Effectiveness of brief intervention on non-dependent alcohol drinkers (EBIAL): a Spanish multi-centre study
Abstract
OBJECTIVE: The project was designed to compare the effectiveness of brief intervention (BI) versus simple advice (SA) in the secondary prevention of hazardous alcohol consumption. METHODS: A randomized controlled trial with a 12-month follow-up was conducted. A total of 74 community-based primary care practices (328 physicians) located in 13 Spanish autonomous regions were recruited initially. Out of 546 men screened, only 229 were randomized into BI (n = 104) and SA (n = 125); 44.6% of practices finalized the study. The interventions on the BI group consisted of a 15-minute counselling visit carried out by physicians which included: (i) alcohol quantification, (ii) information on safe limits, (iii) advice, (iv) drinking limits agreement, (v) self-informative booklet with drinking diary record and (vi) unscheduled reinforcement visits. The SA group spent 5 minutes which included (i), (ii) and (iii). RESULTS: There were no significant differences between both groups at baseline on alcohol use, age, socioeconomic status and CAGE score. After the 12-month follow-up there was a significant decrease in frequency of excessive drinkers (67% of BI group reached targeted consumption, versus 44% of SA; P < 0.001) as well as weekly alcohol intake reduction (BI reached 52 versus 32% in SA; P < 0.001). A trend to improve outcome with the number of reinforcement visits was found with BI. The only predictor of success was the initial alcohol consumption level. CONCLUSIONS: Brief intervention is more effective than simple advice to reduce alcohol intake on adult men who attend primary care services in Spain.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Córdoba 1998, intention-to-treat analysis was unclear.
“ITT: unclear.”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, allocation concealment was judged to be at low risk of selection bias.
“Allocation concealment (selection bias) Low risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, random sequence generation was judged to be at unclear risk of selection bias.
“Random sequence generation (selection bias) Unclear risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, blinding of participants was judged to be at high risk of bias.
“Blinding of participants High risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, selective reporting was judged to be at low risk of reporting bias.
“Selective reporting (reporting bias) Low risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, blinding of treatment providers was judged to be at low risk of bias.
“Blinding of treatment providers Low risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, incomplete outcome data was judged to be at high risk of attrition bias for all outcomes.
“Incomplete outcome data (attrition bias) All outcomes High risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
In Córdoba 1998, blinding of outcome assessment was judged to be at unclear risk of detection bias for all outcomes.
“Blinding of outcome assessment (detection bias) All outcomes Unclear risk”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Córdoba 1998
Cited by
Sorted by citations
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
Effectiveness of brief alcohol interventions in primary care populations
Kaner, E. F. S., Dickinson, H. O., Beyer, F. R., Campbell, F., Schlesinger, C., Heather, N., Saunders, J. B., Burnand, B., & Pienaar, E. D. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd004148.pub3 · Cited by 746 · see citing works
Whitlock, E. P., Polen, M. R., Green, C. A., Orleans, T., & Klein, J. D. (2004) · Annals of Internal Medicine · doi:10.7326/0003-4819-140-7-200404060-00017 · Cited by 711 · see citing works
“Study, Year (Reference) Population/Setting Reason for Exclusion Oliansky et al., 1997 (109) Adults age 18–55 y, adolescents age 12–18 y, women age 18–55 y in United States Poor quality: Three different populations in 3 different clinics were “randomly” assigned to intervention vs. control conditions.”
BackgroundInfluentialBertholet, N. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.9.986 · Cited by 710 · 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
D’Onofrio, G., & Degutis, L. C. (2002) · Academic Emergency Medicine · doi:10.1111/j.1553-2712.2002.tb02304.x · Cited by 379 · see citing works
Primary Care Intervention to Reduce Alcohol Misuse
Solberg, L. I., Maciosek, M. V., & Edwards, N. M. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.09.035 · Cited by 284 · see citing works
SAITZ, R. (2010) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2010.00217.x · Cited by 241 · see citing works
“%) excluded from analysis because they were lost to follow up or did not adhere to protocol; no intent-to-treat analysis; practice was unit of randomisation, patient was unit of analysis Crawford et al. (2004) [52] Setting: intervention conducted in an emergency department Diez et al. (2002) [35] Quality/language: not…”
MethodBeich, A., Thorsen, T., & Rollnick, S. (2003) · BMJ · doi:10.1136/bmj.327.7414.536 · Cited by 239 · see citing works
Humeniuk, R., Ali, R., Babor, T., Souza‐Formigoni, M. L. O., de Lacerda, R. B., Ling, W., McRee, B., Newcombe, D., Pal, H., Poznyak, V., et al. (2012) · Addiction · doi:10.1111/j.1360-0443.2011.03740.x · Cited by 211 · see citing works
D'Onofrio, G., & Degutis, L. C. (2002) · Academic Emergency Medicine · doi:10.1197/aemj.9.6.627 · Cited by 178 · see citing works
King, M., Davidson, O., Taylor, F., Haines, A., Sharp, D., & Turner, R. (2002) · BMJ · doi:10.1136/bmj.324.7343.947 · Cited by 175 · see citing works
General practitioners' self ratings of skills in evidence based medicine: validation study
Young, J. M., Glasziou, P., & Ward, J. (2002) · BMJ · doi:10.1136/bmj.324.7343.950 · Cited by 162 · see citing works
Rethinking brief interventions for alcohol in general practice
McCambridge, J., & Saitz, R. (2017) · BMJ · doi:10.1136/bmj.j116 · Cited by 146 · 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
HUMENIUK, R. E., Dennington, & Ali, R. L. (2008) · Cited by 137 · see citing works
Recomendaciones sobre el estilo de vida
García, R. C., Guillem, F. C., Seco, E. M., Puente, J. M. G., Ramírez‐Manent, J. I., Arango, J. S. J., Martín-Cantera, C., Muñoz, M. J., & Santiago, A. L. (2016) · Atención Primaria · doi:10.1016/s0212-6567(16)30186-x · Cited by 119 · 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
“Assessment reactivity has been evaluated and effects of different types and magnitudes have been identified (Carey et al., 2006; Clifford et al., 2007; Kypri et al., 2007).”
