, 7:A88,
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Access to alcohol reduction websites facilitated by primary care practices: a potential solution to the "know/do" gap in primary care

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In primary health-care (PHC) settings, less than 10% of hazardous and harmful drinkers are identified, and less than 5% of those who could benefit are offered brief interventions (BIs). Delivery of BI adds up to 15 minutes to the primary consultation, constituting a significant barrier to implementation by PHC professionals. A review of trials of computer-based interventions (on- and off-line) for college drinkers found them to be more effective than no treatment and as effective as alternative treatment approaches. The recent large-scale trial of the online Down Your Drink (DYD) intervention found potentially significant reductions in alcohol consumption and risky drinking behavior, but there was evidence that users of the DYD website made only relatively limited use of it (average, 2.33 visits). Facilitated access by professionals in PHC settings could not only increase patient engagement but also address the "know/do” gap in PHC by removing the need for providers to deliver a time-c