak blood alcohol concentration, expenditure on alcohol, and risk of alcohol dependence (395/837; 47%). The two primary outcomes, assessed six months after randomization, were the number of standard drinks (10 g ethanol) consumed by participants in the last seven days and their AUDIT score.
693/837 (83%) and 635/837 (76%) participants were followed-up at 6 and 12 months, respectively. There was no statistically significant difference between the groups in the median number of standard drinks consumed in the last seven days (intervention: 12; control: 10.5; rate ratio, 1.12 [95% confidence interval, 0.96–1.31]; P = .17) or in their median AUDIT score (intervention: 7; control: 7; mean difference, 0.28 [-0.42 to 0.98]; P = .44).
These results do not support the implementation of an e-SBI program comprising personalized feedback and normative feedback for adults with hazardous or harmful drinking in the hospital outpatient setting. |
| doi_str_mv | 10.1016/j.drugalcdep.2018.06.030 |
| format | Article |
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Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evaluate the effect of e-SBI in adults with hazardous or harmful drinking.
This individually randomized, parallel, two-group, double-blind controlled trial was conducted in the outpatient department of a large public hospital in Australia. Consenting adults who scored 5–9 on the AUDIT-C (837/3225; 26%) were randomized in a 1:1 ratio by computer to screening alone (442/837; 53%) or to 10 min of assessment and personalized feedback on their alcohol consumption (comparisons with medical guidelines and age and sex-specific norms), peak blood alcohol concentration, expenditure on alcohol, and risk of alcohol dependence (395/837; 47%). The two primary outcomes, assessed six months after randomization, were the number of standard drinks (10 g ethanol) consumed by participants in the last seven days and their AUDIT score.
693/837 (83%) and 635/837 (76%) participants were followed-up at 6 and 12 months, respectively. There was no statistically significant difference between the groups in the median number of standard drinks consumed in the last seven days (intervention: 12; control: 10.5; rate ratio, 1.12 [95% confidence interval, 0.96–1.31]; P = .17) or in their median AUDIT score (intervention: 7; control: 7; mean difference, 0.28 [-0.42 to 0.98]; P = .44).
These results do not support the implementation of an e-SBI program comprising personalized feedback and normative feedback for adults with hazardous or harmful drinking in the hospital outpatient setting.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2018.06.030</identifier><identifier>PMID: 30096637</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Adults ; Alcohol Drinking - therapy ; Alcohol use ; Alcoholic beverages ; Alcoholism ; Alcoholism - diagnosis ; Alcoholism - etiology ; Alcoholism - prevention & control ; Alcohols ; Ambulatory Care ; Audits ; Australia ; Blood Alcohol Content ; Blood alcohol level ; Blood levels ; Brief intervention ; Brief interventions ; Clinical trials ; Confidence intervals ; Dependence ; Double-Blind Method ; Double-blind studies ; Drinking behavior ; Drinks ; Drug dependence ; Electronic ; Ethanol ; Evidence-based medicine ; Feedback ; Female ; Harmful drinking ; Hazardous drinking ; Humans ; Intervention ; Male ; Medical screening ; Norms ; Outpatient care facilities ; Outpatients ; Psychotherapy, Brief - methods ; Randomization ; Risk assessment ; Screening ; Statistical analysis ; Substance Abuse Detection - methods ; Treatment Outcome ; Young Adult ; Young adults ; Youth</subject><ispartof>Drug and alcohol dependence, 2018-10, Vol.191, p.78-85</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Oct 1, 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-832a42f195908bdf93af8f627a76e5d8eaa91b94b42270504da261b97227f9a33</citedby><cites>FETCH-LOGICAL-c452t-832a42f195908bdf93af8f627a76e5d8eaa91b94b42270504da261b97227f9a33</cites><orcidid>0000-0002-2535-1427 ; 0000-0001-6676-5266</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0376871618304083$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30096637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Natalie A.</creatorcontrib><creatorcontrib>Kypri, Kypros</creatorcontrib><creatorcontrib>Saunders, John B.</creatorcontrib><creatorcontrib>Saitz, Richard</creatorcontrib><creatorcontrib>Attia, John</creatorcontrib><creatorcontrib>Latter, Joanna</creatorcontrib><creatorcontrib>McElduff, Patrick</creatorcontrib><creatorcontrib>Dunlop, Adrian</creatorcontrib><creatorcontrib>Doran, Christopher</creatorcontrib><creatorcontrib>Wolfenden, Luke</creatorcontrib><creatorcontrib>McCambridge, Jim</creatorcontrib><title>Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•Effect of electronic alcohol screening and brief intervention in adults was tested.•Most trials of this kind have been conducted in young people.•Participants were hospital outpatients with hazardous or harmful drinking.•There were no significant differences between the treatment groups on any outcome.•This program should not be implemented in the hospital outpatient setting.
Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evaluate the effect of e-SBI in adults with hazardous or harmful drinking.
