Brief Physician Advice For High-Risk Drinking Among Young Adults

Grossberg, Paul M.; Brown, David; Fleming, Michael F.

doi:10.1370/afm.122

Cited by 63 publications

(60 citation statements)

References 23 publications

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“…Evidence favours brief interventions by GPs to prevent harm associated with tobacco or alcohol use. [18][19][20][21][22][23] Similar interventions have potential in addressing excessive cannabis use. 24 Adolescent health care is typically ambulatory care; 70-90% of young people are in contact with GPs at least once a year.…”

Section: The Role Of Gps In Addressing Excessive Cannabis Use In Younmentioning

confidence: 99%

Brief intervention addressing excessive cannabis use in young people consulting their GP: a pilot study

Haller¹,

Meynard²,

Lefebvre³

et al. 2009

Br J Gen Pract

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SettingSeven family practices in Switzerland. MethodThe team collaborated with GPs and young people to develop the intervention. Seven GPs piloted its use in their consultations. Patients aged 15 to 24 years consulting for any health problem were recruited before the consultation. Cannabis use, other substance use, and their psychosocial correlates were assessed with a short confidential questionnaire administered before the consultation and 1 month later. GPs, staff, and patients were asked to comment on the study and its feasibility. ResultsOf 81 young people invited to participate, 78 (70% female) agreed (participation rate: 96%). One in seven (13.2%, 95% confidence interval = 7.5% to 18.9%) used cannabis at least once a week. Data at 1 month were available for 42% who had provided email contact details and 91% of those who had provided their mobile phone number (63% overall). In most cases, the intervention lasted no more than 5 minutes. Comments from participants added favourable data towards the feasibility of the study. ConclusionThis pilot study provides a solid base on which to build a randomised trial of a brief intervention addressing cannabis use in young people consulting in family practice.

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Section: The Role Of Gps In Addressing Excessive Cannabis Use In Younmentioning

confidence: 99%

Brief intervention addressing excessive cannabis use in young people consulting their GP: a pilot study

Haller¹,

Meynard²,

Lefebvre³

et al. 2009

Br J Gen Pract

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“…15 To meet the needs of both providers and patients, we developed a computerfacilitated screening and brief advice (cSBA) system consisting of a computerized screening and educational component before the visit, and provider advice during the visit. There is substantial evidence from studies conducted in the United States, [16][17][18][19][20][21][22] and other countries 17,20,23,24 supporting the effectiveness of screening and brief physician advice among adult primary care patients, especially in the reduction of harmful drinking and its associated consequences (eg, motor vehicle crashes, emergency department visits). [16][17][18][19] It is unknown, however, whether these findings are generalizable to younger patients, as there have been fewer studies among adolescents in primary care.…”

mentioning

confidence: 99%

“…There is substantial evidence from studies conducted in the United States, [16][17][18][19][20][21][22] and other countries 17,20,23,24 supporting the effectiveness of screening and brief physician advice among adult primary care patients, especially in the reduction of harmful drinking and its associated consequences (eg, motor vehicle crashes, emergency department visits). [16][17][18][19] It is unknown, however, whether these findings are generalizable to younger patients, as there have been fewer studies among adolescents in primary care. 25,26 Existing studies suggest that primary care screening and brief interventions can positively impact adolescent health issues, such as tobacco use, [27][28][29][30] nutrition and physical activity, 31,32 and depression.…”

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confidence: 99%

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Primary care settings provide an important venue for early detection of substance use and intervention, but adolescent screening rates need improvement. Screening and brief interventions appear effective in reducing adult problem drinking but evidence for effectiveness among adolescents is needed. WHAT THIS STUDY ADDS:A computer-facilitated system for screening, feedback, and provider brief advice for primary care can increase adolescent receipt of substance use screening across a variety of practice settings, and shows promise for reducing adolescents' use of alcohol and cannabis. abstract OBJECTIVE: Primary care providers need effective strategies for substance use screening and brief counseling of adolescents. We examined the effects of a new computer-facilitated screening and provider brief advice (cSBA) system. METHODS:We used a quasi-experimental, asynchronous study design in which each site served as its own control. From 2005 to 2008, 12-to 18-year-olds arriving for routine care at 9 medical offices in New England (n = 2096, 58% females) and 10 in Prague, Czech Republic (n = 589, 47% females) were recruited. Patients completed measurements only during the initial treatment-as-usual study phase. We then conducted 1-hour provider training, and initiated the cSBA phase. Before seeing the provider, all cSBA participants completed a computerized screen, and then viewed screening results, scientific information, and true-life stories illustrating substance use harms. Providers received screening results and "talking points" designed to prompt 2 to 3 minutes of brief advice. We examined alcohol and cannabis use, initiation, and cessation rates over the past 90 days at 3-month follow-up, and over the past 12 months at 12-month follow-up. RESULTS:Compared with treatment as usual, cSBA patients reported less alcohol use at follow-up in New England (3-month rates 15.5% vs 22.9%, adjusted relative risk ratio [aRRR] = 0.54, 95% confidence interval 0.38-0.77; 12-month rates 29.3% vs 37.5%, aRRR = 0.73, 0.57-0.92), and less cannabis use in Prague (3-month rates 5.5% vs 9.8%, aRRR = 0.37, 0.17-0.77; 12-month rates 17.0% vs 28.7%, aRRR = 0.47, 0.32-0.71). CONCLUSIONS:Computer-facilitated screening and provider brief advice appears promising for reducing substance use among adolescent primary care patients.