BackgroundElzerbi, C., Donoghue, K., & Drummond, C. (2015) · Addiction · doi:10.1111/add.12960 · Cited by 64 · see citing works
Alcohol use disorders and the Division 12 Task Force of the American Psychological Association.
McCrady, B. S. (2000) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.14.3.267 · Cited by 61 · see citing works
THE LONG-TERM COST-EFFECTIVENESS OF IMPROVING ALCOHOL ABSTINENCE WITH ADJUVANT ACAMPROSATE
Palmer, A. J. (2000) · Alcohol and Alcoholism · doi:10.1093/alcalc/35.5.478 · Cited by 61 · see citing works
Goodall, C. A., Ayoub, A. F., Crawford, A. S., et al. (2007) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2007.11.014 · Cited by 57 · see citing works
Hannöver, W. (2002) · Alcohol and Alcoholism · doi:10.1093/alcalc/37.4.362 · Cited by 45 · see citing works
Watt, K., Shepherd, J. P., & Newcombe, R. G. (2007) · Journal of Experimental Criminology · doi:10.1007/s11292-007-9048-7 · Cited by 44 · see citing works
“Emergency Departments (Wright et al. 1998; Gentilello et al. 1999); schools (Werch et al. 2000); primary care (Monteiro and Gomel 1998); general practice (Dyehouse and Sommers 1998; Wallace et al. 1988) and cultures ( Cordoba et al. 1998; Bien et al. 1993; WHO Brief Intervention Study Group 1996).”
BackgroundMcCambridge, J., & Strang, J. (2003) · Drug and Alcohol Review · doi:10.1080/09595230310001613903 · Cited by 43 · see citing works
Implementing an effective intervention for problem drinkers on medical wards
Mcmanus, S., Hipkins, J., Haddad, P. M., Guthrie, E., & Creed, F. H. (2003) · General Hospital Psychiatry · doi:10.1016/s0163-8343(03)00073-2 · Cited by 41 · see citing works
Littlejohn, C. (2006) · Alcohol and Alcoholism · doi:10.1093/alcalc/agl053 · Cited by 38 · see citing works
Kahan, M., Wilson, L., Midmer, D., Borsoi, D., & Martin, D. (2003) · Substance Abuse · doi:10.1080/08897070309511529 · Cited by 35 · see citing works
“Brief interventions delivered by physicians have been shown to be effective in reducing alcohol consumption, emergency room visits, and hospital admissions among problem drinkers (1-8); in one trial, the benefit-cost ratio of brief advice was estimated at 5:1 (9).”
BackgroundDeveloping, evaluating and implementing alcohol brief interventions in Europe
Heather, N. (2011) · Drug and Alcohol Review · doi:10.1111/j.1465-3362.2010.00267.x · Cited by 27 · see citing works
“Important evidence for the effectiveness of BI outside Anglo-Saxon cultures was reported by Cordoba and colleagues [49] from Spain.”
