Development and Implementation of a Structured Intervention for Alcohol Use Disorders for Telephone Helpline Services

Best, David; Hall, Kate; Guthrie, Anna; Abbatangelo, Moses; Hunter, Bruce; Lubman, Dan I.

doi:10.1080/07347324.2015.986424

Cited by 8 publications

(13 citation statements)

References 23 publications

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“…Of the treatments that were delivered by a practitioner, via telephone or online and individually, five effective elements were present. If a counselling session is given over the phone by a practitioner and a (1) workbook is sent out afterwards on how to reduce alcohol consumption [ 39 , 61 ] or if (2) personalized feedback is given before or after the telephone sessions [ 39 , 62 , 64 ], then drinking behavior is reduced, also among older adults. (3) If an in-person session is followed by a phone call [ 65 ], this also helps to reduce drinking behavior.…”

Section: Resultsmentioning

confidence: 99%

Understanding How and Why Alcohol Interventions Prevent and Reduce Problematic Alcohol Consumption among Older Adults: A Systematic Review

Boumans

Mheen

Crutzen

et al. 2022

IJERPH

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Problematic alcohol use has been increasing in older adults (55+) in recent decades. Many of the effective interventions that are available to prevent or reduce the negative effects of alcohol consumption are aimed at adults in general. It is unclear whether these interventions also work for older adults. The objective of this review was to understand how (i.e., which elements), in which context, and why (which mechanisms) interventions are successful in preventing or reducing (problematic) alcohol consumption among older adults. A systematic review of articles published between 2000 and 2022 was performed using PubMed, PsycINFO, Web of Science and CHINAHL. Realist evaluation was used to analyze the data. We found 61 studies on interventions aimed at preventing or reducing problematic alcohol use. Most of the interventions were not specifically designed for older adults but also included older adults. The findings of the current study highlight three major effective elements of interventions: (1) providing information on the consequences of alcohol consumption; (2) being in contact with others and communicating with them about (alcohol) problems; and (3) personalized feedback about drinking behavior. Two of these elements were also used in the interventions especially designed for older adults. Being in contact with others and communicating with them about (alcohol) problems is an important element to pay attention to for developers of alcohol interventions for older adults because loneliness is a problem for this age group and there is a relationship between the use of alcohol and loneliness.

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Section: Resultsmentioning

confidence: 99%

Understanding How and Why Alcohol Interventions Prevent and Reduce Problematic Alcohol Consumption among Older Adults: A Systematic Review

Boumans

Mheen

Crutzen

et al. 2022

IJERPH

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“…The AUDIT is a validated 10-item instrument for measuring alcohol problem severity [31]. It has been shown to be a sensitive measure of change over varying time periods [22,32], and has demonstrated utility as a continuous [33] and categorical [34] outcome measure. Symptom categories are: 0-7 = low risk or abstinence; 8-15 = risky alcohol use; 16-19 = harmful/hazardous alcohol use; 20-40 = possible dependence [35].…”

Section: Data Typementioning

confidence: 99%

“…To date, there is evidence for the benefits of telephonedelivered interventions for smoking cessation [20], alcohol use disorder [21,22] and some limited evidence for illicit drug use disorders (e.g. cocaine, cannabis) [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Ready2Change: Preliminary effectiveness of a telephone‐delivered intervention program for alcohol, methamphetamine and cannabis use problems

Grigg

Volpe

Tyler

et al. 2021

Drug and Alcohol Review

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Introduction. Telehealth has considerable potential to overcome many of the barriers to accessing care for substance use problems, thereby increasing the opportunity for earlier intervention. The Ready2Change program is a multiple-session outbound telephone-delivered cognitive and behavioural intervention for mild-to-moderate substance use disorders, embedded within a long-established 24/7 alcohol and drug helpline. We sought to analyse routinely collected program data in a preliminary study to examine the effectiveness of Ready2Change in reducing substance use problem severity and psychological distress. Methods. A retrospective analysis of program data from December 2013 to June 2018 was performed. Analysed cases were 249 clients living in Victoria, Australia with alcohol (n = 191), methamphetamine (n = 40) or cannabis (n = 18) as their primary drug of concern. A within-subjects design was used to examine pre-and post-intervention substance use problem severity and psychological distress. Results. For alcohol cases, there was a statistically significant decrease in alcohol problem severity [AUDIT, mean difference = À12.7, 95% confidence interval (CI) À14.0, À11.5]. Statistically significant reductions in drug problem severity (DUDIT) were observed for methamphetamine (mean difference = À17.3, 95% CI À20.9, À13.7) and cannabis (mean difference = À15.9, 95% CI À22.3, À9.6) cases. All groups showed reductions in problem severity for other substances used (P < 0.05) and psychological distress (P < 0.001). Discussion and Conclusions. Results suggest Ready2Change benefits clients with alcohol, methamphetamine and cannabis use problems, with the potential to improve treatment access for health inequity groups including those living in remote areas. These findings warrant further investigation into the effectiveness of this program.

