Effectiveness and cost-effectiveness of a stepped care intervention for alcohol use disorders in primary care: pilot study
Open accessAbstract
Background: Screening for alcohol use disorders identifies a wide range of needs, varying from hazardous and harmful drinking to alcohol dependence. Stepped care offers a potentially resource-efficient way of meeting these needs, but requires evaluation in a randomised controlled trial. Aims: To evaluate the feasibility, effectiveness and cost-effectiveness of opportunistic screening and a stepped care intervention in primary care. Method: A total of 1794 male primary care attendees at six practices in South Wales were screened using the Alcohol Use Disorders Identification Test (AUDIT). Of these, 112 participants who scored 8 or more on the AUDIT and who consented to enter the study were randomised to receive either 5 minutes of minimal intervention delivered by a practice nurse (control group) or stepped care intervention consisting of three successive steps (intervention group): a single session of behaviour change counselling delivered by a practice nurse; four 50-minute sessions of motivational enhancement therapy delivered by a trained alcohol counsellor; and referral to a community alcohol treatment agency. Results: Both groups reduced alcohol consumption 6 months after randomisation with a greater, although not significant, improvement for the stepped care intervention. Motivation to change was greater following the stepped care intervention. The stepped care intervention resulted in greater cost savings compared with the minimal intervention. Conclusions: Stepped care was feasible to implement in the primary care setting and resulted in greater cost savings compared with minimal intervention.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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 five studies, there were unexplained differences between losses to follow-up in the intervention and control arms.
“There were unexplained differences between losses to follow-up in the intervention and control arms in five studies (D'Amico 2008;Drummond 2009;Ettner 2014;Fleming 1997;Moore 2011).”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Drummond 2009
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
EuroQol: a new facility for the measurement of health-related quality of life
(1990) · Health Policy · doi:10.1016/0168-8510(90)90421-9 · Cited by 15,736 · see citing works
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,482 · see citing works
Motivational interviewing: preparing people for change.
Miller, W. R., & Rollnick, S. (2002) · Cited by 7,002 · see citing works
Self-citationEffectiveness 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
Representing uncertainty: the role of cost‐effectiveness acceptability curves
Fenwick, E. A. L., Claxton, K., & Sculpher, M. J. (2001) · Health Economics · doi:10.1002/hec.635 · Cited by 1,112 · see citing works
Moyer, A., Finney, J. W., Swearingen, C. E., & Vergun, P. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.00018.x · Cited by 1,092 · see citing works
ROLLNICK, S., HEATHER, N., GOLD, R., & HALL, W. (1992) · British Journal of Addiction · doi:10.1111/j.1360-0443.1992.tb02720.x · Cited by 818 · see citing works
Self-citationThe Measurement and Valuation of Health Status Using EQ-5D: A European Perspective
Brooks, R. G., Rabin, R., & de Charro, F. (2003) · Springer eBooks · doi:10.1007/978-94-017-0233-1 · Cited by 780 · 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
Bertholet, N. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.9.986 · Cited by 710 · see citing works
Wallace, P., Cutler, S., & Haines, A. (1988) · BMJ · doi:10.1136/bmj.297.6649.663 · Cited by 648 · see citing works
Vickers, A. J. (2001) · BMC Medical Research Methodology · doi:10.1186/1471-2288-1-6 · Cited by 564 · see citing works
Talk is cheap: measuring drinking outcomes in clinical trials.
