Intervention in alcohol abuse among macrocytic patients in general practice
Open accessAbstract
The study examined the effectiveness of routine intervention in alcohol abuse by a general practitioner, with help of a laboratory test. Patients diagnosed as abusers because of high erythrocyte mean cell volume value (MCV) and having no other cause for it were randomly allocated to two groups: 1) an intervention group, comprising 92 patients (69 men and 23 women), who were invited for follow-up at three-monthly intervals for a year; 2) a control (mini-intervention) group, 86 patients (71 men and 15 women), who were followed-up only after 12 months. Follow-up attendance was poor, particularly in the intervention group. In general, MCV-values were unchanged in the groups at the end of the study, though there was a clear trend for the female controls to have lower values (101.9 fl at the start, 98.5 fl at the end, p = 0.06). Altogether 11% (4/38) of the women and 7% (10/140) of the men had clearly reduced their alcohol consumption after one year, and this was also seen in their MCV-values. Mini-intervention, especially in women with an abnormal laboratory value, seems to be, with the help of MCV, at least as effective a way of counselling nonalcoholic abusers as a more systematic intervention.
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One trial reported mean corpuscular volume (MCV) for this comparison.
“One trial reported mean corpuscular volume (MCV) for this comparison (Seppa 1992).”
From Effectiveness of brief alcohol interventions in primary care populations (2018) · cites this paper as Seppa 1992
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- Authors
- Seppä, K.
- Affiliations
- University of Tampere (FI)
- Corresponding author
- Seppä, Kaija
- Venue
- Scandinavian Journal of Primary Health Care
- Publisher
- Informa UK Limited
- Published
- 1992-01
- Volume
- 10
- Issue
- 3
- Pages
- 217-222
- ISSN
- 0281-3432 (ISSN-L)
- 1502-7724
- OpenAlex
- W2152994758
- Semantic Scholar
- b3747d22d2758e177750262e6128fb4c025f3026
- Cited by
- 21
- References
- 24
- Citations by year
- 2020: 1 · 2018: 1 · 2016: 1 · 2015: 2 · 2013: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Scandinavian Journal of Primary Health Care (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
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- alcohol abuse, alcohol interventions, macrocytosis, general practice, routine follow-up, laboratory screening, alcohol consumption reduction, women, primary prevention
- MeSH terms
- Alcoholism, Anemia, Macrocytic, Erythrocyte Indices, Family Practice, Female, Follow-Up Studies, Humans, Male, Middle Aged
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