Abstract
Harmful alcohol consumption can have severe consequences for both the individual and society. A review of the six published studies on the effectiveness of general practitioner interventions for individuals with harmful alcohol consumption suggests that between five and 10 minutes of advice leads to reductions of alcohol consumption of around 25-35% at follow up six months or one year later. Two of the three studies which failed to demonstrate an intervention effect had inadequate sample sizes and in two of the studies the control group was a comparison group which received minimal advice to reduce alcohol consumption. There was greater evidence for an intervention effect among men than women. The methodological problems of the studies are discussed.
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Selected References
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- Anderson P., Scott E. The effect of general practitioners' advice to heavy drinking men. Br J Addict. 1992 Jun;87(6):891–900. doi: 10.1111/j.1360-0443.1992.tb01984.x. [DOI] [PubMed] [Google Scholar]
- Babor T. F., Ritson E. B., Hodgson R. J. Alcohol-related problems in the primary health care setting: a review of early intervention strategies. Br J Addict. 1986 Feb;81(1):23–46. doi: 10.1111/j.1360-0443.1986.tb00291.x. [DOI] [PubMed] [Google Scholar]
- Heather N., Campion P. D., Neville R. G., Maccabe D. Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (the DRAMS scheme). J R Coll Gen Pract. 1987 Aug;37(301):358–363. [PMC free article] [PubMed] [Google Scholar]
- Kottke T. E., Battista R. N., DeFriese G. H., Brekke M. L. Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials. JAMA. 1988 May 20;259(19):2883–2889. doi: 10.1001/jama.259.19.2883. [DOI] [PubMed] [Google Scholar]
- Kreitman N. Alcohol consumption and the preventive paradox. Br J Addict. 1986 Jun;81(3):353–363. doi: 10.1111/j.1360-0443.1986.tb00342.x. [DOI] [PubMed] [Google Scholar]
- Romelsjö A., Andersson L., Barrner H., Borg S., Granstrand C., Hultman O., Hässler A., Källqvist A., Magnusson P., Morgell R. A randomized study of secondary prevention of early stage problem drinkers in primary health care. Br J Addict. 1989 Nov;84(11):1319–1327. doi: 10.1111/j.1360-0443.1989.tb00733.x. [DOI] [PubMed] [Google Scholar]
- Scott E., Anderson P. Randomized controlled trial of general practitioner intervention in women with excessive alcohol consumption. Drug Alcohol Rev. 1991;10(4):313–321. doi: 10.1080/09595239100185371. [DOI] [PubMed] [Google Scholar]
- Wallace P., Cutler S., Haines A. Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. BMJ. 1988 Sep 10;297(6649):663–668. doi: 10.1136/bmj.297.6649.663. [DOI] [PMC free article] [PubMed] [Google Scholar]