Babor, T., Steinberg, K., Anton, R., & del Boca, F. D. (2000) · Journal of Studies on Alcohol · doi:10.15288/jsa.2000.61.55 · Cited by 493 · see citing works
The Development of a Questionnaire to Measure Severity of Alcohol Dependence *
Stockwell, T. R., HODGSON, R. J., Edwards, G., Taylor, C., & Rankin, H. J. (1979) · British Journal of Addiction to Alcohol & Other Drugs · doi:10.1111/j.1360-0443.1979.tb02415.x · Cited by 419 · see citing works
The alcohol harm reduction strategy for England
Plant, M. A. (2004) · BMJ · doi:10.1136/bmj.328.7445.905 · Cited by 414 · see citing works
The Economic and Social Costs of CrimePreprint
Brand, S., & Price, R. J. (2000) · RePEc: Research Papers in Economics · Cited by 303 · see citing works
Nicotine Addiction: Principles and Management
(1993) · doi:10.1093/oso/9780195064414.001.0001 · Cited by 290 · see citing works
Abrams, D. B., Orleans, C. T., NIAURA, R. S., Goldstein, M. G., Prochaska, J. O., & Velicer, W. F. (1996) · Annals of Behavioral Medicine · doi:10.1007/bf02895291 · Cited by 287 · see citing works
Richardson, G., & Manca, A. (2004) · Health Economics · doi:10.1002/hec.901 · Cited by 251 · see citing works
Ballesteros, J., Duffy, J. C., Querejeta, I., Ariño, J., & González‐Pinto, A. (2004) · Alcoholism: Clinical and Experimental Research · doi:10.1097/01.alc.0000122106.84718.67 · Cited by 251 · see citing works
Form 90: A Structured Assessment Interview for Drinking and Related Behaviors: Test Manual
Miller, W. R. (1996) · PsycEXTRA Dataset · doi:10.1037/e563242012-001 · Cited by 248 · see citing works
Beich, A., Thorsen, T., & Rollnick, S. (2003) · BMJ · doi:10.1136/bmj.327.7414.536 · Cited by 239 · see citing works
Self-citationPoikolainen, K. (1999) · Preventive Medicine · doi:10.1006/pmed.1999.0467 · Cited by 211 · see citing works
The relationship between alcohol dependence and alcohol–related problems in a clinical population
Drummond, C. (1990) · British Journal of Addiction · doi:10.1111/j.1360-0443.1990.tb00652.x · Cited by 188 · see citing works
Self-citationINTERPRETING THE EVIDENCE ON BRIEF INTERVENTIONS FOR EXCESSIVE DRINKERS: THE NEED FOR CAUTION *
Heather, N. (1995) · Alcohol and Alcoholism · doi:10.1093/oxfordjournals.alcalc.a045732 · Cited by 124 · see citing works
Unit Costs of Health and Social Care 1996
Netten, A., Rees, T., & Harrison, G. (1996) · Kent Academic Repository (University of Kent) · Cited by 119 · see citing works
Outcome studies of brief alcohol intervention in general practice: the problem of lost subjects.
Edwards, A., & Rollnick, S. (1997) · PubMed · Cited by 114 · see citing works
Self-citationDrummond, C., Oyefeso, A. O., Phillips, T., Cheeta, S., Deluca, P., Perryman, K. A., Winfield, H., Jenner, J., Cobain, K., Galea, S., et al. (2005) · PsycEXTRA Dataset · doi:10.1037/e624392007-001 · Cited by 103 · see citing works
Self-citationBRESLIN, F. C., SOBELL, M. B., SOBELL, L. C., BUCHAN, G., & CUNNINGHAM, J. A. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02869.x · Cited by 102 · see citing works
Outcome studies of brief alcohol intervention in general practice: the problem of lost subjects
EDWARDS, A. G. K., & ROLLNICK, S. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02890.x · Cited by 93 · see citing works
Self-citationOpportunistic screening for alcohol use disorders in primary care: comparative study
Coulton, S., Drummond, C., James, D., Godfrey, C., Bland, J. M., Parrott, S., & Peters, T. J. (2006) · BMJ · doi:10.1136/bmj.38743.421574.7c · Cited by 88 · see citing works
Self-citationThe economic and social costs of crime: Home Office research study 217
Brand, S., & Price, R. (2000) · PsycEXTRA Dataset · doi:10.1037/e452672008-001 · Cited by 70 · see citing works
Treatment for problem drinkers: A public health priority.
