Behavioral Counseling Interventions in Primary Care To Reduce Risky/Harmful Alcohol Use by Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force

Abstract

Behavioral counseling interventions for risky/harmful alcohol use among adult primary care patients could provide an effective component of a public health approach to reducing risky/harmful alcohol use. Future research should focus on implementation strategies to facilitate adoption of these practices into routine health care.

Prevalence of alcohol abuse and associated factors in a population-based study

“…23,24 Moreover, monitoring alcohol consumption of different population segments is necessary to develop effective dependence control actions and harm reduction strategies.…”

Effectiveness of the AUDIT-C as a Screening Test for Alcohol Misuse in Three Race/Ethnic Groups

“…2 Randomized controlled trials have demonstrated that brief counseling interventions in primary care settings can decrease alcohol misuse. [3][4][5][6] Alcohol screening is therefore recommended to identify patients who benefit from such interventions. 7 Although older screening questionnaires such as the CAGE were developed to identify only alcohol use disorders (definitions, Fig.…”

Association Between Receipt of Brief Alcohol Intervention and Quality of Care among Veteran Outpatients with Unhealthy Alcohol Use

“…Receipt of brief intervention was defined as a Byes^response to the following question: BIn the past 12 months, has a VA doctor or other VA healthcare provider advised you about your drinking (to drink less or not to drink alcohol)?^This question has previously been used as a proxy for brief intervention because alcohol-related advice is a central component of evidencebased brief intervention. 10,37 Primary Outcomes: Patient-Reported Indicators of HighQuality Care. The following patient-reported indicators of high-quality care comprised the primary study outcomes: 1) patient report of high-quality care from their VA provider and 2) patient report of high-quality care from the VA. We assessed these outcomes using two survey questions from the CAHPS Clinician & Group Survey: BUsing any number from 0 to 10, where 0 is the worst personal doctor/nurse possible and 10 is the best personal doctor/nurse possible, what number would you use to rate your personal VA doctor/nurse?^and BUsing any number from 0 to 10, where 0 is the worst healthcare possible and 10 is the best healthcare possible, what number would you use to rate all your VA healthcare in the last 12 months?^Potential scores ranged from 0 to 10, which we dichotomized ≥ 9 according to CAHPS guidelines as indicative of high quality.…”