Effectiveness of brief alcohol interventions in primary care populations
Abstract
BACKGROUND: Many trials reported that brief interventions are effective in reducing excessive drinking. However, some trials have been criticised for being clinically unrepresentative and unable to inform clinical practice. OBJECTIVES: To assess the effectiveness of brief intervention, delivered in general practice or based primary care, to reduce alcohol consumption SEARCH STRATEGY: We searched the Cochrane Drug and Alcohol Group specialised register (February 2006), MEDLINE (1966 to February 2006), EMBASE (1980 to February 2006), CINAHL (1982 to February 2006), PsycINFO (1840 to February 2006), Science Citation Index (1970 to February 2006), Social Science Citation Index (1970 to February 2006), Alcohol and Alcohol Problems Science Database (1972 to 2003), reference lists of articles. SELECTION CRITERIA: Randomised controlled trials, patients presenting to primary care not specifically for alcohol treatment; brief intervention of up to four sessions. DATA COLLECTION AND ANALYSIS: Two authors independently abstracted data and assessed trial quality. Random effects meta-analyses, sub-group, sensitivity analyses, and meta-regression were conducted. MAIN RESULTS: The meta-analysis included 21 RCTs (7,286 participants), showing that participants receiving brief intervention reduced their alcohol consumption compared to the control group (mean difference: -41 grams/week, 95% CI: -57 to -25), although there was substantial heterogeneity between trials (I2 = 52%). Sub-group analysis (8 studies, 2307 participants) confirmed the benefit of brief intervention in men (mean difference: -57 grams/week, 95% CI: -89 to -25, I2 = 56%), but not in women (mean difference: -10 grams/week, 95% CI: -48 to 29, I2 = 45%). Meta-regression showed a non-significant trend of an increased reduction in alcohol consumption of 1.1, 95%CI: -0.05 to 2.2 grams/week, p=0.06, for each extra minute of treatment exposure, but no relationship between the reduction in alcohol consumption and the efficacy score of the trial. Extended intervention when compared with brief intervention was associated with a non-significantly greater reduction in alcohol consumption (mean difference = -28, 95%CI: -62 to 6 grams/week, I2 = 0%) AUTHORS' CONCLUSIONS: Brief interventions consistently produced reductions in alcohol consumption. When data were available by gender, the effect was clear in men at one year of follow up, but unproven in women. Longer duration of counselling probably has little additional effect. The lack of differences in outcomes between efficacy and effectiveness trials suggests that the current literature had clear relevance to routine primary care. Future trials should focus on women and on delineating the most effective components of interventions.
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Screening and brief interventions are effective for reducing alcohol consumption in primary care patients in high-income countries, including in young adults.
“Screening and brief interventions are effective for reducing alcohol consumption in primary care patients in high-income countries (Kaner et al., 2007), including in young adults (Grossberg et al., 2004; Jonas et al., 2012).”
From Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial (2014) · cites this paper as Kaner et al., 2007
Existing systematic reviews have found variability in effect by duration of intervention or number of visits, but have not taken into account differences in content or provider.
“Existing systematic reviews have found variability in effect by duration of intervention or number of visits, but this has not taken into account differences in content or provider.6–10”
General practitioners may not be the most appropriate vehicle for delivering early intervention to at-risk drinkers.
“The findings suggest that general practitioners may not be the most appropriate vehicle for delivering early intervention with at-risk drinkers.”
From Screening, Brief Intervention and Referral to Treatment: implications of SAMHSA's SBIRT initiative for substance abuse policy and practice (2017) · cites this paper as [9]
Numbers needed to treat (NNT = 5) for unguided self-help interventions via the Internet were comparable to those for face-to-face brief interventions in primary care settings.
“Numbers needed to treat (NNT = 5) were comparable to those for face-to-face brief interventions in primary care settings [30].”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
A Cochrane Collaboration systematic review of 29 primary care trials reported a significantly reduced weekly consumption of 38 grams at one-year follow-up.
“The latter include a Cochrane Collaboration systematic review of 29 primary care trials [30], which reported a significantly reduced weekly consumption of 38 grams at one-year follow-up (see also the study by Jonas and colleagues [15]).”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
The reduction in alcohol consumption found in this meta-analysis appears lower than those found in analyses of face-to-face brief interventions in primary care.
