Historique
![Should brief interventions in primary care address alcohol problems more strongly? [For debate]](https://bdoc.ofdt.fr/img_cache/pmb_ofdt_record_74508.webp?v=1771297505)
Article de Périodique
Should brief interventions in primary care address alcohol problems more strongly? [For debate] (2014)
Auteur(s) :
McCAMBRIDGE, J. ;
ROLLNICK, S.
Année
2014
Page(s) :
1054-1058 + 1059-1065
Langue(s) :
Anglais
Refs biblio. :
53
Domaine :
Alcool / Alcohol
Note générale :
Commentaries:
- The two forms of alcohol brief intervention: an uneasy coalition. Heather N., p. 1059-1060.
- Lost in translation: The perils of implementing alcohol brief intervention when there are gaps in evidence and its interpretation. Saitz R., p. 1060-1062.
- Motivational interventions may have greater sustained impact if they trained imagery-based self-management. Kavanagh D.J., Andrade J., May J., Connor J.P., p. 1062-1063.
- Big issues. McCambridge J., Rollnick S., p. 1063-1065.
- The two forms of alcohol brief intervention: an uneasy coalition. Heather N., p. 1059-1060.
- Lost in translation: The perils of implementing alcohol brief intervention when there are gaps in evidence and its interpretation. Saitz R., p. 1060-1062.
- Motivational interventions may have greater sustained impact if they trained imagery-based self-management. Kavanagh D.J., Andrade J., May J., Connor J.P., p. 1062-1063.
- Big issues. McCambridge J., Rollnick S., p. 1063-1065.
Résumé :
Background: Brief interventions have well-established small effects on alcohol consumption among hazardous and harmful drinkers in primary care, and national large-scale programmes are being implemented in many countries for public health reasons.
Methods: This paper examines data from reviews and draws upon older brief intervention studies and recent developments in the literature on motivational interviewing to consider the capacity of brief interventions to benefit those with problems, including those with severe problems.
Results: Effects on alcohol problems have been shown much less consistently, and evidence cannot be claimed to be strong for any outcomes other than reduced consumption. Combinations of advice and motivational interviewing are a promising target for evaluation in trials, and more detailed studies of the conduct of brief interventions are needed.
Conclusions: We propose that brief interventions in primary care may be more effective if they offer appropriate content in a person-centred manner, addressing patient concerns more directly.
Methods: This paper examines data from reviews and draws upon older brief intervention studies and recent developments in the literature on motivational interviewing to consider the capacity of brief interventions to benefit those with problems, including those with severe problems.
Results: Effects on alcohol problems have been shown much less consistently, and evidence cannot be claimed to be strong for any outcomes other than reduced consumption. Combinations of advice and motivational interviewing are a promising target for evaluation in trials, and more detailed studies of the conduct of brief interventions are needed.
Conclusions: We propose that brief interventions in primary care may be more effective if they offer appropriate content in a person-centred manner, addressing patient concerns more directly.
Affiliation :
Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
Cote :
Abonnement