Cargando…
The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial
BACKGROUND: Russia has particularly low life expectancy for an industrialised country, with mortality at working ages having fluctuated dramatically over the past few decades, particularly among men. Alcohol has been identified as the most likely cause of these temporal variations. One approach to r...
Autores principales: | , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2011
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222605/ https://www.ncbi.nlm.nih.gov/pubmed/22053775 http://dx.doi.org/10.1186/1745-6215-12-238 |
_version_ | 1782217203066601472 |
---|---|
author | Allen, Elizabeth Polikina, Olga Saburova, Lyudmila McCambridge, Jim Elbourne, Diana Pakriev, Sergey Nekrasova, Nadezhda Vasilyev, Maxim Tomlin, Keith Oralov, Alexey Gil, Artyom McKee, Martin Kiryanov, Nikolay Leon, David A |
author_facet | Allen, Elizabeth Polikina, Olga Saburova, Lyudmila McCambridge, Jim Elbourne, Diana Pakriev, Sergey Nekrasova, Nadezhda Vasilyev, Maxim Tomlin, Keith Oralov, Alexey Gil, Artyom McKee, Martin Kiryanov, Nikolay Leon, David A |
author_sort | Allen, Elizabeth |
collection | PubMed |
description | BACKGROUND: Russia has particularly low life expectancy for an industrialised country, with mortality at working ages having fluctuated dramatically over the past few decades, particularly among men. Alcohol has been identified as the most likely cause of these temporal variations. One approach to reducing the alcohol problem in Russia is 'brief interventions' which seek to change views of the personal acceptability of excessive drinking and to encourage self-directed behaviour change. Very few studies to evaluate the efficacy of brief interventions in Russia have been conducted. Motivational Interviewing (MI) is a person-centred counselling style which can be adapted to brief interventions in which help is offered in thinking through behaviour in the context of values and goals, to decide whether change is needed, and if so, how it may best be achieved. METHODS: This paper reports on an individually randomised two-armed parallel group exploratory trial. The primary hypothesis is that a brief adaptation of MI will be effective in reducing self-reported hazardous and harmful drinking at 3 months. Participants were drawn from the Izhevsk Family Study II, with eligibility determined based on proxy reports of hazardous and harmful drinking in the past year. All participants underwent a health check, with MI subsequently delivered to those in the intervention arm. Signed consent was obtained from those in the intervention arm only at this point. Both groups were then invited for 3 and 12 month follow ups. The control group did not receive any additional intervention. RESULTS: 441 men were randomised. Of these 61 did not have a health check leaving 190 in each trial arm. Follow up at 3 months was high (97% of those having a health check), and very similar in the two trial arms (183 in the intervention and 187 in the control). No significant differences were detected between the randomised groups in either the primary or the secondary outcomes at three months in the intention to treat analyses. The unadjusted odds ratio (95% CI) for the effect of MI on hazardous and harmful drinking was 0.77 (0.51, 1.16). An adjusted odds ratio of 0.52 (0.28, 0.94) was obtained in the pre-specified per protocol analysis. CONCLUSIONS: This trial demonstrates that it is possible to engage Russian men who drink hazardously in a brief intervention aimed at reducing alcohol related harm. However the results with respect to the efficacy are equivocal and further, larger-scale trials are warranted. TRIAL REGISTRATION: ISRCTN: ISRCTN82405938 |
format | Online Article Text |
id | pubmed-3222605 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32226052011-11-23 The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial Allen, Elizabeth Polikina, Olga Saburova, Lyudmila McCambridge, Jim Elbourne, Diana Pakriev, Sergey Nekrasova, Nadezhda Vasilyev, Maxim Tomlin, Keith Oralov, Alexey Gil, Artyom McKee, Martin Kiryanov, Nikolay Leon, David A Trials Research BACKGROUND: Russia has particularly low life expectancy for an industrialised country, with mortality at working ages having fluctuated dramatically over the past few decades, particularly among men. Alcohol has been identified as the most likely cause of these temporal variations. One approach to reducing the alcohol problem in Russia is 'brief interventions' which seek to change views of the personal acceptability of excessive drinking and to encourage self-directed behaviour change. Very few studies to evaluate the efficacy of brief interventions in Russia have been conducted. Motivational Interviewing (MI) is a person-centred counselling style which can be adapted to brief interventions in which help is offered in thinking through behaviour in the context of values and goals, to decide whether change is needed, and if so, how it may best be achieved. METHODS: This paper reports on an individually