“The reduction appears lower than those found in analyses of face-to-face brief interventions in primary care.”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
The literature is somewhat inconclusive but provides some confirmation for the current findings on single-session versus extended interventions.
“Although the literature is somewhat inconclusive [75], it provides some confirmation for our current findings [30], [68], [76].”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
Meta-analyses of face-to-face primary care samples and of non-clinical samples performing postal self-help interventions based on bibliotherapy have shown significant small to moderate effect sizes for curbing alcohol misuse.
“The current overall effect also compares with meta-analyses of face-to-face primary care samples [3], [30], [67], [68] and of non-clinical samples performing postal self-help interventions based on bibliotherapy [69]–[71]. These studies all showed significant small to moderate effect sizes for curbing alcohol misuse.”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
Several studies on face-to-face alcohol interventions in primary care had reported that men were more likely to benefit than women.
“several studies on face-to-face alcohol interventions in primary care had reported that men were more likely to benefit than women [30], [67].”
From Effectiveness of Guided and Unguided Low-Intensity Internet Interventions for Adult Alcohol Misuse: A Meta-Analysis (2014) · cites this paper as [30]
Face-to-face screening and brief interventions (SBIs) are effective, particularly in primary care and college settings.
“Ample meta-analyses have shown face-to-face screening and brief interventions (SBIs) to be effective [5], particularly in primary care [6] and college settings [7].”
From Effectiveness of E-self-help interventions for curbing adult problem drinking: a meta-analysis (2011) · cites this paper as [6]
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European Guidelines on cardiovascular disease prevention in clinical practice (version 2012)
Authors/Task Force Members:, Perk, J., De Backer, G., Gohlke, H., Graham, I., Reiner, Ž., Verschuren, M., Albus, C., Benlian, P., Boysen, G., et al. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehs092 · Cited by 8,490 · see citing works
2016 European Guidelines on cardiovascular disease prevention in clinical practice
Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M.-T., Corrà, U., Cosyns, B., Deaton, C., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw106 · Cited by 6,457 · see citing works
Effectiveness of brief alcohol interventions in primary care populations
Kaner, E. F., Beyer, F. R., Muirhead, C., Campbell, F., Pienaar, E. D., Bertholet, N., Daeppen, J. B., Saunders, J. B., & Burnand, B. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004148.pub4 · Cited by 1,665 · see citing works
Self-citationGraham (2007) · doi:10.1097/01.hjr.0000277983.23934.c9 · Cited by 1,647 · see citing works
2016 European Guidelines on cardiovascular disease prevention in clinical practice
Authors/Task Force Members, Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M. T., Corrà, U., Cosyns, B., et al. (2016) · European Journal of Preventive Cardiology · doi:10.1177/2047487316653709 · Cited by 1,409 · see citing works
Effectiveness and cost-effectiveness of policies and programmes to reduce the harm caused by alcohol
Anderson, P., Chisholm, D., & Fuhr, D. C. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60744-3 · Cited by 1,102 · see citing works
Crockett, S. D., Wani, S. B., Gardner, T. B., Falck-Ytter, Y. T., Barkun, A. N., Crockett, S. D., Falck-Ytter, Y. T., Feuerstein, J. D., Flamm, S. L., Gellad, Z. F., et al. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.01.032 · Cited by 951 · see citing works
Orrow, G., Kinmonth, A.-L., Sanderson, S., & Sutton, S. (2012) · BMJ · doi:10.1136/bmj.e1389 · Cited by 739 · see citing works
Beaglehole, R., Epping-Jordan, J., Patel, V., Chopra, M., Ebrahim, S., Kidd, M., & Haines, A. (2008) · The Lancet · doi:10.1016/s0140-6736(08)61404-x · Cited by 684 · see citing works
