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UK study of how Quality and Outcomes Framework incentives for primary care boosted alcohol screening among patients with severe mental illness shows what could have happened had the incentives been extended across the entire primary care caseload.
STUDY 2017 HTM file
Financial incentives for alcohol brief interventions in primary care in Scotland
Coinciding with a ‘refresh’ of Scotland’s alcohol strategy, evidence that financial incentives in primary care can affect delivery of brief alcohol interventions.
HOT TOPIC 2017 HTM file
‘My GP says I drink too much’: screening and brief intervention
One of our hot topics – important issues which sometimes generate heated debate. In the absence of more or less inescapable impediments to heavy drinking like ramping up the price of cheap alcohol, widespread screening and brief advice have been the great hope for drink-related public health improvements. Patchy effectiveness and poor implementation have led that ambition to be questioned.
STUDY 2017 HTM file
Practices and attitudes of general practitioners in the delivery of alcohol brief interventions in Scotland
Insight into what helps and hinders the delivery of brief alcohol interventions in general practice, from the perspective of doctors working in Scotland.
STUDY 2014 HTM file
Effectiveness of training family physicians to deliver a brief intervention to address excessive substance use among young patients: a cluster randomized controlled trial
Can a brief intervention delivered by trained GPs impact on young patients’ excessive drinking and cannabis use? Set in French-speaking Switzerland, this study examines outcomes over a 12-month period.
STUDY 2006 HTM file
Effectiveness of nurse-led brief alcohol intervention: A cluster
randomized controlled trial
Interventions delivered by nurses did lead to a reduction in excessive drinking in their patients, but there seemed to be no advantage of a structured brief intervention over standard advice.
STUDY 1987 HTM file
Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (the DRAMS scheme)
Uncovered in our search for seminal studies for the Alcohol Treatment Matrix, a piece of old gold … Hampered by problems with implementation, this evaluation of an early controlled drinking brief intervention showed no advantage for patients over basic advice (or no intervention at all), prefiguring later findings from larger trials.
STUDY 2012 HTM file
Usefulness of brief intervention for patients admitted to emergency services for acute alcohol intoxication
Brief interventions conducted by alcohol treatment specialists reduced alcohol-affected readmission rate by nearly half among patients admitted to a French emergency department when drunk or in need of withdrawal.
REVIEW 2016 HTM file
Emergency department-based brief interventions for individuals with substance-related problems: A review of effectiveness
Scant research into brief interventions targeting harmful drug use in emergency departments prevents firm conclusions being drawn about their effectiveness. But, recognised benefits for alcohol, and likely cost-effectiveness, suggest that brief interventions may be appropriate within emergency care settings.
REVIEW 2012 HTM file
Behavioral counseling after screening for alcohol misuse in primary care: a systematic review and meta-analysis for the U.S. Preventive Services Task Force
Amalgamated findings from studies of risky drinkers identified and counselled in primary care settings indicate that compared to screening and assessment only, brief counselling lead to greater reductions in drinking, gains reflected less strongly in some indicators of health. However, it is unclear whether the generally small impacts would be sustained in routine practice.
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