Sobell, M. B., & Sobell, L. C. (1993) · NSUWorks (Nova Southeastern University) · Cited by 58 · see citing works
Alcohol interventions: do the best things come in small packages?
Drummond, C. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb03369.x · Cited by 51 · see citing works
Self-citationEffectiveness of brief interventions proved beyond reasonable doubt
Heather, N. (2002) · Addiction · doi:10.1046/j.1360-0443.2002.0105a.x · Cited by 50 · see citing works
Coulton, S., Watson, J., Bland, M., Drummond, C., Kaner, E., Godfrey, C., Hassey, A., Morton, V., Parrott, S., Phillips, T., et al. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-129 · Cited by 30 · see citing works
Self-citationDeehan, A., Templeton, L. J., Taylor, C., Drummond, C., & Strang, J. (1998) · Drug and Alcohol Review · doi:10.1080/09595239800187091 · Cited by 22 · see citing works
Self-citationCosting substance misuse services
Coyle, D., Godfrey, C., Hardman, G., & Raistrick, D. (1997) · Addiction · doi:10.1111/j.1360-0443.1997.tb02980.x · Cited by 20 · see citing works
Self-citationHoward, M. O. (1993) · Journal of Studies on Alcohol · doi:10.15288/jsa.1993.54.667 · Cited by 16 · see citing works
Comments on brief intervention of alcohol problems: a review of a review
Jönson, H., Hermansson, U., Rönnberg, S., Gyllenhammar, C., & Forsberg, L. (1995) · Addiction · doi:10.1111/j.1360-0443.1995.tb01072.x · Cited by 12 · see citing works
Flagged first, then by citations
2 of the 44 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- [9]9. Bertholet N, Daeppen JB, Wietlisbach V, Fleming M, Burnand B. Brief alcohol intervention in primary care: systematic review and meta-analysis. Arch Intern Med 2005; 165: 986-95.
- [22]22. Wallace P, Cutler S, Haines A. Randomized controlled trial of general practitioner intervention with excessive alcohol consumption. BMJ 1988; 297: 663-8.
- [43]43. Saitz R. Alcohol screening as good as other recommended screens (eLetter). BMJ 2003; 28 September (http://www.bmj.com/cgi/eletters/327/7414/ 536g37131).
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
van den Brink, W., Aubin, H., Bladström, A., Torup, L., Gual, A., & Mann, K. (2013) · Alcohol and Alcoholism · doi:10.1093/alcalc/agt061 · Cited by 307 · see citing works
Kaner, E., Bland, M., Cassidy, P., Coulton, S., Dale, V., Deluca, P., Gilvarry, E., Godfrey, C., Heather, N., Myles, J., et al. (2013) · BMJ · doi:10.1136/bmj.e8501 · Cited by 277 · see citing works
Self-citationO’Connor, E. A., Perdue, L. A., Senger, C. A., Rushkin, M., Patnode, C. D., Bean, S. I., & Jonas, D. E. (2018) · JAMA · doi:10.1001/jama.2018.12086 · Cited by 249 · see citing works
Ho, F. Y.-Y., Yeung, W.-F., Ng, T. H.-Y., & Chan, C. S. (2016) · Scientific Reports · doi:10.1038/srep29281 · Cited by 173 · see citing works
Angus, C., Latimer, N. R., Preston, L. R., Li, J., & Purshouse, R. C. (2014) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2014.00114 · Cited by 95 · see citing works
Newbury‐Birch, D., Bland, M., Cassidy, P., Coulton, S., Deluca, P., Drummond, C., Gilvarry, E. A., Godfrey, C., Heather, N., Kaner, E., et al. (2009) · BMC Public Health · doi:10.1186/1471-2458-9-418 · Cited by 90 · see citing works
Self-citationAlcohol policy in Europe: evidence from AMPHORA.