Williams, R. L., Aspinall, R., Bellis, M. A., Camps-Walsh, G., Cramp, M., Dhawan, A. K., Ferguson, J., Forton, D. M., Foster, G. R., Gilmore, S. I., et al. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61838-9 · Cited by 601 · see citing works
Roerecke, M., Kaczorowski, J., Tobe, S. W., Gmel, G., Hasan, O. S. M., & Rehm, J. (2017) · The Lancet Public Health · doi:10.1016/s2468-2667(17)30003-8 · Cited by 552 · see citing works
2016 European Guidelines on cardiovascular disease prevention in clinical practice
Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M. T., Corrà, U., Cosyns, B., Deaton, C., et al. (2016) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2016.05.037 · Cited by 488 · see citing works
Brief alcohol interventions for adolescents and young adults: A systematic review and meta-analysis
Tanner-Smith, E. E., & Lipsey, M. W. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2014.09.001 · Cited by 468 · see citing works
The effectiveness of brief alcohol interventions in primary care settings: A systematic review
KANER, E. F. S., DICKINSON, H. O., BEYER, F., PIENAAR, E., SCHLESINGER, C., CAMPBELL, F., SAUNDERS, J. B., BURNAND, B., & HEATHER, N. (2009) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2009.00071.x · Cited by 434 · see citing works
Self-citationAcamprosate for alcohol dependence
Rösner, S., Hackl-Herrwerth, A., Leucht, S., Lehert, P., Vecchi, S., & Soyka, M. (2010) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004332.pub2 · Cited by 420 · see citing works
Binge drinking: Health impact, prevalence, correlates and interventions
Kuntsche, E. N., Kuntsche, S., Thrul, J., & Gmel, G. E. (2017) · Psychology and Health · doi:10.1080/08870446.2017.1325889 · Cited by 407 · see citing works
Jørgensen, C. H., Pedersen, B., & Tønnesen, H. (2011) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.2011.01523.x · Cited by 366 · see citing works
Burton, R., Henn, C., Lavoie, D., O'Connor, R., Perkins, C., Sweeney, K., Greaves, F., Ferguson, B., Beynon, C. M., Belloni, A., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)32420-5 · Cited by 346 · see citing works
Patient-Centered Approaches to Health Care
McMillan, S. S., Kendall, E. A., Sav, A., King, M. A., Whitty, J. A., Kelly, F., & Wheeler, A. (2013) · Medical Care Research and Review · doi:10.1177/1077558713496318 · Cited by 341 · see citing works
Alcohol use disorders and mortality: a systematic review and meta-analysis
Roerecke, M., & Rehm, J. (2013) · Addiction · doi:10.1111/add.12231 · Cited by 326 · see citing works
Kaner, E. F., Beyer, F. R., Garnett, C., Crane, D., Brown, J., Muirhead, C., Redmore, J., O'Donnell, A., Newham, J. J., de Vocht, F., et al. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011479.pub2 · Cited by 308 · see citing works
Self-citationScreening and brief intervention for obesity in primary care: a parallel, two-arm, randomised trial
Aveyard, P. N., Lewis, A. L., Tearne, S., Hood, K., Christian-Brown, A., Adab, P., Begh, R. A., Jolly, K. B., Daley, A., Farley, A., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31893-1 · Cited by 298 · see citing works
Smoking and alcohol intervention before surgery: evidence for best practice
Tønnesen, H., Nielsen, P. R., Lauritzen, J. B., & Møller, A. M. (2009) · British Journal of Anaesthesia · doi:10.1093/bja/aen401 · Cited by 293 · see citing works
Interrelations between pain and alcohol: an integrative review
Zale, E. L., Maisto, S. A., & Ditre, J. W. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.02.005 · Cited by 291 · see citing works
Identification of behaviour change techniques to reduce excessive alcohol consumption
Michie, S., Whittington, C., Hamoudi, Z., Zarnani, F., Tober, G., & West, R. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.03845.x · Cited by 288 · see citing works
Vege, S. S., Dimagno, M. J., Forsmark, C. E., Martel, M., & Barkun, A. N. (2018) · Gastroenterology · doi:10.1053/j.gastro.2018.01.031 · Cited by 284 · see citing works
A systematic review of motivational interviewing training for general health care practitioners
