Titre : | Brief physician advice for problem alcohol drinkers. A randomized controlled trial in community-based primary care practices |
Auteurs : | M. F. FLEMING ; K. LAWTON BARRY ; MANWELL L. B. ; K. JOHNSON ; LONDON R. |
Type de document : | Périodique |
Année de publication : | 1997 |
Format : | 1039-45 |
Note générale : |
JAMA - Journal of the American Medical Association, 1997, 277, (13), 1039-45
|
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés MEDECIN ; INTERVENTION BREVE ; ALCOOL ; ETUDE CLINIQUE ; ABUS ; CONSEIL ; INTERVENTIONThésaurus géographique ETATS-UNIS |
Résumé : |
ENGLISH :
Objective. - Project TrEAT (Trial for Early Alcohol Treatment) was designed to test the efficacy of brief physician advice in reducing alcohol use and health care utilization in problem drinkers. Design. - Randomized controlled clinical trial with 12- month follow-up. Setting. - A total of 17 community-based primary care practices (64 physicians) located in 10 Wisconsin counties. Participants. - Of the 17 695 patients screened for problem drinking, 482 men and 292 women met inclusion criteria and were randomized into a control (n=382) or an experimental (n=392) group. A total of 723 subjects (93%) participated in the 12-month follow- up procedures. Intervention. - The intervention consisted of two 10- to 15-minute counseling visits delivered by physicians using a scripted workbook that included advice, education, and contracting information. Main Outcome Measures. - Alcohol use measures, emergency department visits, and hospital days. Results. - There were no significant differences between groups at baseline on alcohol use, age, socioeconomic status, smoking status, rates of depression or anxiety, frequency of conduct disorders, lifetime drug use, or health care utilization. At the time of the 12-month follow-up, there were significant reductions in 7-day alcohol use (mean number of drinks in previous 7 days decreased from 19.1 at baseline to 11.5 at 12 months for the experimental group vs 18.9 at baseline to 15.5 at 12 months for controls; t=4.33; P<.001 episodes of binge drinking number during previous days decreased from at baseline to months for the experimental group vs controls t="2.81;" p and frequency excessive excessively in x2 test independence revealed a significant relationship between status length hospitalization over study period men conclusions. this provides first direct evidence that physician intervention with problem drinkers decreases alcohol use health resource utilization us care system.> |
Domaine : | Alcool / Alcohol |
Affiliation : |
Department of Family Medicine, and the Center for Addiction Research and Education, University of Wisconsin Medical School, Madison Etats-Unis. United States. |
Centre Emetteur : | 13 OFDT |
Cote : | A01974 |
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