Cited by 288Substance Abuse Treatment and OutcomesBehavioral Health and InterventionsHealth Policy Implementation Science

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Identification of behaviour change techniques to reduce excessive alcohol consumption

Michie, Susan, Whittington, Craig, Hamoudi, Zainab, Zarnani, Feri, Tober, Gillian, West, Robert·2012·Addiction

DOI 10.1111/j.1360-0443.2012.03845.x

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Abstract

Background Interventions to reduce excessive alcohol consumption have a small but important effect, but a better understanding is needed of their ‘active ingredients’. Aims This study aimed to (i) develop a reliable taxonomy of behaviour change techniques (BCTs) used in interventions to reduce excessive alcohol consumption (not to treat alcohol dependence) and (ii) to assess whether use of specific BCTs in brief interventions might be associated with improved effectiveness. Methods A selection of guidance documents and treatment manuals, identified via expert consultation, were analysed into BCTs by two coders. The resulting taxonomy of BCTs was applied to the Cochrane Review of brief alcohol interventions, and the associations between the BCTs and effectiveness were investigated using meta‐regression. Findings Forty‐two BCTs were identified, 34 from guidance documents and an additional eight from treatment manuals, with average inter‐rater agreement of 80%. Analyses revealed that brief interventions that included the BCT ‘prompt self‐recording’ ( P = 0.002) were associated with larger effect sizes. Conclusions It is possible to identify specific behaviour change techniques reliably in manuals and guidelines for interventions to reduce excessive alcohol consumption. In brief interventions, promoting self‐monitoring is associated with improved outcomes. More research is needed to identify other behaviour change techniques or groupings of behaviour change techniques that can produce optimal results in brief interventions and to extend the method to more intensive interventions and treatment of alcohol dependence.

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Authors: Michie, S., Whittington, C., Hamoudi, Z., Zarnani, F., Tober, G., & West, R.
Affiliations: University College London (GB)
Cancer Research UK (GB)
Corresponding author: Michie, Susan
ORCID: Michie, Susan
Whittington, Craig
West, Robert
Venue: Addiction
Publisher: Wiley
Published: 2012-04-17
Volume: 107
Issue: 8
Pages: 1431-1440
ISSN: 0965-2140 (ISSN-L)
1360-0443
DOI: 10.1111/j.1360-0443.2012.03845.x
OpenAlex: W1884161560
Cited by: 288
References: 36
Citations by year: 2026: 9 · 2025: 14 · 2024: 13 · 2023: 23 · 2022: 23 · 2021: 21 · 2020: 19 · 2019: 22 · 2018: 34 · 2017: 21 · 2016: 22 · 2015: 27 · 2014: 20 · 2013: 13 · 2012: 6
FWCI: 15.80
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Addiction (publishedVersion)
PubMed (publishedVersion)
UCL Discovery (University College London) (submittedVersion)
Funders: Cancer Research UK (14135)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: behaviour change techniques, excessive alcohol consumption, brief intervention, intervention effectiveness, alcoholism treatment, interobserver agreement
MeSH terms: Alcohol Drinking, Behavior Therapy, Biofeedback, Psychology, Humans, Manuals as Topic, Motivation, Observer Variation, Randomized Controlled Trials as Topic, Treatment Outcome, Practice Guidelines as Topic

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Identification of behaviour change techniques to reduce excessive alcohol consumption

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