randomised two-armed parallel group exploratory trial. The primary hypothesis is that a brief adaptation of MI will be effective in reducing self-reported hazardous and harmful drinking at 3 months. Participants were drawn from the Izhevsk Family Study II, with eligibility determined based on proxy reports of hazardous and harmful drinking in the past year. All participants underwent a health check, with MI subsequently delivered to those in the intervention arm. Signed consent was obtained from those in the intervention arm only at this point. Both groups were then invited for 3 and 12 month follow ups. The control group did not receive any additional intervention. RESULTS: 441 men were randomised. Of these 61 did not have a health check leaving 190 in each trial arm. Follow up at 3 months was high (97% of those having a health check), and very similar in the two trial arms (183 in the intervention and 187 in the control). No significant differences were detected between the randomised groups in either the primary or the secondary outcomes at three months in the intention to treat analyses. The unadjusted odds ratio (95% CI) for the effect of MI on hazardous and harmful drinking was 0.77 (0.51, 1.16). An adjusted odds ratio of 0.52 (0.28, 0.94) was obtained in the pre-specified per protocol analysis. CONCLUSIONS: This trial demonstrates that it is possible to engage Russian men who drink hazardously in a brief intervention aimed at reducing alcohol related harm. However the results with respect to the efficacy are equivocal and further, larger-scale trials are warranted. TRIAL REGISTRATION: ISRCTN: ISRCTN82405938 BioMed Central 2011-11-04 /pmc/articles/PMC3222605/ /pubmed/22053775 http://dx.doi.org/10.1186/1745-6215-12-238 Text en Copyright ©2011 Allen et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Allen, Elizabeth Polikina, Olga Saburova, Lyudmila McCambridge, Jim Elbourne, Diana Pakriev, Sergey Nekrasova, Nadezhda Vasilyev, Maxim Tomlin, Keith Oralov, Alexey Gil, Artyom McKee, Martin Kiryanov, Nikolay Leon, David A The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title | The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title_full | The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title_fullStr | The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title_full_unstemmed | The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title_short | The efficacy of a brief intervention in reducing hazardous drinking in working age men in Russia: the HIM (Health for Izhevsk men) individually randomised parallel group exploratory trial |
title_sort | efficacy of a brief intervention in reducing hazardous drinking in working age men in russia: the him (health for izhevsk men) individually randomised parallel group exploratory trial |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222605/ https://www.ncbi.nlm.nih.gov/pubmed/22053775 http://dx.doi.org/10.1186/1745-6215-12-238 |
work_keys_str_mv | AT allenelizabeth theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT polikinaolga theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT saburovalyudmila theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT mccambridgejim theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT elbournediana theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT pakrievsergey theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT nekrasovanadezhda theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT vasilyevmaxim theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT tomlinkeith theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT oralovalexey theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT gilartyom theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT mckeemartin theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT kiryanovnikolay theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT leondavida theefficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT allenelizabeth efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT polikinaolga efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT saburovalyudmila efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT mccambridgejim efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT elbournediana efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT pakrievsergey efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT nekrasovanadezhda efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT vasilyevmaxim efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT tomlinkeith efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT oralovalexey efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT gilartyom efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT mckeemartin efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT kiryanovnikolay efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial AT leondavida efficacyofabriefinterventioninreducinghazardousdrinkinginworkingagemeninrussiathehimhealthforizhevskmenindividuallyrandomisedparallelgroupexploratorytrial |