This individually randomized, parallel, two-group, double-blind controlled trial was conducted in the outpatient department of a large public hospital in Australia. Consenting adults who scored 5–9 on the AUDIT-C (837/3225; 26%) were randomized in a 1:1 ratio by computer to screening alone (442/837; 53%) or to 10 min of assessment and personalized feedback on their alcohol consumption (comparisons with medical guidelines and age and sex-specific norms), peak blood alcohol concentration, expenditure on alcohol, and risk of alcohol dependence (395/837; 47%). The two primary outcomes, assessed six months after randomization, were the number of standard drinks (10 g ethanol) consumed by participants in the last seven days and their AUDIT score.
693/837 (83%) and 635/837 (76%) participants were followed-up at 6 and 12 months, respectively. There was no statistically significant difference between the groups in the median number of standard drinks consumed in the last seven days (intervention: 12; control: 10.5; rate ratio, 1.12 [95% confidence interval, 0.96–1.31]; P = .17) or in their median AUDIT score (intervention: 7; control: 7; mean difference, 0.28 [-0.42 to 0.98]; P = .44).
These results do not support the implementation of an e-SBI program comprising personalized feedback and normative feedback for adults with hazardous or harmful drinking in the hospital outpatient setting.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Alcohol Drinking - therapy</subject><subject>Alcohol use</subject><subject>Alcoholic beverages</subject><subject>Alcoholism</subject><subject>Alcoholism - diagnosis</subject><subject>Alcoholism - etiology</subject><subject>Alcoholism - prevention & control</subject><subject>Alcohols</subject><subject>Ambulatory Care</subject><subject>Audits</subject><subject>Australia</subject><subject>Blood Alcohol Content</subject><subject>Blood alcohol level</subject><subject>Blood levels</subject><subject>Brief intervention</subject><subject>Brief interventions</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Dependence</subject><subject>Double-Blind Method</subject><subject>Double-blind studies</subject><subject>Drinking behavior</subject><subject>Drinks</subject><subject>Drug dependence</subject><subject>Electronic</subject><subject>Ethanol</subject><subject>Evidence-based medicine</subject><subject>Feedback</subject><subject>Female</subject><subject>Harmful drinking</subject><subject>Hazardous drinking</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical screening</subject><subject>Norms</subject><subject>Outpatient care facilities</subject><subject>Outpatients</subject><subject>Psychotherapy, Brief - methods</subject><subject>Randomization</subject><subject>Risk assessment</subject><subject>Screening</subject><subject>Statistical analysis</subject><subject>Substance Abuse Detection - methods</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>Youth</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkd-O1SAQxhujcY-rr2BIvPHCVqAtbb1bN-ufZBNv9JpQGPZwpFCBbuI-lw_oHM-qiTcSAgz5fTMDX1URRhtGmXh9aEzabpTXBtaGUzY2VDS0pQ-qHRuHqaa0Ew-rHW0HUY8DE2fVk5wPFIeY6OPqrKV0EqIddtWPK2tBFxItAY-HFIPTJOsEEFy4ISoYMicHlrhQIN1CKC4GgnOv7lQyccskJgzSYjdPTHLh6y_dEo-r2XzJKCVlD2Qf8-qK8iRuZVXFYS6SoRTk35ALkrBWXNwdmFcE884e6tm7gJGOARvzHgwpySn_tHpklc_w7H4_r768u_p8-aG-_vT-4-XFda27npd6bLnquGVTP9FxNnZqlR2t4IMaBPRmBKUmNk_d3HE-0J52RnGBFwOGdlJte169POVdU_y2QS5ycVmD9yoAPlxyOg791PNuRPTFP-ghbilgd5Iz3nUCoSM1niidYs4JrFyTW1T6LhmVR2flQf51Vh6dlVRIdBalz-8LbPMC5o_wt5UIvD0BgD9y6yDJrPGLNRiX0Fhpovt_lZ8J5b09</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Johnson, Natalie A.</creator><creator>Kypri, Kypros</creator><creator>Saunders, John B.</creator><creator>Saitz, Richard</creator><creator>Attia, John</creator><creator>Latter, Joanna</creator><creator>McElduff, Patrick</creator><creator>Dunlop, Adrian</creator><creator>Doran, Christopher</creator><creator>Wolfenden, Luke</creator><creator>McCambridge, Jim</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2535-1427</orcidid><orcidid>https://orcid.org/0000-0001-6676-5266</orcidid></search><sort><creationdate>20181001</creationdate><title>Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial</title><author>Johnson, Natalie A. ; Kypri, Kypros ; Saunders, John B. ; Saitz, Richard ; Attia, John ; Latter, Joanna ; McElduff, Patrick ; Dunlop, Adrian ; Doran, Christopher ; Wolfenden, Luke ; McCambridge, Jim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-832a42f195908bdf93af8f627a76e5d8eaa91b94b42270504da261b97227f9a33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Alcohol Drinking - therapy</topic><topic>Alcohol use</topic><topic>Alcoholic beverages</topic><topic>Alcoholism</topic><topic>Alcoholism - diagnosis</topic><topic>Alcoholism - etiology</topic><topic>Alcoholism - prevention & control</topic><topic>Alcohols</topic><topic>Ambulatory Care</topic><topic>Audits</topic><topic>Australia</topic><topic>Blood Alcohol Content</topic><topic>Blood alcohol level</topic><topic>Blood levels</topic><topic>Brief intervention</topic><topic>Brief