Anderson, P., Braddick, F., Reynolds, J. P., & Gual, A. (2012) · Cited by 86 · see citing works
Purshouse, R. C., Brennan, A., Rafia, R., Latimer, N. R., Archer, R. J., Angus, C. R., Preston, L. R., & Meier, P. S. (2013) · Alcohol and Alcoholism · doi:10.1093/alcalc/ags103 · Cited by 83 · see citing works
Stepped care treatment for depression and anxiety in primary care. a randomized controlled trial
Seekles, W., van Straten, A., Beekman, A. T. F., van Marwijk, H., & Cuijpers, P. J. (2011) · Trials · doi:10.1186/1745-6215-12-171 · Cited by 72 · see citing works
Belkin, G. S., Unützer, J., Kessler, R. C., Verdeli, H., Raviola, G. J., Leventhal, K. S., Oswald, C., & Eustache, E. (2011) · Psychiatric Services · doi:10.1176/appi.ps.000012011 · Cited by 66 · see citing works
Cannabis Abstinence During Treatment and One-Year Follow-Up: Relationship to Neural Activity in Men
Hedy Kober, A., DeVito, E. E., DeLeone, C. M., Carroll, K. M., & Potenza, M. N. (2014) · Neuropsychopharmacology · doi:10.1038/npp.2014.82 · Cited by 62 · see citing works
Cost utility of behavioural activation delivered by the non-specialist
Ekers, D., Godfrey, C., Gilbody, S., Parrott, S., Richards, D., Hammond, D., & Hayes, A. M. (2011) · British Journal of Psychiatry · doi:10.1192/bjp.bp.110.090266 · Cited by 62 · see citing works
Self-citationWatson, J., Crosby, H., Dale, V., Tober, G., Wu, Q., Lang, J., McGovern, R., Newbury-Birch, D., Parrott, S., Bland, J., et al. (2013) · Health Technol Assess · doi:10.3310/hta17250 · Cited by 47 · see citing works
Self-citationSatre, D. D., Leibowitz, A., Leyden, W. A., Catz, S. L., Hare, C. B., Jang, H. J., Lam, J. O., BRYANT, K. J., Weisner, C. M., Sterling, S., et al. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05065-9 · Cited by 45 · see citing works
Identifying the gap between need and intervention for alcohol use disorders in Europe
Drummond, C., Gual, A., Goos, C., Godfrey, C., Deluca, P., von der Goltz, C., Gmel, G. E., Scafato, E., Wolstenholme, A., Mann, K. F., et al. (2011) · Addiction · doi:10.1111/j.1360-0443.2010.03335.x · Cited by 44 · see citing works
Self-citationCollaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions
Kates, N., Sunderji, N., Ng, V., Patriquin, M. J., Alloo, J., Mirwaldt, P., Burrell, E., Gervais, M., & Siddiqui, S. (2023) · The Canadian Journal of Psychiatry · doi:10.1177/07067437221102201 · Cited by 39 · see citing works
Hilliard, M. E., Tully, C., Monaghan, M. C., Wang, J., & Streisand, R. M. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.08.009 · Cited by 33 · see citing works
Treatment of prescription opioid disorders in Canada: looking at the ‘other epidemic’?
