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Auteur T. PHILLIPS
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Alcohol screening and brief intervention for adolescents: The how, what and where of reducing alcohol consumption and related harm among young people / R. PATTON ; P. DELUCA ; E. KANER ; D. NEWBURY-BIRCH ; T. PHILLIPS ; C. DRUMMOND in Alcohol and Alcoholism, Vol.49, n°2 (March-April 2014)
Titre : Alcohol screening and brief intervention for adolescents: The how, what and where of reducing alcohol consumption and related harm among young people Type de document : Périodique Auteurs : R. PATTON ; P. DELUCA ; E. KANER ; D. NEWBURY-BIRCH ; T. PHILLIPS ; C. DRUMMOND Année de publication : 2014 Article en page(s) : 207-212 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
ADOLESCENT ; ALCOOL ; INTERVENTION BREVE ; DEPISTAGE ; EFFICACITE ; CRAFFT ; AUDIT
Discipline : TRA Traitement et prise en charge / Treatment and care Résumé : Aim: The aim of the study was to explore the evidence base on alcohol screening and brief intervention for adolescents to determine age appropriate screening tools, effective brief interventions and appropriate locations to undertake these activities.
Methods: A review of existing reviews (2003-2013) and a systematic review of recent research not included in earlier reviews.
Results: The CRAFFT and AUDIT tools are recommended for identification of ‘at risk’ adolescents. Motivational interventions delivered over one or more sessions and based in health care or educational settings are effective at reducing levels of consumption and alcohol-related harm.
Conclusion: Further research to develop age appropriate screening tools needs to be undertaken. Screening and brief intervention activity should be undertaken in settings where young people are likely to present; further assessment at such venues as paediatric emergency departments, sexual health clinics and youth offending teams should be evaluated. The use of electronic (web/smart-phone based) screening and intervention shows promise and should also be the focus of future research.
Domaine : Alcool / Alcohol Sous-type de document : Revue de la littérature / Literature review Affiliation : Addictions Department, National Addiction Centre, Institute of Psychiatry, King's College London, London, UK Lien : http://dx.doi.org/10.1093/alcalc/agt165 Permalink :
in Alcohol and Alcoholism > Vol.49, n°2 (March-April 2014) . - 207-212[article]Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial / E. KANER ; M. BLAND ; P. CASSIDY ; S. COULTON ; V. DALE ; P. DELUCA ; E. GILVARRY ; C. GODFREY ; N. HEATHER ; J. MYLES ; D. NEWBURY-BIRCH ; A. OYEFESO ; S. PARROTT ; K. A. PERRYMAN ; T. PHILLIPS ; J. SHEPHERD ; C. DRUMMOND in British Medical Journal, Vol.346, n°7892 (26 January 2013)
Titre : Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial Type de document : Périodique Auteurs : E. KANER ; M. BLAND ; P. CASSIDY ; S. COULTON ; V. DALE ; P. DELUCA ; E. GILVARRY ; C. GODFREY ; N. HEATHER ; J. MYLES ; D. NEWBURY-BIRCH ; A. OYEFESO ; S. PARROTT ; K. A. PERRYMAN ; T. PHILLIPS ; J. SHEPHERD ; C. DRUMMOND Année de publication : 2013 Article en page(s) : e8501 ; 14 p. Note générale : Editorial: "Screening and brief intervention for alcohol use disorders in primary care. Simple screening and provision of written information may be enough for most patients", E. Murray, BMJ 2013;346:e8706. Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
ANGLETERRE ; ROYAUME-UNI
ALCOOL ; EVALUATION ; DEPISTAGE ; INTERVENTION BREVE ; ETUDE RANDOMISEE ; REDUCTION DE CONSOMMATION ; SOINS DE PREMIER RECOURS ; AUDIT ; SUIVI DU PATIENT ; CONSEIL
Discipline : TRA Traitement et prise en charge / Treatment and care Résumé : Objective: To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in primary care. The hypothesis was that more intensive intervention would result in a greater reduction in hazardous or harmful drinking.
Design: Pragmatic cluster randomised controlled trial.
Setting: Primary care practices in the north east and south east of England and in London.