BackgroundBallesteros, J., Ariño, J., González-Pinto, A. M., & Querejeta, I. (2003) · Gaceta Sanitaria · doi:10.1016/s0213-9111(03)71708-7 · Cited by 25 · see citing works
Screening, Assessment and Intervention for Substance use Disorders in General Health Care Settings
Fleming, M. F. (2002) · Substance Abuse · doi:10.1080/08897070209511507 · Cited by 23 · see citing works
“The length of the intervention appears less important than is the number of contacts.(75)”
BackgroundRodríguez, E. M. R., de Torres, L. Á. P., Leiva‐Cepas, F., García, J., López, S. F., Muro, M. M.-R., Guillem, F. C., Villalobos, A. R., & for the Collaborative Group Alco-AP (2019) · PLoS ONE · doi:10.1371/journal.pone.0216199 · Cited by 22 · see citing works
Intervenções breves para o uso abusivo de álcool em atenção primária
Minto, E. C. M., Corradi-Webster, C. M., Gorayeb, R., Laprega, M. R., & Furtado, E. F. (2007) · Epidemiologia e Serviços de Saúde · doi:10.5123/s1679-49742007000300007 · Cited by 19 · see citing works
Navarro, H. J., Shakeshaft, A. P., Doran, C. M., & Petrie, D. (2011) · Addictive Behaviors · doi:10.1016/j.addbeh.2011.07.023 · Cited by 21 · see citing works
García, J., Moral, R. R., de Torres, L. Á. P., Sánchez, L. C., Cerezo, N. L., & de la Iglesia, J. M. (2003) · Atención Primaria · doi:10.1016/s0212-6567(03)70674-x · Cited by 24 · see citing works
Pereira, M. O., Anginoni, B. M., Ferreira, N. D. C., de Oliveira, M. A. F., de Vargas, D., & Colvero, L. D. A. (2013) · Revista Brasileira de Enfermagem · doi:10.1590/s0034-71672013000300018 · Cited by 19 · see citing works
Alcoholismo en el hospital general: mortalidad y hospitalizaciones a los 4 años de su detección
Monràs, M., Mondón, S., Ortega, L., & Gual, A. (2005) · Medicina Clínica · doi:10.1157/13079609 · Cited by 13 · see citing works
“La edad de los pacientes también presenta diferencias significativas según el servicio que originó la interconsulta (F = 4,7; p = 0,0001), de modo que son mayores los de Cardiología, Medicina Interna y Hepatología (58,4 [14], 54,2 [12] y 50,3 [9] años, respectivamente) y más jóvenes los de Enfermedades Infecciosas, Ps…”
BackgroundSocial vulnerability and unmet preventive care needs in outpatients of two French public hospitals
Pascal, J., Abbey-Huguenin, H., Leux, C., et al. (2009) · European Journal of Public Health · doi:10.1093/eurpub/ckp033 · Cited by 12 · see citing works
Self-assessment of alcohol consumption as a health-education strategy in nursing students
Rabanales-Sotos, J., López‐González, Á., Martínez, I. P., Rosa, M. C., Herráez, M. J. S., & Hidalgo, J. D. L.-T. (2014) · Nurse Education Today · doi:10.1016/j.nedt.2014.08.004 · Cited by 11 · see citing works
HUMENIUK, R. E., Newcombe, D. A. L., Dennington, V., & Ali, R. L. (2018) · Australian Journal of Primary Health · doi:10.1071/py17056 · Cited by 11 · see citing works
Rodríguez‐Martos, A., Santamariña‐Rubio, E., Martínez‐Gómez, X., Torralba, L., Coris, M. E., Valls, J. M., & Plasència, A. (2003) · Adicciones · doi:10.20882/adicciones.427 · Cited by 10 · see citing works
Screening patients for alcohol, tobacco, and other drug misuse: the role of brief interventions
Aristeiguieta, C. A. (2000) · Western Journal of Medicine · doi:10.1136/ewjm.172.1.53 · Cited by 7 · see citing works
Efectividad de las técnicas de consejo breve
Rodríguez‐Martos, A. (2002) · Adicciones · doi:10.20882/adicciones.532 · Cited by 6 · see citing works
Educación sanitaria del paciente en atención primaria
Córdoba, R., & Manel Nebot, Y. (2005) · Medicina Clínica · doi:10.1157/13076945 · Cited by 5 · see citing works
Self-citationPráticas de Atenção Primária à Saúde na área de drogas: revisão integrativa
de Oliveira, L. C., Cordeiro, L., Soares, C. B., & Campos, C. M. S. (2021) · Saúde em Debate · doi:10.1590/0103-1104202112920 · Cited by 4 · see citing works
Ballesteros, J., Ariño, J., González-Pinto, A. M., et al. (2003) · Gaceta Sanitaria · doi:10.1157/13046568 · Cited by 5 · see citing works
Intervención breve en un bebedor de riesgo desde la atención primaria de salud
Rodríguez‐Martos, A. (2005) · Trastornos Adictivos · doi:10.1016/s1575-0973(05)74527-x · Cited by 4 · see citing works
Intervenciones breves: una oportunidad para reducir el consumo excesivo de alcohol entre los jóvenes
Heather, N., & Kaner, E. (2001) · Adicciones · doi:10.20882/adicciones.557 · Cited by 3 · see citing works
Gual, A., & Colom, J. (2001) · Medicina Clínica · doi:10.1016/s0025-7753(01)71749-6 · Cited by 2 · see citing works
Consommation d'alcool à risque ou à problèmes et interventions brèves
Batel, P., & Michaud, P. (2002) · Gastroentérologie Clinique et Biologique · Cited by 4 · see citing works
Alcohol Measures for Public Health Research Alliance (AMPHORA)
Coghill, N. F., Miller, P. R., & Plant, M. (2010) · Bristol Research (University of Bristol) · Cited by 2 · see citing works
Usieto, E. G., Palacio, E., Abascal, R. V., et al. (2010) · Trastornos Adictivos · doi:10.1016/s1575-0973(10)70008-8 · Cited by 2 · see citing works
Psychological treatments of alcohol use disorders
Conroy, D. A., Brower, K. J., Marshall, J., & Crawford, M. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544392.015 · Cited by 2 · see citing works
Voggensperger, J., Fierz, K., & Spirig, R. (2006) · Pflege · doi:10.1024/1012-5302.19.4.223 · Cited by 2 · see citing works
Screening and brief interventions for harmful alcohol use: where to now?
