Minimal interventions for problem drinkers: a review of the literature

Watson, Hugh J.

doi:10.1046/j.1365-2648.1999.01107.x

Cited by 14 publications

(7 citation statements)

References 31 publications

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“…Brief interventions or minimal interventions usually comprise a screening method to identify potential at‐risk drinking, which is followed by some form of advice and information concerning levels of alcohol consumption and potential health risks. Information may be provided verbally or in the form of leaflets and pamphlets, and can be given by non‐specialist healthcare professionals, including General Practitioners, Community Nurses and Social Workers (Watson 1999). Brief interventions may include six main elements.…”

Section: Models and Theoriesmentioning

confidence: 99%

Women and alcohol: misrepresented and misunderstood

Angove

Fothergill

2003

Psychiatric Ment Health Nurs

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Women's use of alcohol has been increasing over the last few decades. The physical, psychological and social effects of alcohol are more severe for women than for men. The underlying causes of women's drinking differ from those of men, which poses a challenge to nurses working in the specialist field of alcohol misuse. This article explored women's relationship with alcohol and treatment services, and identified that these treatment services are not specific to women's needs. To conclude, in order to offer women sensitive services, practitioners need knowledge of gender issues.

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Section: Models and Theoriesmentioning

confidence: 99%

Women and alcohol: misrepresented and misunderstood

Angove

Fothergill

2003

Psychiatric Ment Health Nurs

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“…The potential value of early intervention is reinforced through an extensive review of the literature conducted by Watson (1999). Again, difficulties in generalizing these results arose from variations in methodology and in study settings.…”

Section: Literature Reviewmentioning

confidence: 99%

Negative attitudes towards clients with drug and alcohol related problems: Finding the elusive solution

Happell

Taylor

2001

Australian and New Zealand Journal of Mental Health Nursing

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The difficulties experienced by nurses in providing care to clients with drug and alcohol related problems within general hospital settings have been clearly identified in the literature. Despite this, the problem continues with little or no evidence of improvement. This paper reports the results of a research project undertaken in a large private hospital in metropolitan Melbourne, Victoria, Australia. The study sought to ascertain whether a difference in attitudes, confidence and perceived knowledge related to the care of clients with drug and alcohol problems would be evident between those nurses who used consultation and liaison services from a specialist drug and alcohol unit and those who did not. A questionnaire was administered to 200 nurses, with a 53% completion rate (n = 106). The results showed very little difference between the groups with the exception of the perceived knowledge category which indicated a statistically significant difference.

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“…This mounting health burden is due not just to population growth or ageing, but also to an absolute increase in alcohol consumption by adults [1], [6]. It affects both traditional groups of drinkers and newer groups such as women [7] and the elderly [8]. The risks of problem drinking multiply with every increment in alcohol consumption or every heavier drinking pattern [9], [10].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis

et al. 2014

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BackgroundAlcohol misuse ranks within the top ten health conditions with the highest global burden of disease. Low-intensity, Internet interventions for curbing adult alcohol misuse have been shown effective. Few meta-analyses have been carried out, however, and they have involved small numbers of studies, lacked indicators of drinking within low risk guidelines, and examined the effectiveness of unguided self-help only. We therefore conducted a more thorough meta-analysis that included both guided and unguided interventions.MethodsSystematic literature searches were performed up to September 2013. Primary outcome was the mean level of alcohol consumption and drinking within low risk guidelines for alcohol consumption at post-treatment.FindingsWe selected 16 randomised controlled trials (with 23 comparisons and 5,612 participants) for inclusion. Results, showed a small but significant overall effect size in favour of Internet interventions (g = 0.20, 95% CI: 0.13–0.27, p<.001). Participants in Internet interventions drunk on average 22 grams of ethanol less than controls and were significantly more likely to be adhering to low-risk drinking guidelines at post-treatment (RD 0.13, 95% CI: 0.09–0.17, p<.001). Subgroup analyses revealed no significant differences in potential moderators for the outcome of alcohol consumption, although there was a near-significant difference between comparisons with waitlist control and those with assessment-only or alcohol information control conditions (p = .056).ConclusionsInternet interventions are effective in reducing adult alcohol consumption and inducing alcohol users to adhere to guidelines for low-risk drinking. This effect is small but from a public health point of view this may warrant large scale implementation at low cost of Internet interventions for adult alcohol misuse. Moderator analyses with sufficient power are, however, needed in order to assess the robustness of these overall results and to assess whether these interventions may impact on subgroups with different levels of success.

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Minimal interventions for problem drinkers: a review of the literature

Cited by 14 publications

References 31 publications

Women and alcohol: misrepresented and misunderstood

Women and alcohol: misrepresented and misunderstood

Negative attitudes towards clients with drug and alcohol related problems: Finding the elusive solution

Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis

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