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You have found 72 entries. 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
Use of an electronic clinical reminder for brief alcohol counseling is associated with resolution of unhealthy alcohol use at follow-up screening

When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling. In one service for US ex-military personnel, this resulted in nearly three quarters of patients being counselled and a hint of consequentially reduced drinking; at another, findings were negative. Why the difference?

REVIEW 2010 HTM file
Alcohol-use disorders: Preventing the development of hazardous and harmful drinking

In these UK national prevention guidelines, experts prioritised population-wide changes like price rises and outlet restrictions which affect everyone, independent of the choices they make. But in England government prefers to target what they see as the troublesome minority, not the responsible majority.

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
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
Brief contact and written advice as effective as a longer talk for heavy drinking hospital patients

Scottish study suggests there is no need for sophisticated and extended advice to prompt heavy drinking hospital patients to cut down, making the case for low cost, large scale screening and intervention.

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.

STUDY 2008 HTM file
Universal screening for alcohol problems in primary care fails in Denmark and no longer on UK agenda

Negative findings from a Danish attempt to implement the primary care screening and brief intervention protocol for heavy drinkers which emerged from World Health Organization trials suggest it was right for the UK to turn away from universal screening.


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