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“…All assessments will be conducted over the telephone, using protocols developed in our pilot studies and previous cohort work [42]. A research assistant (Researcher 1) will perform eligibility assessments and baseline data collection (see Table 2).…”

Section: Methodsmentioning

confidence: 99%

“…A pilot study of an earlier version of the telephone-delivered intervention examined outcomes to a 3 month follow-up [42]. Thirty-four individuals concerned about their drinking were referred to the program and completed an average of 5.5 sessions.…”

Section: Methodsmentioning

confidence: 99%

A structured telephone-delivered intervention to reduce problem alcohol use (Ready2Change): study protocol for a parallel group randomised controlled trial

Lubman

Grigg

Manning

et al. 2019

Trials

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Background Current population surveys suggest around 20% of Australians meet diagnostic criteria for an alcohol use disorder. However, only a minority seek professional help due to individual and structural barriers, such as low health literacy, stigma, geography, service operating hours and wait lists. Telephone-delivered interventions are readily accessible and ideally placed to overcome these barriers. We will conduct a randomised controlled trial (RCT) to examine the efficacy of a standalone, structured telephone-delivered intervention to reduce alcohol consumption, problem severity and related psychological distress among individuals with problem alcohol use. Methods/design This is a single site, parallel group, two-arm superiority RCT. We will recruit 344 participants from across Australia with problem alcohol use. After completing a baseline assessment, participants will be randomly allocated to receive either the Ready2Change (R2C) intervention ( n = 172, four to six sessions of structured telephone-delivered intervention, R2C self-help resource, guidelines for alcohol consumption and stress management pamphlets) or the control condition ( n = 172, four phone check-ins < 5 min, guidelines for alcohol consumption and stress management pamphlets). Telephone follow-up assessments will occur at 4–6 weeks, 3 months, 6 months and 12 months post-baseline. The primary outcome is the Alcohol Use Disorders Identification Test (AUDIT) score administered at 3 months post-baseline. Secondary outcomes include change in AUDIT score (6 and 12 months post-baseline), change in number of past-month heavy drinking days, psychological distress, health and wellbeing, quality of life, client treatment evaluation and cost effectiveness. Discussion This study will be one of the first RCTs conducted internationally to examine the impact of a standalone, structured telephone-delivered intervention to address problem alcohol use and associated psychological morbidity. The proposed intervention is expected to contribute to the health and wellbeing of individuals who are otherwise unlikely to seek treatment through mainstream service models, to reduce the burden on specialist services and primary care providers and to provide an accessible and proportionate response, with resulting cost savings for the health system and broader community. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12618000828224 . Pre-registered on 16 May 2018. Electronic supplementary material The online version of this article (10.1186/s13063-019-3462-9) contains supplementary material, which is available to authorized users.

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Development and Implementation of a Structured Intervention for Alcohol Use Disorders for Telephone Helpline Services

Cited by 8 publications

References 23 publications

Understanding How and Why Alcohol Interventions Prevent and Reduce Problematic Alcohol Consumption among Older Adults: A Systematic Review

Understanding How and Why Alcohol Interventions Prevent and Reduce Problematic Alcohol Consumption among Older Adults: A Systematic Review

Ready2Change: Preliminary effectiveness of a telephone‐delivered intervention program for alcohol, methamphetamine and cannabis use problems

A structured telephone-delivered intervention to reduce problem alcohol use (Ready2Change): study protocol for a parallel group randomised controlled trial

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