Primary Care Intervention to Reduce Alcohol Misuse

Solberg, Leif I.; Maciosek, Michael V.; Edwards, Nichol M.

doi:10.1016/j.amepre.2007.09.035

Cited by 284Substance Abuse Treatment and OutcomesHealth Systems, Economic Evaluations, Quality of LifeHealth Promotion and Cardiovascular Prevention

Primary Care Intervention to Reduce Alcohol Misuse

Solberg, Leif I., Maciosek, Michael V., Edwards, Nichol M.·2008·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2007.09.035

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Abstract

Background The U.S. Preventive Services Task Force (USPSTF) has recommended screening and behavioral counseling interventions in primary care to reduce alcohol misuse. This study was designed to develop a standardized rating for the clinically preventable burden and cost effectiveness of complying with that recommendation that would allow comparisons across many recommended services. Methods A systematic review of the literature from 1992 through 2004 to identify relevant randomized controlled trials and cost-effectiveness studies was completed in 2005. Clinically preventable burden (CPB) was calculated as the product of effectiveness times the alcohol-attributable fraction of both mortality and morbidity (measured in quality-adjusted life years or QALYs), for all relevant conditions. Cost effectiveness from both the societal perspective and the health-system perspective was estimated. These analyses were completed in 2006. Results The calculated CPB was 176,000 QALYs saved over the lifetime of a birth cohort of 4,000,000, with a range in sensitivity analysis from -43% to +94% (primarily due to variation in estimates of effectiveness). Screening and brief counseling was cost-saving from the societal perspective and had a cost-effectiveness ratio of $1755/QALY saved from the health-system perspective. Sensitivity analysis indicates that from both perspectives the service is very cost effective and may be cost saving. Conclusions These results make alcohol screening and counsel…

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Alcohol screening and brief interventions in primary care settings are effective and cost-effective or cost-saving.
“In the past four decades, randomized controlled trials and meta-analyses have found alcohol SBI in primary care settings to be effective and cost-effective or cost-saving [6–13].”
From Factors influencing the implementation of screening and brief interventions for alcohol use in primary care practices: a systematic review using the COM-B system and Theoretical Domains Framework (2021) · cites this paper as [13]
Prior work indicates that brief interventions lower drinking and improve outcomes in people with hazardous or harmful alcohol use.
“Brief interventions (BI) have been shown to reduce alcohol use and improve outcomes in Hazardous and Harmful (HH) drinkers but evidence to support their use in emergency department (ED) patients is limited.”
From A Brief Intervention Reduces Hazardous and Harmful Drinking in Emergency Department Patients (2012) · cites this paper as [18]

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Authors: Solberg, L. I., Maciosek, M. V., & Edwards, N. M.
Affiliations: HealthPartners (US)
Corresponding author: Solberg, Leif I.
ORCID: Solberg, Leif I.
Maciosek, Michael V.
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2008-02
Volume: 34
Issue: 2
Pages: 143-152.e3
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2007.09.035
OpenAlex: W2057082297
Cited by: 284
References: 15
Citations by year: 2026: 2 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 9 · 2021: 12 · 2020: 5 · 2019: 12 · 2018: 15 · 2017: 20 · 2016: 16 · 2015: 24 · 2014: 28 · 2013: 28 · 2012: 29
FWCI: 17.07
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Keywords: alcohol abuse, alcohol screening, brief counseling, primary care, cost-effectiveness, quality-adjusted life years, alcohol-attributable fraction, USPSTF recommendations, societal cost savings, health system perspective
MeSH terms: Alcoholism, Cost-Benefit Analysis, Counseling, Humans, Primary Health Care, United States, Quality-Adjusted Life Years

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Primary Care Intervention to Reduce Alcohol Misuse

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