Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial. / Beich, A.; Gannik, D.; Saelan, H.; Thorsen, Thorkil.

In: Alcohol & Alcoholism, Vol. 42, No. 6, 2007, p. 593-603.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Beich, A, Gannik, D, Saelan, H & Thorsen, T 2007, 'Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial', Alcohol & Alcoholism, vol. 42, no. 6, pp. 593-603.

APA

Beich, A., Gannik, D., Saelan, H., & Thorsen, T. (2007). Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial. Alcohol & Alcoholism, 42(6), 593-603.

Vancouver

Beich A, Gannik D, Saelan H, Thorsen T. Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial. Alcohol & Alcoholism. 2007;42(6):593-603.

Author

Beich, A. ; Gannik, D. ; Saelan, H. ; Thorsen, Thorkil. / Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial. In: Alcohol & Alcoholism. 2007 ; Vol. 42, No. 6. pp. 593-603.

Bibtex

@article{2a2f61807a1e11df928f000ea68e967b,
title = "Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial",
abstract = "AIMS: Recommendations for routine alcohol screening and brief counselling intervention in primary health care rest on results from intervention efficacy studies. By conducting a pragmatic controlled trial (PCT), we aimed at evaluating the effectiveness of the WHO recommendations for screening and brief intervention (SBI) in general practice. METHODS: A randomized PCT (brief counselling intervention vs no intervention) involving 39 Danish general practitioners (GPs). Systematic screening of 6897 adults led to inclusion of 906 risky drinkers, and research follow-up on 537 of these after 12-14 months. Outcome measures focused on patients' acceptance of screening and intervention and their self-reported alcohol consumption. RESULTS: Patient acceptance of screening and intervention -10.3{\%} (N = 794) of the target population (N = 7, 691) explicitly refused screening. All intervention group subjects (N = 442) were exposed to an instant brief counselling session while only 17.9{\%} of them (79/442) attended a follow-up consultation that was offered by their GP. Consumption Changes At one-year follow-up, average weekly consumption had increased by 0.7 drinks in both comparison groups. As secondary findings, we observed an indiscriminate absolute risk reduction (ARR = 0.08 (95{\%} CI: -0.02; 0.18)) in male binge drinking, but adverse intervention effects for women on the secondary outcomes (binge drinking ARR = -0.30 (95{\%} CI: -0.47; -0.09)). CONCLUSIONS: The results of brief interventions in everyday general practice performed on the basis of systematic questionnaire screening may fall short of theoretical expectations. When applied to non-selected groups in everyday general practice SBI may have little effect and engender diverse outcome. Women may be more susceptible to defensive reactions than men Udgivelsesdato: 2007/11",
author = "A. Beich and D. Gannik and H. Saelan and Thorkil Thorsen",
note = "DA - 20071029IS - 1464-3502 (Electronic)LA - engPT - Comparative StudyPT - Journal ArticlePT - Randomized Controlled TrialPT - Research Support, Non-U.S. Gov'tSB - IM",
year = "2007",
language = "Dansk",
volume = "42",
pages = "593--603",
journal = "Alcohol and Alcoholism",
issn = "0735-0414",
publisher = "Oxford University Press",
number = "6",

}

RIS

TY - JOUR

T1 - Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial

AU - Beich, A.

AU - Gannik, D.

AU - Saelan, H.

AU - Thorsen, Thorkil

N1 - DA - 20071029IS - 1464-3502 (Electronic)LA - engPT - Comparative StudyPT - Journal ArticlePT - Randomized Controlled TrialPT - Research Support, Non-U.S. Gov'tSB - IM

PY - 2007

Y1 - 2007

N2 - AIMS: Recommendations for routine alcohol screening and brief counselling intervention in primary health care rest on results from intervention efficacy studies. By conducting a pragmatic controlled trial (PCT), we aimed at evaluating the effectiveness of the WHO recommendations for screening and brief intervention (SBI) in general practice. METHODS: A randomized PCT (brief counselling intervention vs no intervention) involving 39 Danish general practitioners (GPs). Systematic screening of 6897 adults led to inclusion of 906 risky drinkers, and research follow-up on 537 of these after 12-14 months. Outcome measures focused on patients' acceptance of screening and intervention and their self-reported alcohol consumption. RESULTS: Patient acceptance of screening and intervention -10.3% (N = 794) of the target population (N = 7, 691) explicitly refused screening. All intervention group subjects (N = 442) were exposed to an instant brief counselling session while only 17.9% of them (79/442) attended a follow-up consultation that was offered by their GP. Consumption Changes At one-year follow-up, average weekly consumption had increased by 0.7 drinks in both comparison groups. As secondary findings, we observed an indiscriminate absolute risk reduction (ARR = 0.08 (95% CI: -0.02; 0.18)) in male binge drinking, but adverse intervention effects for women on the secondary outcomes (binge drinking ARR = -0.30 (95% CI: -0.47; -0.09)). CONCLUSIONS: The results of brief interventions in everyday general practice performed on the basis of systematic questionnaire screening may fall short of theoretical expectations. When applied to non-selected groups in everyday general practice SBI may have little effect and engender diverse outcome. Women may be more susceptible to defensive reactions than men Udgivelsesdato: 2007/11

AB - AIMS: Recommendations for routine alcohol screening and brief counselling intervention in primary health care rest on results from intervention efficacy studies. By conducting a pragmatic controlled trial (PCT), we aimed at evaluating the effectiveness of the WHO recommendations for screening and brief intervention (SBI) in general practice. METHODS: A randomized PCT (brief counselling intervention vs no intervention) involving 39 Danish general practitioners (GPs). Systematic screening of 6897 adults led to inclusion of 906 risky drinkers, and research follow-up on 537 of these after 12-14 months. Outcome measures focused on patients' acceptance of screening and intervention and their self-reported alcohol consumption. RESULTS: Patient acceptance of screening and intervention -10.3% (N = 794) of the target population (N = 7, 691) explicitly refused screening. All intervention group subjects (N = 442) were exposed to an instant brief counselling session while only 17.9% of them (79/442) attended a follow-up consultation that was offered by their GP. Consumption Changes At one-year follow-up, average weekly consumption had increased by 0.7 drinks in both comparison groups. As secondary findings, we observed an indiscriminate absolute risk reduction (ARR = 0.08 (95% CI: -0.02; 0.18)) in male binge drinking, but adverse intervention effects for women on the secondary outcomes (binge drinking ARR = -0.30 (95% CI: -0.47; -0.09)). CONCLUSIONS: The results of brief interventions in everyday general practice performed on the basis of systematic questionnaire screening may fall short of theoretical expectations. When applied to non-selected groups in everyday general practice SBI may have little effect and engender diverse outcome. Women may be more susceptible to defensive reactions than men Udgivelsesdato: 2007/11

M3 - Tidsskriftartikel

VL - 42

SP - 593

EP - 603

JO - Alcohol and Alcoholism

JF - Alcohol and Alcoholism

SN - 0735-0414

IS - 6

ER -

ID: 20344262