Fischer, B., Kurdyak, P. A., Goldner, E. M., TYNDALL, M. W., & Rehm, J. T. (2016) · Substance Abuse Treatment Prevention and Policy · doi:10.1186/s13011-016-0055-4 · Cited by 31 · see citing works
Hill, S., Vale, L. D., Hunter, D. J., Henderson, E. J., & Oluboyede, Y. (2017) · Health Policy · doi:10.1016/j.healthpol.2017.10.003 · Cited by 29 · see citing works
Drummond, C., Gilburt, H., Burns, T., Copello, A. G., Crawford, M., Day, E., Deluca, P., Godfrey, C., Parrott, S., Rose, A. K., et al. (2016) · Alcohol and Alcoholism · doi:10.1093/alcalc/agw091 · Cited by 28 · see citing works
Self-citationBuilding the first step: a review of low-intensity interventions for stepped care
Mckellar, J. D., Austin, J. L., & Moos, R. H. (2012) · Addiction Science & Clinical Practice · doi:10.1186/1940-0640-7-26 · Cited by 26 · see citing works
Agonist Replacement for Cannabis Dependence (ARCD) study group, Bhardwaj, A. K., Allsop, D. J., Copeland, J., McGregor, I. S., Dunlop, A. J., Shanahan, M., Bruno, R., Phung, N., Montebello, M. E., et al. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1682-2 · Cited by 25 · see citing works
An efficacy trial of adaptive interventions for alcohol use disorder
Morgenstern, J., Kuerbis, A., Shao, S., Padovano, H. T., Levak, S., Vadhan, N. P., & Lynch, K. G. (2020) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2020.108264 · Cited by 26 · see citing works
Rombouts, S. A., Conigrave, J. H., Saitz, R., Louie, E., Haber, P., & Morley, K. C. (2020) · BMC Family Practice · doi:10.1186/s12875-020-01288-6 · Cited by 24 · see citing works
Coulton, S., Bland, M., Crosby, H., Dale, V., Drummond, C., Godfrey, C., Kaner, E., Sweetman, J., McGovern, R., Newbury‐Birch, D., et al. (2017) · Alcohol and Alcoholism · doi:10.1093/alcalc/agx065 · Cited by 24 · see citing works
Self-citationWilson, G., Wray, C., McGovern, R., Newbury‐Birch, D., McColl, E., Crosland, A., Speed, C., Cassidy, P., Tomson, D., Haining, S. A., et al. (2014) · Trials · doi:10.1186/1745-6215-15-235 · Cited by 23 · see citing works
The Estimation of Utility Weights in Cost-Utility Analysis for Mental Disorders: A Systematic Review
Sonntag, M., König, H., & Konnopka, A. (2013) · PharmacoEconomics · doi:10.1007/s40273-013-0107-9 · Cited by 23 · see citing works
Fardone, E., Montoya, I. D., Schackman, B. R., & McCollister, K. E. (2023) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2023.209084 · Cited by 21 · see citing works
Purcell‐Khodr, G., Lee, K. S., Conigrave, J. H., Webster, E., & Conigrave, K. M. (2020) · Addiction Science & Clinical Practice · doi:10.1186/s13722-020-00204-8 · Cited by 21 · see citing works
Maehder, K., Löwe, B., Härter, M. C., Heddaeus, D., Scherer, M., & Weigel, A. (2018) · Family Practice · doi:10.1093/fampra/cmy122 · Cited by 21 · see citing works
Deluca, P., Coulton, S., Alam, M. F., Cohen, D. R., Donoghue, K., Gilvarry, E. A., Kaner, E., Maconochie, I. K., McArdle, P., McGovern, R., et al. (2015) · BMC Public Health · doi:10.1186/s12889-015-1679-4 · Cited by 20 · see citing works
Self-citationFlam‐Zalcman, R., Mann, R. E., Stoduto, G., Nochajski, T. H., Rush, B. R., Koski‐Jännes, A., Wickens, C. M., Thomas, R. K., & Rehm, J. T. (2012) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1374 · Cited by 19 · see citing works
Sorsdahl, K. R., Stein, D. J., Weich, L., Fourie, D. P., & MYERS, B. J. (2012) · South African Medical Journal · doi:10.7196/samj.5749 · Cited by 19 · see citing works
Berner, M. M., Wahl, S., Brueck, R. K., Frick, K., Smolka, R., Haug, M., Hoffmann, S., Reinhard, I., Leménager, T., Gann, H., et al. (2013) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12317 · Cited by 14 · see citing works
