Nurse-provided screening and brief intervention for risky alcohol consumption by sexual health clinic patients
Open accessAbstract
OBJECTIVES: Brief intervention for excessive alcohol consumption is effective yet not implemented widely. Alcohol misuse is implicated in unsafe sex and sexually transmitted infections and is common in clients of sexual health services. Our aims were to assess feasibility, acceptability and effectiveness of screening and brief intervention for risky alcohol consumption by a nurse in a sexual health clinic. METHODS: Patients completed the AUDIT questionnaire on handheld computers. Those scoring >or=8 on AUDIT were asked to participate in the study and the 3 months' follow-up and were randomised to intervention or control groups. The Drink-less package (based on WHO validated methods) was used to implement the brief intervention by a trained registered nurse. RESULTS: Of 519 (87%) who completed screening, 204 (39%) scored >or=8 on AUDIT (eligible), 184 agreed to follow-up and 133 completed it. At follow-up, both groups showed significant reductions in AUDIT scores. Mean scores decreased from 13.7 to 11.5 (control group) and 14.0 to 10.7 (intervention group); most (94%) recalled the intervention and 62% reported reducing drinking compared with 47% of controls (p<0.001). The nurse screening and intervention process was reported acceptable by 74% of patients at follow-up and a majority (71%) of staff. CONCLUSIONS: Screening and brief intervention in a sexual health clinic for risky alcohol consumption is feasible, acceptable and effective in producing significant reductions in drinking as measured by AUDIT. Both intervention and control groups decreased consumption, suggesting that screening alone is sufficient to influence behaviour. Further study of brief intervention in this setting is appropriate.
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Lane 2008 had high risk of bias for incomplete outcome data because loss to follow-up was greater than 30%.
“Loss to follow-up > 30%.”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Lane 2008
The Results report 184 study participants, and the Follow-up section reports 133 followed up and 51 lost—an overall loss of 27.7%, not greater than 30%. Loss in the control group alone was 30 of 97 (30.9%), but the unqualified statement does not specify that group. The paper does not itself assign a risk-of-bias rating. (LLM, conf=0.88)
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Experimental — accuracy not yet measuredOne included study took place in a public sexual health clinic.
“one in a public sexual health clinic (Lane 2008)”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Lane 2008
The Lane 2008 and McDevitt-Murphy 2014 studies were included because their interventions were available without referral to large groups of people.
“The studies by Lane 2008 and McDevitt-Murphy 2014 were included because although they did not take place in general practice clinics, the interventions were available without referral to large groups of people.”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Lane 2008
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- Authors
- Lane, J., Proude, E. M., Conigrave, K. M., de Boer, J. P., & Haber, P. S.
- Affiliations
- Sydney South West Area Health Service (AU)
- The University of Sydney (AU)
- Corresponding author
- Proude, E M
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 2008-12-01
- Volume
- 84
- Issue
- 7
- Pages
- 524-527
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- OpenAlex
- W2149305520
- Semantic Scholar
- 1c311f88f8ef0841c5fa119e82f23933de657c21
- Cited by
- 33
- References
- 16
- Citations by year
- 2023: 2 · 2022: 2 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 7 · 2013: 2 · 2012: 3
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- NSW Ministry of Health
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- screening and brief intervention, risky alcohol use, nurse-led intervention, AUDIT questionnaire, alcohol abuse, unprotected sex, feasibility and acceptability, alcohol consumption reduction
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care, Attitude of Health Personnel, Female, Hospitals, Special, Humans, Male, Middle Aged, Risk Factors, Case-Control Studies, Alcohol-Related Disorders, Unsafe Sex, Young Adult
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