Söderlund, L. L., Madson, M. B., Rubak, S., & Nilsen, P. (2011) · Patient Education and Counseling · doi:10.1016/j.pec.2010.06.025 · Cited by 282 · see citing works
Kaner, E., Bland, M., Cassidy, P., Coulton, S., Dale, V., Deluca, P., Gilvarry, E., Godfrey, C., Heather, N., Myles, J., et al. (2013) · BMJ · doi:10.1136/bmj.e8501 · Cited by 277 · see citing works
Self-citationProbst, C., Roerecke, M., Behrendt, S., & Rehm, J. T. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyu043 · Cited by 271 · see citing works
Web‐based self‐help for problem drinkers: a pragmatic randomized trial
Riper, H., Kramer, J., Smit, F., Conijn, B., Schippers, G., & Cuijpers, P. (2008) · Addiction · doi:10.1111/j.1360-0443.2007.02063.x · Cited by 267 · see citing works
Riper, H., Blankers, M., Hadiwijaya, H., Cunningham, J., Clarke, S., Wiers, R., Ebert, D., & Cuijpers, P. (2014) · PLoS ONE · doi:10.1371/journal.pone.0099912 · Cited by 265 · see citing works
Probst, C., Manthey, J., Martínez, A., & Rehm, J. T. (2015) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-015-0028-z · Cited by 264 · see citing works
Agerwala, S. M., & McCance-Katz, E. F. (2012) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2012.720169 · Cited by 258 · see citing works
Barrowclough, C., Haddock, G., Wykes, T., Beardmore, R., Conrod, P., Craig, T., Davies, L. M., Dunn, G., Eisner, E., Lewis, S. W., et al. (2010) · BMJ · doi:10.1136/bmj.c6325 · Cited by 245 · see citing works
Babor, T. F., Del Boca, F., & Bray, J. W. (2017) · Addiction · doi:10.1111/add.13675 · Cited by 244 · see citing works
McCambridge, J., & Kypri, K. (2011) · PLoS ONE · doi:10.1371/journal.pone.0023748 · Cited by 242 · see citing works
Effectiveness of E-self-help interventions for curbing adult problem drinking: a meta-analysis
Riper, H., Spek, V., Boon, B., Conijn, B., Kramer, J., Martin-Abello, K., & Smit, F. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1691 · Cited by 240 · see citing works
D'Amico, E. J., Miles, J. N. V., Stern, S. A., & Meredith, L. S. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2007.08.008 · Cited by 231 · see citing works
Staff regard towards working with substance users: a European multi‐centre study
Gilchrist, G., Moskalewicz, J., Slezáková, S., Okruhlica, Ľ., Torrens, M., Vajd, R., & Baldacchino, A. (2011) · Addiction · doi:10.1111/j.1360-0443.2011.03407.x · Cited by 232 · see citing works
NORDBACK, I. H., Pelli, H., Lappalainen–Lehto, R., Järvinen, S., Räty, S., & Sand, J. A. (2008) · Gastroenterology · doi:10.1053/j.gastro.2008.11.044 · Cited by 225 · see citing works
Can stand‐alone computer‐based interventions reduce alcohol consumption? A systematic review
Khadjesari, Z., Murray, E., Hewitt, C., Hartley, S., & Godfrey, C. (2011) · Addiction · doi:10.1111/j.1360-0443.2010.03214.x · Cited by 208 · see citing works
A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients
D'Onofrio, G., Fiellin, D. A., Pantalon, M. V., Chawarski, M. C., Owens, P. H., Degutis, L. C., Busch, S. H., Bernstein, S. L., & O'Connor, P. G. (2012) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2012.02.006 · Cited by 207 · see citing works
Sporinova, B., Manns, B., Tonelli, M. A., Hemmelgarn, B. R., MacMaster, F. P., Mitchell, N., Au, F., Ma, Z., Weaver, R. G., & Quinn, A. E. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2019.9910 · Cited by 205 · see citing works
Curbing Problem Drinking with Personalized-Feedback Interventions
Riper, H., van Straten, A., Keuken, M., Smit, F., Schippers, G., & Cuijpers, P. (2009) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2008.10.016 · Cited by 203 · see citing works
Stimulant Abuse: Pharmacology, Cocaine, Methamphetamine, Treatment, Attempts at Pharmacotherapy
Ciccarone, D. (2011) · Primary Care: Clinics in Office Practice · doi:10.1016/j.pop.2010.11.004 · Cited by 200 · see citing works
Burden of Disease Associated with Alcohol Use Disorders in the United States
Rehm, J. T., Dawson, D. A., Frick, U., Gmel, G. E., Roerecke, M., Shield, K. D., & Grant, B. F. (2014) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12331 · Cited by 201 · see citing works
