Open AccessBrief Physician and Nurse Practitioner–delivered Counseling for High‐risk Drinking
Author(s) -
ReiffHekking Sarah,
Ockene Judith K.,
Hurley Thomas G.,
Reed George W.
Publication year - 2005
Publication title -
journal of general internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.746
H-Index - 180
eISSN - 1525-1497
pISSN - 0884-8734
DOI - 10.1111/j.1525-1497.2005.21240.x
Subject(s) - medicine , intervention (counseling) , brief intervention , family medicine , primary care , nurse practitioners , primary care physician , alcohol consumption , randomized controlled trial , health care , emergency medicine , nursing , alcohol , surgery , economic growth , economics , biochemistry , chemistry
Background: The objective of this study was to determine the effects of a brief primary care provider–delivered counseling intervention on the reduction of alcohol consumption by high‐risk drinkers. The intervention was implemented as part of routine primary care medical practice. Methods: We performed a controlled clinical trial with 6‐ and 12‐month follow‐up. Three primary care practices affiliated with an academic medical center were randomly assigned to special intervention (SI) or usual care (UC). A total of 9,772 primary care patients were screened for high‐risk drinking. A fourth site was added later. From the group that was screened, 530 high‐risk drinkers entered into the study, with 447 providing follow‐up at 12 months. The intervention consisted of brief (5–10 minute) patient‐centered counseling plus an office system that cued providers to intervene and provided patient educational materials. Results: At 12‐month follow‐up, after controlling for baseline differences in alcohol consumption, SI participants had significantly larger changes ( P =.03) in weekly alcohol intake compared to UC (SI=−5.7 drinks per week; UC=−3.1 drinks per week), and of those who changed to safe drinking at 6 months more SI participants maintained that change at 12 months than UC. Conclusions: Project Health provides evidence that screening and very brief (5–10 minute) advice and counseling delivered by a patient's personal physician or nurse practitioner as a routine part of a primary care visit can reduce alcohol consumption by high‐risk drinkers.