Ruger, J. P., Abdallah, A. B., Luekens, C., & Cottler, L. B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0033594 · Cited by 14 · see citing works
MYERS, B. J., & Sorsdahl, K. R. (2015) · Addicta The Turkish Journal on Addictions · doi:10.15805/addicta.2014.1.2.023 · Cited by 13 · see citing works
Deluca, P., Coulton, S., Alam, M. F., Boniface, S., Donoghue, K., Gilvarry, E. A., Kaner, E., Lynch, E. M., Maconochie, I. K., McArdle, P., et al. (2020) · Programme Grants for Applied Research · doi:10.3310/pgfar08020 · Cited by 13 · see citing works
Self-citationMorley, K. C., Kranzler, H. R., Luquin, N., Baillie, A., Shanahan, M., Trent, R. J., Teesson, M., & Haber, P. (2018) · Trials · doi:10.1186/s13063-018-2824-z · Cited by 12 · see citing works
Buchholz, A., Friedrichs, A., Berner, M. M., König, H., Konnopka, A., Kraus, L., Kriston, L., Küfner, H., Piontek, D., Rist, F., et al. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0286-8 · Cited by 11 · see citing works
Deluca, P., Coulton, S., Alam, M. F., Boniface, S., Cohen, D. R., Donoghue, K., Gilvarry, E. A., Kaner, E., Maconochie, I. K., McArdle, P., et al. (2021) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2021.103113 · Cited by 11 · see citing works
Self-citationA stepped care approach to mental health in Singapore: challenges and opportunities
Lee, C. Y. S., & Fung, D. S. S. (2025) · BMC Global and Public Health · doi:10.1186/s44263-025-00196-0 · Cited by 9 · see citing works
van Orden, M. L., Leone, S. S., Haffmans, J., Spinhoven, P., & Hoencamp, E. (2016) · Community Mental Health Journal · doi:10.1007/s10597-016-0046-y · Cited by 9 · see citing works
Patterson, T., Macleod, E., Hobbs, L., Egan, R., Cameron, C., & Gross, J. (2018) · Clinical Psychologist · doi:10.1111/cp.12156 · Cited by 9 · see citing works
Effectiveness of alcohol brief interventions in general practice
Clossick, E., & Woodward, S. (2014) · British Journal of Nursing · doi:10.12968/bjon.2014.23.11.574 · Cited by 8 · see citing works
Giles, E. L., McGeechan, G., Coulton, S., Deluca, P., Drummond, C., Howel, D., Kaner, E., McColl, E., McGovern, R., Scott, S., et al. (2019) · Public Health Research · doi:10.3310/phr07090 · Cited by 8 · see citing works
Self-citationKahler, C. W., Surace, A., Durst, A., Pantalone, D. W., Mastroleo, N. R., Míguez, M. J., Bueno, D., Liu, T., Monti, P. M., & Mayer, K. H. (2019) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2019.100475 · Cited by 8 · see citing works
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R. K., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-05204-7 · Cited by 8 · see citing works
Examining untreated and treated alcohol problem resolution in an Australian online survey sample
Mellor, R., Lancaster, K., & Ritter, A. J. (2021) · Drug and Alcohol Review · doi:10.1111/dar.13257 · Cited by 8 · see citing works
Mellor, R., & Ritter, A. J. (2020) · SUCHT - Zeitschrift für Wissenschaft und Praxis / Journal of Addiction Research and Practice · doi:10.1024/0939-5911/a000640 · Cited by 7 · see citing works
LaLonde, L., Good, J., Orkopoulou, E., Vriesman, M., & Maragakis, A. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.01.001 · Cited by 6 · see citing works
Merkx, M. J. M., Schippers, G. M., Koeter, M. W. J., de Wildt, W. A. J. M., Vedel, E., Goudriaan, A. E., & van den Brink, W. (2014) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2014.75.993 · Cited by 5 · see citing works
