Curry 2003.
Methods | Parallel group RCT: brief motivational message plus booster telephone calls versus usual care ITT: paper reported multiple imputation to impute outcome data for non‐respondents; unpublished data supplied to the reviewers was based on 222/333 (67%) of those randomised. | |
Participants | Setting: USA, primary care clinic. Participants: (no age restrictions), presenting for pre‐booked appointment; screened by telephone interviews to select those with AUDIT score <= 15 and consuming ≥ 2 alcoholic drinks per day in past month (chronic drinking), or ≥ 2 episodes of binge drinking (≥ 5 drinks) in past week (binge drinkers), or ≥ 1 episode of driving after ≥ 3 drinks; excluded if alcoholic, pregnant, terminally ill, or cognitively impaired. Number randomised = 333; 65% male; mean age 46.9 years; 16% unemployed; 91% post‐high school education; 68% income > $35,000 per year; 80% Caucasian. Number assessed = 222 (67%). At baseline: mean drinking amount = 166 g/week; 42% chronic drinkers; 33% binge drinkers. |
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Interventions | Intervention group (N = 166) received: a) a brief motivational message of 1 to 5 minutes from the primary care physician during the planned routine visit; b) self‐help manual; c) written personalised feedback; d) up to three telephone counselling calls over 10 weeks by a psychology graduate. Control group (N = 167) received usual care (no intervention or any information about their participation in the study in their notes). |
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Outcomes | Drinks per week, drinking days per week, binges per week, grams of alcohol per drinking day, percentage of binge drinkers, percentage of heavy drinkers (average of > 1 drink per day for women or > 2 drinks per day for men. Assessed at 3 and 12 months. |
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Funding source | This study was supported by National Institute on Alcohol Abuse and Alcoholism Grant RO1 AA09175 (to Susan J. Curry, Principal Investigator). | |
Declaration of interests | Not reported. | |
Notes | Loss to follow‐up: Intervention group: 66/166 (40%). Control group: 45/167 (27%). Analyses of frequency and intensity of drinking are based on unpublished data on 222 cases Analysis of quality of alcohol consumed/week are based on published means and unpublished SDs. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Method of sequence generation not reported. |
Allocation concealment (selection bias) | Unclear risk | Method of allocation concealment not described. |
Blinding of treatment providers | Low risk | Treatment providers only interacted with intervention participants. |
Blinding of participants | Low risk | During recruitment participants were blinded to the focus of the study on alcohol. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Unclear if outcome assessor was blinded (p. 157). |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Loss to follow‐up reported per arm but not reasons. Uneven follow‐up between arms; used multiple imputation which uses a regression‐type approach that can remove bias that is due to differential non‐response if the imputation model contains variables that are good predictors of the outcome and of non‐response. |
Selective reporting (reporting bias) | Low risk | Outcomes specified in methods are reported. |