Cited by 434Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsBehavioral Health and Interventions

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The effectiveness of brief alcohol interventions in primary care settings: A systematic review

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KANER, EILEEN F. S., DICKINSON, HEATHER O., BEYER, FIONA, PIENAAR, ELIZABETH, SCHLESINGER, CARLA, CAMPBELL, FIONA, SAUNDERS, JOHN B., BURNAND, BERNARD, HEATHER, NICK·2009·Drug and Alcohol Review

DOI 10.1111/j.1465-3362.2009.00071.x

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Abstract

Issues. Numerous studies have reported that brief interventions delivered in primary care are effective in reducing excessive drinking. However, much of this work has been criticised for being clinically unrepresentative. This review aimed to assess the effectiveness of brief interventions in primary care and determine if outcomes differ between efficacy and effectiveness trials. Approach. A pre‐specified search strategy was used to search all relevant electronic databases up to 2006. We also hand‐searched the reference lists of key articles and reviews. We included randomised controlled trials (RCT) involving patients in primary care who were not seeking alcohol treatment and who received brief intervention. Two authors independently abstracted data and assessed trial quality. Random effects meta‐analyses, subgroup and sensitivity analyses and meta‐regression were conducted. Key Findings. The primary meta‐analysis included 22 RCT and evaluated outcomes in over 5800 patients. At 1 year follow up, patients receiving brief intervention had a significant reduction in alcohol consumption compared with controls [mean difference: −38 g week−1, 95%CI (confidence interval): −54 to −23], although there was substantial heterogeneity between trials (I 2 = 57%). Subgroup analysis confirmed the benefit of brief intervention in men but not in women. Extended intervention was associated with a non‐significantly increased reduction in alcohol consumption compared with brief intervention. There was no significant difference in effect sizes for efficacy and effectiveness trials. Conclusions. Brief interventions can reduce alcohol consumption in men, with benefit at a year after intervention, but they are unproven in women for whom there is insufficient research data. Longer counselling has little additional effect over brief intervention. The lack of differences in outcomes between efficacy and effectiveness trials suggests that the current literature is relevant to routine primary care. [Kaner EFS, Dickinson HO, Beyer F, Pienaar E, Schlesinger C, Campbell F, Saunders JB, Burnand B, Heather N. The effectiveness of brief alcohol interventions in primary care settings: A systematic review. Drug Alcohol Rev 2009;28:301–323]

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Authors: KANER, E. F. S., DICKINSON, H. O., BEYER, F., PIENAAR, E., SCHLESINGER, C., CAMPBELL, F., SAUNDERS, J. B., BURNAND, B., & HEATHER, N.
Affiliations: Newcastle University (GB)
University of Sheffield (GB)
The University of Sydney (AU)
University of Lausanne (CH)
Northumbria University (GB)
Corresponding author: KANER, EILEEN F. S.
ORCID: KANER, EILEEN F. S.
BEYER, FIONA
PIENAAR, ELIZABETH
CAMPBELL, FIONA
SAUNDERS, JOHN B.
BURNAND, BERNARD
HEATHER, NICK
Venue: Drug and Alcohol Review
Publisher: Wiley
Published: 2009-05
Volume: 28
Issue: 3
Pages: 301-323
ISSN: 0959-5236 (ISSN-L)
1465-3362
DOI: 10.1111/j.1465-3362.2009.00071.x
OpenAlex: W1850472950
Cited by: 434
References: 91
Citations by year: 2026: 6 · 2025: 17 · 2024: 6 · 2023: 15 · 2022: 13 · 2021: 23 · 2020: 16 · 2019: 18 · 2018: 33 · 2017: 28 · 2016: 34 · 2015: 47 · 2014: 50 · 2013: 43 · 2012: 34
FWCI: 3.47
Type: journal article
Language: en
Open access: green
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4 d)
Locations: Drug and Alcohol Review (publishedVersion)
PubMed (publishedVersion)
IRIS (submittedVersion)
Northumbria Research Link (Northumbria University) (submittedVersion)
SERVAL (Université de Lausanne) (submittedVersion)
Newcastle University ePrints (Newcastle Univesity)
Funders: Newcastle University
Economic and Social Research Council (ES/G007470/1)
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, sex differences, usual care
MeSH terms: Alcohol Drinking, Alcoholism, Humans, Primary Health Care, Psychotherapy, Brief, Sex Characteristics, Randomized Controlled Trials as Topic

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The effectiveness of brief alcohol interventions in primary care settings: A systematic review

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