Historique
Rapport
Project on identification and management of alcohol-related problems : Report on phase II: a randomized clinical trial of brief interventions in primary health care
Titre de série :
Programme on Substance Abuse (PSA)
Auteur(s) :
BABOR, T. F. ;
GRANT, M.
Année
1992
Page(s) :
266 p.
Langue(s) :
Anglais
Éditeur(s) :
Genève : OMS / WHO
Refs biblio. :
18
Domaine :
Alcool / Alcohol
Thésaurus géographique
INTERNATIONAL
;
ROYAUME-UNI
;
ETATS-UNIS
;
AUSTRALIE
;
BULGARIE
;
KENYA
;
MEXIQUE
;
NORVEGE
;
RUSSIE
;
COSTA RICA
;
ZIMBABWE
Thésaurus mots-clés
INTERVENTION
;
DEPISTAGE
;
SOINS DE PREMIER RECOURS
;
PRISE EN CHARGE
;
ETUDE CLINIQUE
;
ALCOOL
;
ABUS
;
METHODE
;
CONSOMMATION
;
PREVENTION SECONDAIRE
;
REDUCTION DES RISQUES ET DES DOMMAGES
;
INTERVENTION BREVE
;
CONSEIL
Résumé :
This report describes the rationale, methodology and findings of a crossnational multicentre clinical trial of brief intervention procedures designed to reduce the health risks associated with hazardous alcohol use. The study was coordinated by the World Health Organization at collaborating centres in ten countries: Costa Rica, Australia, the United Kingdom, Norway, Mexico, Kenya, Bulgaria, the former Soviet Union, Zimbabwe, and the United States of America. A total of 1,655 nonalcoholic heavy drinkers (1,356 males, 299 females) were recruited from hospital settings, primary health care clinics, work sites and educational institutions. Of these, 73% were evaluated a minimum of six months following random assignment to either a control group, a simple advice group, or a group receiving brief counselling. The results showed a significant effect of the interventions on both average alcohol consumption and intensity of drinking in the male samples, even after controlling for demographic factors and sociocultural influences. For females significant reductions were observed in both the control and the intervention groups. The type of intervention was not related to the amount of change in drinking behaviour, with five minutes of simple advice as effective as 20 minutes of brief counselling. It is concluded that brief intervention techniques could make a significant contribution to early intervention and secondary prevention if they were widely used in primary care settings. (Abstract of the publication)
Affiliation :
Danemark. Denmark.