Roerecke, M., Tobe, S. W., Kaczorowski, J. A., Bacon, S., Vafaei, A., Hasan, O. S. M., Krishnan, R. J., Raifu, A. O., & Rehm, J. T. (2018) · Journal of the American Heart Association · doi:10.1161/jaha.117.008202 · Cited by 198 · see citing works
Roy-Byrne, P., Bumgardner, K., Krupski, A., Dunn, C., Ries, R., Donovan, D., West, I. I., Maynard, C., Atkins, D. C., Graves, M. C., et al. (2014) · JAMA · doi:10.1001/jama.2014.7860 · Cited by 188 · see citing works
A randomized controlled trial of an internet‐based intervention for alcohol abusers
Cunningham, J. A., Wild, T. C., Cordingley, J., Van Mierlo, T., & Humphreys, K. (2009) · Addiction · doi:10.1111/j.1360-0443.2009.02726.x · Cited by 182 · see citing works
Behavior Change Techniques in Popular Alcohol Reduction Apps
Crane, D., Garnett, C., Brown, J., West, R., & Michie, S. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4060 · Cited by 177 · see citing works
Hippisley‐Cox, J., & Coupland, C. A. C. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-007825 · Cited by 177 · see citing works
Glass, J. E., Hamilton, A. M., Powell, B. J., Perron, B. E., Brown, R. T., & Ilgen, M. A. (2015) · Addiction · doi:10.1111/add.12950 · Cited by 168 · see citing works
Brief alcohol intervention—where to from here? Challenges remain for research and practice
Nilsén, P. (2010) · Addiction · doi:10.1111/j.1360-0443.2009.02779.x · Cited by 166 · see citing works
Harris, S. K., Csémy, L., Sherritt, L., Starostova, O., Van Hook, S., Johnson, J., Boulter, S., Brooks, T., Carey, P., Kossack, R., et al. (2012) · Pediatrics · doi:10.1542/peds.2011-1624 · Cited by 163 · see citing works
Alcohol Use Disorders in Primary Health Care: What Do We Know and Where Do We Go?
Rehm, J., Anderson, P., Manthey, J., Shield, K. D., Struzzo, P., Wojnar, M., & Gual, A. (2016) · Alcohol and Alcoholism · doi:10.1093/alcalc/agv127 · Cited by 163 · see citing works
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Management of acute pancreatitis in the first 72 hours
James, T., & Crockett, S. D. (2018) · Current Opinion in Gastroenterology · doi:10.1097/mog.0000000000000456 · Cited by 158 · see citing works
Preoperative alcohol cessation prior to elective surgery
Oppedal, K., Møller, A. M., Pedersen, B., & Tønnesen, H. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008343.pub2 · Cited by 150 · see citing works
Johnson, J. A., Lee, A., Vinson, D. C., & Seale, J. P. (2012) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2012.01898.x · Cited by 153 · see citing works
Rethinking brief interventions for alcohol in general practice
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Estimating risk of alcohol dependence using alcohol screening scores
Rubinsky, A. D., Kivlahan, D. R., Volk, R. J., Maynard, C. C., & Bradley, K. A. (2009) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2009.11.009 · Cited by 144 · see citing works
Raising the topic of weight in general practice: perspectives of GPs and primary care nurses
Blackburn, M., Stathi, A., Keogh, E., & Eccleston, C. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008546 · Cited by 143 · see citing works
Psychosocial interventions for benzodiazepine harmful use, abuse or dependence
Darker, C. D., Sweeney, B. P., Barry, J. M., Farrell, M. F., & Donnelly-Swift, E. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009652.pub2 · Cited by 142 · see citing works
Perioperative alcohol cessation intervention for postoperative complications
Egholm, J. W. M., Pedersen, B., Møller, A. M., Adami, J., Juhl, C. B., & Tønnesen, H. (2018) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd008343.pub3 · Cited by 141 · see citing works
Butler, C., Simpson, S. A., Hood, K., Cohen, D. R., Pickles, T., Spanou, C., McCambridge, J., Moore, L., Randell, E., Alam, M. F., et al. (2013) · BMJ · doi:10.1136/bmj.f1191 · Cited by 136 · see citing works
Platt, L., Melendez-Torres, G. J., O'Donnell, A., Bradley, J., Newbury-Birch, D., Kaner, E., & Ashton, C. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-011473 · Cited by 136 · see citing works
