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You have found 84 entries after clicking the GO button or a search link in a hot topic. Starting with analyses of the most recently published documents, the list shows in orange the type of entry, year the original document was published (or if one of our own documents, the year last updated), and the type of file you will download when you click on the title. In blue is the document’s title followed by a brief description.

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STUDY 2010 HTM file
Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care

When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling, yet at a service for US ex-military personnel the reminder was rarely used and made no difference to patients' drinking. Why were results so different from those at other clinics?

REVIEW 2009 HTM file
The effectiveness of brief alcohol interventions in primary care settings: a systematic review

Combining findings from randomised trials confirmed that brief advice to risky drinking primary care patients can reduce drinking; now the issue is whether in normal practice those benefits will be realised on a grand enough scale to create public health gains.

STUDY 2009 HTM file
Effectiveness of experimenter-provided and self-generated implementation intentions to reduce alcohol consumption in a sample of the general population: a randomized exploratory trial

When researchers surveyed people's drinking and then asked them to make concrete plans to drink sensibly, a month later the heavy drinkers among them had significantly cut their consumption. This British study could help extend the reach of brief intervention programmes.

STUDY 2009 HTM file
Evidence-based practice? The National Probation Service's work with alcohol-misusing offenders

This report on work in England and Wales describes a system creatively grappling with a huge drink problem among offenders, but one undermined by lack of evidence about what works and by under-resourcing linked to a dispute over whether health or probation should bear the core funding burden.

STUDY 2009 HTM file
Does implementation of clinical practice guidelines change nurses' screening for alcohol and other substance use?

Hospital nurses in Sydney in Australia were trained to implement a new screening and intervention policy aiming to upgrade the identification of hazardous drinkers and other substance users among medical and surgical inpatients. Disappointing results highlight the need to do more than inform and exhort if practice is to change.

DOCUMENT 2009 HTM file
Screening and brief interventions (SBI) for unhealthy alcohol use: a step-by-step implementation guide for trauma centers

Based on research findings, a practical US government guide for trauma centres dealing with serious injuries on how to plan, implement and monitor a programme to identify risky drinking among their patients and to offer appropriate advice and referral.

STUDY 2009 HTM file
Consultation-liaison psychiatry in general hospitals: improvement in physicians’ detection rates of alcohol use disorders

When an addiction psychiatrist modelled good alcohol assessment practice while accompanying doctors once a week during their ward rounds, the result was steeply increased rates of correct diagnosis of drink problems and of referral to treatment, offering an alternative to possibly unwelcome training or direction of clinical staff.

STUDY 2008 HTM file
Reducing alcohol harm: health services in England for alcohol misuse

Official audit of work by the Department of Health and NHS to address the health effects of alcohol misuse. Describes a system whose infrastructure is clearly inadequate compared to the size of the task, but one recently taking steps in the right direction.

STUDY 2008 HTM file
Primary care intervention to reduce alcohol misuse: ranking its health impact and cost effectiveness

In this comprehensive analysis, screening for risky drinking and brief advice was estimated to be among the most cost-effective preventive services GPs could offer, ranking alongside common interventions such as screening for high blood pressure or immunisation against influenza.

STUDY 2008 HTM file
Screening, brief interventions, referral to treatment (SBIRT) for illicit drug and alcohol use at multiple healthcare sites: comparison at intake and 6 months later

This huge US study set out to test whether widespread screening and brief intervention for illegal drug use (not just heavy drinking) could be implemented in a variety of general medical settings and whether it was effective. Both tests seem to have been passed, but with some important caveats.

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