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Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial

BACKGROUND: There are a number of evidence-based, in-person clinical inteventions for problem drinkers, but most problem drinkers will never seek such treatments. Reaching the population of non-treatment seeking problem drinkers will require a different approach. Accordingly, this randomized clinica...

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Detalles Bibliográficos
Autores principales: Cunningham, John A., Neighbors, Clayton, Wild, Cameron, Humphreys, Keith
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480504/
https://www.ncbi.nlm.nih.gov/pubmed/23110157
http://dx.doi.org/10.1371/journal.pone.0048003
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author Cunningham, John A.
Neighbors, Clayton
Wild, Cameron
Humphreys, Keith
author_facet Cunningham, John A.
Neighbors, Clayton
Wild, Cameron
Humphreys, Keith
author_sort Cunningham, John A.
collection PubMed
description BACKGROUND: There are a number of evidence-based, in-person clinical inteventions for problem drinkers, but most problem drinkers will never seek such treatments. Reaching the population of non-treatment seeking problem drinkers will require a different approach. Accordingly, this randomized clinical trial evaluated an intervention that has been validated in clinical settings and then modified into an ultra-brief format suitable for use as an indicated public health intervention (i.e., targeting the population of non-treatment seeking problem drinkers). METHODOLOGY/PRINCIPAL FINDINGS: Problem drinkers (N = 1767) completed a baseline population telephone survey and then were randomized to one of three conditions – a personalized feedback pamphlet condition, a control pamphlet condition, or a no intervention control condition. In the week after the baseline survey, households in the two pamphlet conditions were sent their respective interventions by postal mail addressed to ‘Check Your Drinking.’ Changes in drinking were assessed post intervention at three-month and six-month follow-ups. The follow-up rate was 86% at three-months and 76% at six-months. There was a small effect (p = .04) in one of three outcome variables (reduction in AUDIT-C, a composite measure of quantity and frequency of drinking) observed for the personalized feedback pamphlet compared to the no intervention control. No significant differences (p>.05) between groups were observed for the other two outcome variables – number of drinks consumed in the past seven days and highest number of drinks on one occasion. CONCLUSIONS/SIGNIFICANCE: Based on the results of this study, we tentatively conclude that a brief intervention, modified to an ultra-brief, public health format can have a meaningful impact. TRIAL REGISTRATION: ClinicalTrials.gov NCT00688584.
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spelling pubmed-34805042012-10-29 Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial Cunningham, John A. Neighbors, Clayton Wild, Cameron Humphreys, Keith PLoS One Research Article BACKGROUND: There are a number of evidence-based, in-person clinical inteventions for problem drinkers, but most problem drinkers will never seek such treatments. Reaching the population of non-treatment seeking problem drinkers will require a different approach. Accordingly, this randomized clinical trial evaluated an intervention that has been validated in clinical settings and then modified into an ultra-brief format suitable for use as an indicated public health intervention (i.e., targeting the population of non-treatment seeking problem drinkers). METHODOLOGY/PRINCIPAL FINDINGS: Problem drinkers (N = 1767) completed a baseline population telephone survey and then were randomized to one of three conditions – a personalized feedback pamphlet condition, a control pamphlet condition, or a no intervention control condition. In the week after the baseline survey, households in the two pamphlet conditions were sent their respective interventions by postal mail addressed to ‘Check Your Drinking.’ Changes in drinking were assessed post intervention at three-month and six-month follow-ups. The follow-up rate was 86% at three-months and 76% at six-months. There was a small effect (p = .04) in one of three outcome variables (reduction in AUDIT-C, a composite measure of quantity and frequency of drinking) observed for the personalized feedback pamphlet compared to the no intervention control. No significant differences (p>.05) between groups were observed for the other two outcome variables – number of drinks consumed in the past seven days and highest number of drinks on one occasion. CONCLUSIONS/SIGNIFICANCE: Based on the results of this study, we tentatively conclude that a brief intervention, modified to an ultra-brief, public health format can have a meaningful impact. TRIAL REGISTRATION: ClinicalTrials.gov NCT00688584. Public Library of Science 2012-10-24 /pmc/articles/PMC3480504/ /pubmed/23110157 http://dx.doi.org/10.1371/journal.pone.0048003 Text en © 2012 Cunningham et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Cunningham, John A.
Neighbors, Clayton
Wild, Cameron
Humphreys, Keith
Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title_full Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title_fullStr Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title_full_unstemmed Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title_short Ultra-Brief Intervention for Problem Drinkers: Results from a Randomized Controlled Trial
title_sort ultra-brief intervention for problem drinkers: results from a randomized controlled trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480504/
https://www.ncbi.nlm.nih.gov/pubmed/23110157
http://dx.doi.org/10.1371/journal.pone.0048003
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