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“…Multicontact BMIs delivered by primary health care providers have been shown to reduce alcohol consumption by three to nine drinks per week in adult patients (Whitlock et al, 2004). Within the timeframe of a standard primary care visit, multiple studies demonstrated that BMIs consistently produced reductions in alcohol consumption (Bertholet et al, 2005;Fleming et al, 1997;Grossberg et al, 2004;Kaner et al, 2007). Screening and brief counseling for alcohol misuse in primary care also are cost effective (Solberg et al, 2008).…”

mentioning

confidence: 99%

Alcohol Screening and Brief Intervention in a College Student Health Center: A Randomized Controlled Trial

Schaus

Sole

McCoy

et al. 2009

J. Stud. Alcohol Drugs Suppl.

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ABSTRACT. Objective: This study tested the effectiveness of brief primary care provider interventions delivered in a college student health center to a sample of college students who screened positive for highrisk drinking. Method: Between November 2005 and August 2006, 8,753 students who presented as new patients to the health service at a large public university were screened for high-risk drinking, and 2,484 students (28%) screened positive on the 5/4 gender-specifi c high-risk drinking question (i.e., fi ve or more drinks per occasion for men and four or more for women). Students who screened positive for high-risk drinking and consented to participate (N = 363; 52% female) were randomly assigned either to a control group (n = 182) or to an experimental group (n = 181). Participants in the experimental group received two brief intervention sessions that were founded in motivational interviewing techniques and delivered by four specially trained providers within the student health center. Data on alcohol use and related harms were obtained from a Web-based Healthy Lifestyle Questionnaire, 30-day Timeline Followback alcohol-use diaries, the Rutgers Alcohol Problem Index (RAPI), and eight items from the Drinker Inventory of Consequences-2L. Results: Repeated measures analysis showed that, compared with the control group (C), the intervention group (I) had signifi cant reductions in typical estimated blood alcohol concentration (BAC) (C = .071 vs I = .057 at 3 months; C = .073 vs I = .057 at 6 months), peak BAC (C = .142 vs I = .112 at 3 months; C = .145 vs I = .108 at 6 months), peak number of drinks per sitting (C = 8.03 vs I = 6.87 at 3 months; C = 7.98 vs I = 6.52 at 6 months), average number of drinks per week (C = 9.47 vs I = 7.33 at 3 months; C = 8.90 vs I = 6.16 at 6 months), number of drunk episodes in a typical week (C = 1.24 vs I = 0.85 at 3 months; C = 1.10 vs I = 0.71 at 6 months), number of times taken foolish risks (C = 2.24 vs I = 1.12 at 3 months), and RAPI sum scores (C = 6.55 vs I = 4.96 at 6 months; C = 6.17 vs I = 4.58 at 9 months). Conclusions: Brief interventions delivered by primary care providers in a student health center to high-risk-drinking students may result in signifi cantly decreased alcohol consumption, high-risk drinking, and alcohol-related harms. (J. Stud.

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Brief Physician Advice For High-Risk Drinking Among Young Adults

Cited by 63 publications

References 23 publications

Brief intervention addressing excessive cannabis use in young people consulting their GP: a pilot study

Brief intervention addressing excessive cannabis use in young people consulting their GP: a pilot study

Computer-Facilitated Substance Use Screening and Brief Advice for Teens in Primary Care: An International Trial

Alcohol Screening and Brief Intervention in a College Student Health Center: A Randomized Controlled Trial

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