Self-citationLapham, G. T., Achtmeyer, C. E., Williams, E. C., Hawkins, E. J., Kivlahan, D. R., & Bradley, K. A. (2010) · Medical Care · doi:10.1097/mlr.0b013e3181e35743 · Cited by 135 · see citing works
European Psychiatric Association (EPA) guidance on prevention of mental disorders
Campion, J., Bhui, K. S., & Bhugra, D. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2011.10.004 · Cited by 133 · see citing works
Quality Concerns with Routine Alcohol Screening in VA Clinical Settings
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Primary health care and the Sustainable Development Goals
Pettigrew, L. M., Maeseneer, J. D., Anderson, M. I. P., Essuman, A., Kidd, M. R., & Haines, A. (2015) · The Lancet · doi:10.1016/s0140-6736(15)00949-6 · Cited by 132 · see citing works
Inpatient Addiction Consult Service
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Bogenschutz, M. P., Donovan, D. M., Mandler, R. N., Perl, H. I., Forcehimes, A. A., Crandall, C., Lindblad, R., Oden, N. L., Sharma, G., Metsch, L., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2014.4052 · Cited by 118 · see citing works
Mann, K. F., Leménager, T., Hoffmann, S., Reinhard, I., Hermann, D., Batra, A., Berner, M. M., Wodarz, N., Heinz, A., Smolka, M. N., et al. (2012) · Addiction Biology · doi:10.1111/adb.12012 · Cited by 116 · see citing works
Wallace, P., Murray, E., McCambridge, J., Khadjesari, Z., White, I. R., Thompson, S. G., Kalaitzaki, E., Godfrey, C., & Linke, S. (2011) · PLoS ONE · doi:10.1371/journal.pone.0014740 · Cited by 114 · see citing works
Wilson, G. B., Lock, C. A., Heather, N., Cassidy, P., Christie, M. M., & Kaner, E. F. S. (2011) · Alcohol and Alcoholism · doi:10.1093/alcalc/agr067 · Cited by 112 · see citing works
Self-citationCounselor skill influences outcomes of brief motivational interventions
Gaume, J., Gmel, G. E., Faouzi, M., & Daeppen, J. (2009) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.12.001 · Cited by 112 · see citing works
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Self-citationThe evidence base for routine enquiry into adverse childhood experiences: A scoping review
Ford, K., Hughes, K. E., Hardcastle, K., Lemma, L. C. G. D., Davies, A. R., Edwards, S., & Bellis, M. A. (2019) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2019.03.007 · Cited by 111 · see citing works
Perseverative Cognition and Health Behaviors: A Systematic Review and Meta-Analysis
Clancy, F., Prestwich, A., Caperon, L., & O'Connor, D. B. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00534 · Cited by 110 · see citing works
“Health behavior terms (alcohol terms adapted from Kaner et al., 2007; exercise from Foster et al., 2005; eating from Nield et al., 2007; smoking from Secker-Walker et al., 2002; and sleep from Hu et al., 2015) combined with OR: (1) exp alcohols/ (2) Alcohol$.tw. (3) exercise.sh. (3) physical…”
BackgroundSBIRT-A: Adapting SBIRT to Maximize Developmental Fit for Adolescents in Primary Care
Ozechowski, T. J., Becker, S. J., & Hogue, A. (2015) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2015.10.006 · Cited by 109 · see citing works
Schmidt, C. S., Schulte, B., Seo, H., Kuhn, S., O'Donnell, A., Kriston, L., Verthein, U., & Reimer, J. (2016) · Addiction · doi:10.1111/add.13263 · Cited by 107 · see citing works
Validation of the AUDIT-C in adults seeking help with their drinking online
Khadjesari, Z., White, I. R., McCambridge, J., Marston, L., Wallace, P., Godfrey, C., & Murray, E. (2017) · Addiction Science & Clinical Practice · doi:10.1186/s13722-016-0066-5 · Cited by 106 · see citing works
Computer-Based Interventions for Problematic Alcohol Use: a Review of Systematic Reviews
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Evaluation of a brief tailored motivational intervention to prevent early childhood caries
Ismail, A. I., Ondersma, S. J., Jedele, J. M., Little, R. J. A., & Lepkowski, J. M. (2011) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2011.00613.x · Cited by 106 · see citing works
Screening, Brief Intervention, and Referral for Alcohol Use in Adolescents: A Systematic Review
Yuma-Guerrero, P. J., Lawson, K. A., Velasquez, M. M., von Sternberg, K., Maxson, T., & Garcia, N. (2012) · Pediatrics · doi:10.1542/peds.2011-1589 · Cited by 104 · see citing works