interventions</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Dependence</topic><topic>Double-Blind Method</topic><topic>Double-blind studies</topic><topic>Drinking behavior</topic><topic>Drinks</topic><topic>Drug dependence</topic><topic>Electronic</topic><topic>Ethanol</topic><topic>Evidence-based medicine</topic><topic>Feedback</topic><topic>Female</topic><topic>Harmful drinking</topic><topic>Hazardous drinking</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Medical screening</topic><topic>Norms</topic><topic>Outpatient care facilities</topic><topic>Outpatients</topic><topic>Psychotherapy, Brief - methods</topic><topic>Randomization</topic><topic>Risk assessment</topic><topic>Screening</topic><topic>Statistical analysis</topic><topic>Substance Abuse Detection - methods</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Natalie A.</creatorcontrib><creatorcontrib>Kypri, Kypros</creatorcontrib><creatorcontrib>Saunders, John B.</creatorcontrib><creatorcontrib>Saitz, Richard</creatorcontrib><creatorcontrib>Attia, John</creatorcontrib><creatorcontrib>Latter, Joanna</creatorcontrib><creatorcontrib>McElduff, Patrick</creatorcontrib><creatorcontrib>Dunlop, Adrian</creatorcontrib><creatorcontrib>Doran, Christopher</creatorcontrib><creatorcontrib>Wolfenden, Luke</creatorcontrib><creatorcontrib>McCambridge, Jim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Natalie A.</au><au>Kypri, Kypros</au><au>Saunders, John B.</au><au>Saitz, Richard</au><au>Attia, John</au><au>Latter, Joanna</au><au>McElduff, Patrick</au><au>Dunlop, Adrian</au><au>Doran, Christopher</au><au>Wolfenden, Luke</au><au>McCambridge, Jim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>191</volume><spage>78</spage><epage>85</epage><pages>78-85</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•Effect of electronic alcohol screening and brief intervention in adults was tested.•Most trials of this kind have been conducted in young people.•Participants were hospital outpatients with hazardous or harmful drinking.•There were no significant differences between the treatment groups on any outcome.•This program should not be implemented in the hospital outpatient setting.
Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evaluate the effect of e-SBI in adults with hazardous or harmful drinking.
This individually randomized, parallel, two-group, double-blind controlled trial was conducted in the outpatient department of a large public hospital in Australia. Consenting adults who scored 5–9 on the AUDIT-C (837/3225; 26%) were randomized in a 1:1 ratio by computer to screening alone (442/837; 53%) or to 10 min of assessment and personalized feedback on their alcohol consumption (comparisons with medical guidelines and age and sex-specific norms), peak blood alcohol concentration, expenditure on alcohol, and risk of alcohol dependence (395/837; 47%). The two primary outcomes, assessed six months after randomization, were the number of standard drinks (10 g ethanol) consumed by participants in the last seven days and their AUDIT score.
693/837 (83%) and 635/837 (76%) participants were followed-up at 6 and 12 months, respectively. There was no statistically significant difference between the groups in the median number of standard drinks consumed in the last seven days (intervention: 12; control: 10.5; rate ratio, 1.12 [95% confidence interval, 0.96–1.31]; P = .17) or in their median AUDIT score (intervention: 7; control: 7; mean difference, 0.28 [-0.42 to 0.98]; P = .44).
These results do not support the implementation of an e-SBI program comprising personalized feedback and normative feedback for adults with hazardous or harmful drinking in the hospital outpatient setting.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>30096637</pmid><doi>10.1016/j.drugalcdep.2018.06.030</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2535-1427</orcidid><orcidid>https://orcid.org/0000-0001-6676-5266</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Drug and alcohol dependence, 2018-10, Vol.191, p.78-85 |
| issn | 0376-8716 1879-0046 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Adults Alcohol Drinking - therapy Alcohol use Alcoholic beverages Alcoholism Alcoholism - diagnosis Alcoholism - etiology Alcoholism - prevention & control Alcohols Ambulatory Care Audits Australia Blood Alcohol Content Blood alcohol level Blood levels Brief intervention Brief interventions Clinical trials Confidence intervals Dependence Double-Blind Method Double-blind studies Drinking behavior Drinks Drug dependence Electronic Ethanol Evidence-based medicine Feedback Female Harmful drinking Hazardous drinking Humans Intervention Male Medical screening Norms Outpatient care facilities Outpatients Psychotherapy, Brief - methods Randomization Risk assessment Screening Statistical analysis Substance Abuse Detection - methods Treatment Outcome Young Adult Young adults Youth |
| title | Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial |
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