Participants: 3562 patients aged 18 or more routinely presenting in primary care, of whom 2991 (84.0%) were eligible to enter the trial: 900 (30.1%) screened positive for hazardous or harmful drinking and 756 (84.0%) received a brief intervention. The sample was predominantly male (62%) and white (92%), and 34% were current smokers.
Interventions: Practices were randomised to three interventions, each of which built on the previous one: a patient information leaflet control group, five minutes of structured brief advice, and 20 minutes of brief lifestyle counselling. Delivery of the patient leaflet and brief advice occurred directly after screening and brief lifestyle counselling in a subsequent consultation.
Main outcome measures: The primary outcome was patients’ self reported hazardous or harmful drinking status as measured by the alcohol use disorders identification test (AUDIT) at six months. A negative AUDIT result (score Results: Patient follow-up rates were 83% at six months (n=644) and 79% at 12 months (n=617). At both time points an intention to treat analysis found no significant differences in AUDIT negative status between the three interventions. Compared with the patient information leaflet group, the odds ratio of having a negative AUDIT result for brief advice was 0.85 (95% confidence interval 0.52 to 1.39) and for brief lifestyle counselling was 0.78 (0.48 to 1.25). A per protocol analysis confirmed these findings.
Conclusions: All patients received simple feedback on their screening outcome. Beyond this input, however, evidence that brief advice or brief lifestyle counselling provided important additional benefit in reducing hazardous or harmful drinking compared with the patient information leaflet was lacking.
Domaine : Alcool / Alcohol Refs biblio. : 47 Affiliation : Institute of Health and Society, Newcastle University, Newcastle, UK Permalink :
in British Medical Journal > Vol.346, n°7892 (26 January 2013) . - e8501 ; 14 p.[article]Pregnancy outcome in women who use opiates / FAJEMIROKUN-ODUDEYI O. in European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol.126, n°2 (June 2006)
Titre : Pregnancy outcome in women who use opiates Titre traduit : (L'issue de la grossesse chez les femmes qui utilisent des opiacés) Type de document : Périodique Auteurs : FAJEMIROKUN-ODUDEYI O. ; C. SINHA ; TUTTY S. ; PAIRAUDEAU P. ; D. ARMSTRONG ; T. PHILLIPS ; LINDOW S. W. Année de publication : 2006 Article en page(s) : 170-175 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
ETUDE RETROSPECTIVE ; GROSSESSE ; SEXE FEMININ ; OPIACES ; HEROINE ; METHADONE ; NOUVEAU NE
ANGLETERRE ; ROYAUME-UNI
Discipline : PRO Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods Résumé : BACKGROUND: Opiate use in pregnancy is on the increase. There are a number of complications associated with this problem but current data from UK centres are sparse. DESIGN: A retrospective study. SETTING: A North of England Hospital. METHODS: Maternal and neonatal case records were studied and a standard data set completed. MAIN OUTCOME MEASURES: Maternal and neonatal outcomes were classified by the woman's drug usage at the end of pregnancy. RESULTS: One hundred and ten babies born to 108 women were studied and 41% had evidence of previous exposure to the hepatitis C virus. Women who took heroin in later pregnancy were significantly more likely than women who were stabilised on methadone to have a baby who needed morphine (40% versus 19%), had higher mean maximum neonatal abstinence scores (NAS) (5.8 versus 4.7) and stayed in the neonatal unit significantly longer (mean 17.2 days versus 11.8 days). There were two neonatal deaths and the overall rate of prematurity was 29%. CONCLUSIONS: The outcome for pregnancy in women who use opiates is complicated by high rates of prematurity and neonatal death. Women who used heroin in later pregnancy had babies who developed more severe NAS and needed a longer hospital stay than women who used only methadone. Domaine : Drogues illicites / Illicit drugs Refs biblio. : 17 Affiliation : Women & Children's Hospital, Hull Royal Infirmary, Anlaby Road, Hull HU3 2JZ.
Royaume-Uni. United Kingdom.
Numéro Toxibase : 1301754 Centre Emetteur : 13 OFDT Cote : A02867 Permalink :
in European Journal of Obstetrics and Gynecology and Reproductive Biology > Vol.126, n°2 (June 2006) . - 170-175[article]