Holmwood, C. B. (2021) · The Medical Journal of Australia · doi:10.5694/mja2.50927 · Cited by 2 · see citing works
Newcombe, D. A. L., HUMENIUK, R. E., Dennington, V., & Ali, R. L. (2018) · Australian Journal of Primary Health · doi:10.1071/py18035 · Cited by 1 · see citing works
Pereira, M. O., Aparecida, M., de Oliveira, M. A. F., Colvero, L. D. A., & Relacionados, G. D. E. (2013) · Cited by 1 · see citing works
Estudio Cuasi-Experimental sobre el Consumo de Alcohol y los Efectos Asociados al mismo
Fernández, A. J. C. (2010) · doi:10.14201/gredos.76440 · Cited by 1 · see citing works
Alcohol y reducción de daño: la intervención desde la atención primaria de salud
García, R. (2002) · Trastornos Adictivos · doi:10.1016/s1575-0973(02)70058-5 · Cited by 1 · see citing works
García, J. F., Moral, R. R., Torres, L. P. D., Sánchez, L. C., Cerezo, N. L., & de la Iglesia, J. M. (2002) · European Journal of General Practice · doi:10.3109/13814780209160851 · Cited by 1 · see citing works
Mathieu, C., Landry, U., Decrey, H., Yersin, B., coud, A. P., & Daeppen, J. (2001) · Sozial- und Präventivmedizin · doi:10.1007/bf01324257 · Cited by 1 · see citing works
de Oliveira, L. C. (2019) · doi:10.11606/d.7.2019.tde-20052019-155520 · Cited by 1 · see citing works
Fernández, J. M. P., & Reyes, M. A. (2012)
Prevención de los daños que causa el alcohol
Villalbí, J. R. (2011) · FMC - Formación Médica Continuada en Atención Primaria · doi:10.1016/s1134-2072(11)70217-1
Intervención sobre el consumo de riesgo de alcohol en atención primaria
Llambrich, J. A. (2003) · Atención Primaria · doi:10.1016/s0212-6567(03)70675-1
Gómez-Talego, T., & Alvarez, E. (2010) · Trastornos Adictivos · doi:10.1016/s1575-0973(10)70003-9
Expectativas e Crenças acerca do uso de álcool
de Saúde, A. C. (2009)
Preventive Approaches in Chronic Liver Diseases, Part I
Taheri, M., & Riley, T. (2008) · Practical gastroenterology
Minto, E. C. M., Corradi-Webster, C. M., Gorayeb, R., Laprega, M. R., & Furtado, E. F. (2007)
(2000) · Western Journal of Medicine · doi:10.1136/ewjm.172.1.57-a
García, R. C., Andrés, C. S., Amez, J. M. F., & Marroquín, M. T. D. (2009) · FMC - Formación Médica Continuada en Atención Primaria · doi:10.1016/s1134-2072(09)70299-3
(2000) · Western Journal of Medicine · doi:10.1136/ewjm.172.1.57
- Authors
- Cordoba, R.
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-12-01
- Volume
- 15
- Issue
- 6
- Pages
- 562-568
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2150559575
- Cited by
- 73
- References
- 0
- Citations by year
- 2021: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- 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 intervention, hazardous drinking, secondary prevention, alcohol counseling, primary care, excessive drinking, alcohol consumption reduction, predictors of treatment success, men
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Counseling, Family Practice, Follow-Up Studies, Humans, Male, Middle Aged, Patient Education as Topic, Psychotherapy, Brief, Spain, Cognitive Behavioral Therapy, Treatment Outcome
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 ›
Are you an author, or do you see a problem with this page? Request a review