Luis, M. A. V., Barbosa, S. P., de Souza, J., Vedana, K. G. G., Zanetti, A. C. G., & Marques, J. M. D. A. (2017) · Community Mental Health Journal · doi:10.1007/s10597-017-0205-9 · Cited by 5 · see citing works
Sanatinia, R., Barrett, B. M., Byford, S., Dean, M., Green, J., Jones, R., Leurent, B., Lingford-Hughes, A. R., Sweeting, M. J., Touquet, R., et al. (2012) · Trials · doi:10.1186/1745-6215-13-149 · Cited by 5 · see citing works
Screening, Early Detection, and Brief Intervention of Alcohol Use Disorders
Saunders, J. B., & Latt, N. C. (2020) · Springer eBooks · doi:10.1007/978-3-030-36391-8_40 · Cited by 4 · see citing works
Ruger, J. P., Abdallah, A. B., Luekens, C., & Cottler, L. B. (2012) · PLoS ONE · doi:10.1371/annotation/d9d8b547-8154-48a1-b527-d0c51285ed3c · Cited by 4 · see citing works
The need for close monitoring of early psychosis and co-occurring substance misuse
Caton, C. L. M. (2011) · The Psychiatrist · doi:10.1192/pb.bp.110.032342 · Cited by 3 · see citing works
Trapero‐Bertran, M., Gil-Doménech, D., & Vargas‐Martínez, A. M. (2021) · Adicciones · doi:10.20882/adicciones.1649 · Cited by 3 · see citing works
Lom, J., Aleuy, L., Heiman, E., Lora, M. H., Miller, L. S., & Klein, R. (2025) · Journal of General Internal Medicine · doi:10.1007/s11606-025-09775-1 · Cited by 2 · see citing works
Paris, J. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-811421-6.00007-7 · Cited by 2 · see citing works
Kim, J. (2024) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2024.104348 · Cited by 3 · 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
John, B., Newstead, S., Heirene, R. M., HODGSON, R. J., & Roderique‐Davies, G. (2021) · Alcohol and Alcoholism · doi:10.1093/alcalc/agab015 · Cited by 2 · see citing works
Behavioural Activation for Depression: a systematic review and controlled clinical trial
Ekers, D. (2011) · White Rose eTheses Online (University of Leeds, The University of Sheffield, University of York) · Cited by 2 · see citing works
Screening and brief intervention for alcohol use disorders in primary care
Murray, E. (2013) · BMJ · doi:10.1136/bmj.e8706 · Cited by 2 · see citing works
Shahab, L., Lorrencatto, F., & Beard, E. (2013) · UCL Discovery (University College London) · Cited by 2 · see citing works
Hæsum, L. K. E., Hejlesen, O. K., & Udsen, F. W. (2023) · JMIR Research Protocols · doi:10.2196/37673 · Cited by 1 · see citing works
Tryggedsson, J. S. J., Andersen, K., Nielsen, A. S., Olsen, C. D. H., & Mellentin, A. I. (2025) · Journal of Substance Use and Addiction Treatment · doi:10.1016/j.josat.2025.209793 · Cited by 1 · see citing works
Ohms, R., Svetičič, J., Ross, M. H., Hartley, N., Worthy, P., & Russell, T. G. (2026) · International Journal of Mental Health Systems · doi:10.1186/s13033-026-00717-w · Cited by 1 · see citing works
Stepped Care Models in Addiction Treatment
Uchtenhagen, A. (2020) · Springer eBooks · doi:10.1007/978-3-030-36391-8_47 · Cited by 1 · see citing works
Prevention Programmes Cost-Effectiveness Review: Alcohol
Ubido, J., Ce, L., Holford, R., & Scott-Samuel, A. (2010) · Liverpool John Moores University · Cited by 1 · see citing works
Stepped Care Models in Addiction Treatment
Uchtenhagen, A. (2014) · Springer eBooks · doi:10.1007/978-88-470-5322-9_62 · Cited by 1 · see citing works
Alcohol‐Use Disorders – Treatment and Management
Passetti, F., & Drummond, C. (2009) · Wiley eBooks · doi:10.1002/9780470975084.ch12 · Cited by 1 · see citing works
Self-citationBarbosa, C. (2010) · UPT. Syiah Kuala University Library (Syiah Kuala University)
Bunting, A. (2011) · Tuwhera (Auckland University of Technology)
Alcohol brief interventions in general practice