Training the Next Generation of Providers in Addiction Medicine
Rasyidi, E., Wilkins, J. N., & Danovitch, I. (2012) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2012.04.001 · Cited by 104 · see citing works
Jenkins, R. J., McAlaney, J., & McCambridge, J. (2009) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2008.09.016 · Cited by 103 · see citing works
Effectiveness of brief psychological interventions for suicidal presentations: a systematic review
McCabe, R., Garside, R., Backhouse, A., & Xanthopoulou, P. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1663-5 · Cited by 102 · see citing works
The burden of disease attributable to cannabis use in Canada in 2012
Imtiaz, S., Shield, K. D., Roerecke, M., Cheng, J. M., Popova, S., Kurdyak, P. A., Fischer, B., & Rehm, J. T. (2015) · Addiction · doi:10.1111/add.13237 · Cited by 102 · see citing works
Attwood, S., Parke, H., Larsen, J., & Morton, K. L. (2017) · BMC Public Health · doi:10.1186/s12889-017-4358-9 · Cited by 94 · see citing works
Effectiveness of brief nutrition interventions on dietary behaviours in adults: A systematic review
Whatnall, M. C., Patterson, A. J., Ashton, L., & Hutchesson, M. (2017) · Appetite · doi:10.1016/j.appet.2017.09.017 · Cited by 104 · see citing works
Kristoffersen, E. S., Straand, J., Vetvik, K. G., Benth, J. Š., Russell, M. B., & Lundqvist, C. (2015) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp-2014-308548 · Cited by 98 · see citing works
Anderson, P., Bendtsen, P., Spak, F., Reynolds, J., Drummond, C., Segura, L., Keurhorst, M. N., Palacio-Vieira, J., Wojnar, M., Parkinson, K., et al. (2016) · Addiction · doi:10.1111/add.13476 · Cited by 98 · see citing works
Self-citationBrown, J., West, R., Angus, C., Beard, E., Brennan, A., Drummond, C., Hickman, M., Holmes, J., Kaner, E., & Michie, S. (2016) · British Journal of General Practice · doi:10.3399/bjgp16x683149 · Cited by 96 · see citing works
Self-citationAngus, C., Latimer, N. R., Preston, L. R., Li, J., & Purshouse, R. C. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00114 · Cited by 95 · see citing works
Finlay, A. M., Lancaster, J., Holtz, T. H., Weyer, K., Miranda, A., & der Walt, M. L. V. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-56 · Cited by 96 · see citing works
Packages of care for alcohol use disorders in low- and middle-income countries
Benegal, V., Chand, P. K., & Obot, I. S. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000170 · Cited by 94 · see citing works
- Authors
- Kaner, E. F. S., Dickinson, H. O., Beyer, F. R., Campbell, F., Schlesinger, C., Heather, N., Saunders, J. B., Burnand, B., & Pienaar, E. D.
- Affiliations
- Newcastle University (GB)
- University of Sheffield (GB)
- Prince Charles Hospital (AU)
- Northumbria University (GB)
- The University of Queensland (AU)
- Centre Hospitalier Universitaire Vaudois (CH)
- South African Medical Research Council (ZA)
- ORCID
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2007-04-18
- Issue
- 2
- Pages
- CD004148-CD004148
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- OpenAlex
- W3162772905
- Cited by
- 746
- References
- 89
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 9 · 2023: 9 · 2022: 15 · 2021: 21 · 2020: 27 · 2019: 39 · 2018: 55 · 2017: 65 · 2016: 64 · 2015: 77 · 2014: 56 · 2013: 56 · 2012: 74
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Update notices
- new_version (2018-02-24)
- Open access
- closed
- Locations
- Cochrane Database of Systematic Reviews (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- brief alcohol intervention, excessive drinking, alcohol consumption reduction, primary care, general practice, gender differences, trial heterogeneity, subgroup analysis, meta-regression, alcohol-related hospital admissions, alcohol-related accidents, alcohol-related crime
- MeSH terms
- Alcohol Drinking, Alcoholism, Emergencies, Family Practice, Humans, Randomized Controlled Trials as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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