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. 2007 Jul 18;2007(3):CD003494. doi: 10.1002/14651858.CD003494.pub2

McIntosh 1997.

Methods RCT to compare three conditions. Assessments on four occasions: baseline, 3, 6 and 12 months.
Participants 159 patients (aged 15 or older) with high alcohol consumption (one or more CAGE items or 4 or more standard drinks each day in 28 days) recruited by nurse in family practice centre. Therapists: 1 research GP (and 1 nurse practitioner).
Interventions T1 (n:40) = cognitive behavioural intervention (CBI) by research GP (basic information, help understanding function alcohol, plan of action, moderation strategies, use of daily drinking records and self‐help manual), 2 30‐min sessions over 2 weeks. 
 T2 (n:66) = CBI by research nurse practitioner, 2 30‐min sessions over 2 weeks. 
 C (n:53) = brief advice by own GP (1 of 12) on drinking, 1 5‐min session. 
 Training or supervision of therapists unclear.
Outcomes 12 month follow‐up: no sign. differences between groups (overall reduction in drinking and alcohol‐related problems in all groups).
Notes non‐compliance: T1&T2=27/106. 
 withdrawal: T1&T2&C=16/159. 
 no integrity check.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear