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With other similar work, this Canadian study suggests that internet-based programs which offer feedback to the user on their drinking in relation to the population and on the risks they may be running can lead to drinking reductions of the same order as face-to-face advice.
At a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm curbed drinking among alcohol-dependent patients; non-dependent patients tended to do better with assessment and usual care only.
At a US emergency department, a brief conversation about the pros and cons of their drinking and offers of support for any efforts to reduce harm led (compared to assessment and usual care) to extra reductions in the drinking of injured Hispanic patients but not white or black patients.
At a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm led to extra reductions in the drinking of Hispanic patients which were greatest when they were matched to a Hispanic and Spanish-speaking counsellor.
A few minutes with specially hired interventionists can curb the intake of heavy-drinking emergency patients, but in routine practice hospital staff will usually have to do this work. A US study tested this real-world scenario and found the modest drinking reductions were short-lived.
In Madrid, unusually a primary care brief alcohol intervention targeted heavy episodic or 'binge' drinking. The result was drinking reductions which probably saved lives due to less drunkenness and less drinking overall – and both screening and intervention were done by the doctors themselves, not specialist staff.
The first European trial of an emergency department brief alcohol intervention being implemented nationally in the USA found no significant impacts either short term or a year later, but in Britain and elsewhere, different types of interventions have worked.
At a US university students at first cut back their drinking and cannabis use in response to a brief face-to-face fitness consultation, but the gains were no longer apparent a year after intervention. Yet still at that time they had at least experienced more positive trends in how they felt than students who had just read a fitness brochure.
Can college health clinics do widespread screening and brief alcohol advice? Yes they can, is one conclusion of this first large-scale test conducted at five North American universities. The other main conclusion – that by doing so they make worthwhile reductions in drinking and related harm – is weakened by the small size of the impacts.
STUDY 2010 HTM file
A brief alcohol intervention for hazardously drinking incarcerated women
Could just two motivational interviewing sessions moderate the drinking of very heavy drinking US women prisoners? The surprise was not that there were few benefits, but that there were some, especially after the reinforcing session usually conducted after the prisoners' release.
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