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Brief Patient-Centered Clinician-Delivered Counseling for High-Risk Drinking: 4-Year Results

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Purpose

The purpose of this study is to determine the effect at 48 months of a screening and brief patient-centered physician- and nurse practitioner-delivered intervention implemented during a routine primary care visit on the reduction of alcohol consumption by high-risk drinkers.

Methods

Participants seen in primary care practices previously randomized to special intervention (SI) or usual care (UC) were reconsented for long-term follow-up. From the initial cohort, 63% reconsented to participate and provided follow-up at 48 months between November 1996 and March 2002. The data for this paper were analyzed in June 2004.

Results

At 48 months, SI participants maintained significant reductions in drinks per week seen at 6 and 12 months. However, there were no longer significant differences in drinks per week, binges per month, percentage of low-risk drinking, relapse rates, and new quits between the SI and UC groups at 48 months that had been seen at earlier follow-up. There was a significant effect of prior low-risk drinking status at 12 months; those who were low-risk drinkers at 12 months were more likely to stay low-risk drinkers at 48 months regardless of treatment group.

Conclusions

With a single brief intervention, SI participants had significantly greater reductions in their drinking levels at 6 and 12 months compared to UC participants and maintained the lower-risk levels at 48 months resulting in a reduction in health risk exposure time. However, the significant group differences in treatment effect seen in earlier follow-ups were not maintained.

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Acknowledgements

This project was supported by grant 5-RO1-AA09153 from the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD, USA. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIAAA.

Conflict of Interest Statement

The authors certify that all financial and material support for this research and work are clearly identified in the manuscript. They have not been engaged in any financial or personal conflicts of interest as a result of the research described in this manuscript. The authors had full access to all of the study data and accept full responsibility for the integrity of the data and the accuracy of the data analysis. As noted in the acknowledgements, the research described in this manuscript was supported by grant 5-RO1-AA09153 from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institutes of Health, Bethesda, MD. NIAAA was not involved in the study design, collection, analysis, or interpretation of this data.

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Correspondence to Judith K. Ockene Ph.D., M.Ed..

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Ockene, J.K., Reed, G.W. & Reiff-Hekking, S. Brief Patient-Centered Clinician-Delivered Counseling for High-Risk Drinking: 4-Year Results. ann. behav. med. 37, 335–342 (2009). https://doi.org/10.1007/s12160-009-9108-5

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  • DOI: https://doi.org/10.1007/s12160-009-9108-5

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