Clossick, E., & Woodward, S. (2014) · British Journal of Healthcare Management · doi:10.12968/bjhc.2014.20.10.468
Purshouse, R. C., Brennan, A., Rafia, R., Latimer, N. R., Archer, R. J., Angus, C., Preston, L. R., & Meier, P. S. (2016)
Stepped-Care Research in Clinical Psychology and Psychotherapy
L’Abate, L. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4451-0_5
Detecting At-Risk Drinking in University Primary Care: Validity of the AUDIT-C
Campbell, C. E. (2015) · Syracuse University Libraries (Syracuse University)
Core Components of Interventions for Prevention of Alcoholism in Adults: An Integrative Review
Kang, K., & Kim, S. (2016) · Journal of Korean Academy of Psychiatric and Mental Health Nursing · doi:10.12934/jkpmhn.2016.25.4.303
Screening, Early Detection and Brief Intervention for Alcohol Use Disorders
Saunders, J. B., & Latt, N. C. (2014) · Springer eBooks · doi:10.1007/978-88-470-5322-9_106
Cave, A., & Barnardo, A. (2012) · InnovAiT Education and inspiration for general practice · doi:10.1093/innovait/inr182
Tyrer, P. J. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.197.5.422
Grochtdreis, T., Heddaeus, D., Seeralan, T., Maehder, K., Porzelt, S., Daubmann, A., Pepić, A., Löwe, B., Rosenkranz, M., Schäfer, I., et al. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07428-5
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284915
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284903
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284921
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284924
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284909
Fehily, C. M. C., Ling, R., Searles, A., Bartlem, K. M., Wiggers, J. H., Hodder, R., Wilson, A. J., Colyvas, K., & Bowman, J. (2020) · Figshare · doi:10.6084/m9.figshare.12284897
Brief Interventions delivered by nurse: a feasibility study
Lima, A. V. C. (2023) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Piloting a stepped care model for treating women’s depression in Tajikistan
Weine, S. M., Pirova, G., Smith, C. P., Jonbekov, J., Langenecker, S. A., Kunguratov, K., Rajabzoda, S., Demirtaş, H., & Cook, J. Α. (2026) · International Journal of Mental Health · doi:10.1080/00207411.2026.2737882
- Authors
- Drummond, C., Coulton, S., James, D., Godfrey, C., Parrott, S., Baxter, J., Ford, D., Lervy, B., Rollnick, S., Russell, I., & Peters, T.
- Affiliations
- King's College London (GB)
- University of Kent (GB)
- Whitchurch Hospital (GB)
- University of York (GB)
- Swansea University (GB)
- University of Wales (GB)
- Bangor University (GB)
- Corresponding author
- Drummond, Colin
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2009-11
- Volume
- 195
- Issue
- 5
- Pages
- 448-456
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2127930525
- Cited by
- 93
- References
- 44
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 4 · 2020: 14 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 3 · 2014: 9 · 2013: 7 · 2012: 10
- FWCI
- 5.15
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- King's College London
- 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
- stepped care, alcoholism, alcohol screening, auditing, motivational enhancement therapy, behavior change counseling, primary care, cost-effectiveness, alcohol consumption, male patients, feasibility
- MeSH terms
- Adult, Community Mental Health Services, Cost-Benefit Analysis, Epidemiologic Methods, Humans, Male, Primary Health Care, Quality of Life, Wales, Treatment Outcome, Health Care Costs, Alcohol-Related Disorders
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