{"id":339,"date":"2012-11-01T10:08:00","date_gmt":"2012-11-01T14:08:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2012\/01\/01\/meta-analysis-behavioral-counseling-interventions-for-nondependent-unhealthy-alcohol-use-decrease-drinking-in-adult-primary-care-patients\/"},"modified":"2017-01-31T11:45:27","modified_gmt":"2017-01-31T16:45:27","slug":"meta-analysis-behavioral-counseling-interventions-for-nondependent-unhealthy-alcohol-use-decrease-drinking-in-adult-primary-care-patients","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2012\/11\/01\/meta-analysis-behavioral-counseling-interventions-for-nondependent-unhealthy-alcohol-use-decrease-drinking-in-adult-primary-care-patients\/","title":{"rendered":"Meta-Analysis:  Behavioral Counseling Interventions for Nondependent Unhealthy Alcohol Use  Decrease Drinking in Adult Primary-Care Patients"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>To help the  US Preventive Services Task Force update its guidelines, researchers searched  for English-language controlled trials published between 1985 and 2012 that  evaluated behavioral counseling interventions for unhealthy alcohol use  identified by screening in primary care settings. Twenty-three trials met  eligibility criteria. Interventions were usually multicontact and included  brief advice\/feedback, motivational interviews, and cognitive strategies  delivered in very brief, brief, or extended formats. <\/p>\n<ul>\n<li>Compared  with controls, adults receiving behavioral counseling interventions:<\/li>\n<\/ul>\n<ul>\n<ul>\n<li>decreased  their weekly alcohol consumption more (mean difference, 3.6 fewer drinks per  week), were more likely to drink lower risk amounts (mean risk difference,  11%), and were less likely to report heavy drinking* episodes (mean risk  difference, 12%) at 12 months. Brief (<u>&lt;<\/u>15 minutes each) multicontact  interventions had the best supporting evidence.<\/li>\n<li>had  fewer hospital inpatient days (low strength of evidence) but no difference in  emergency department (ED) visits, legal problems, mortality, or quality of  life.                    <\/li>\n<\/ul>\n<\/ul>\n<ul>\n<li>Compared  with controls, young adults\/college students receiving behavioral counseling  interventions decreased their consumption and had fewer motor vehicle crashes,  ED visits, and academic consequences.                    <\/li>\n<\/ul>\n<ul>\n<li>Evidence  was not sufficient to make conclusions about other groups (e.g., pregnant  women, adolescents, older adults).<\/li>\n<\/ul>\n<p><!-- InstanceEndEditable --><\/p>\n<div class=\"research-summary-footnotes-1\">\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes-1\" --><\/p>\n<p>*Defined  across studies as \u22655 drinks per occasion for men and \u22654 drinks for women.<\/p>\n<p>\t\t\t\t\t\t<!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2 class=\"research-summary-comments\">Comments:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"comments\" -->This well-done systematic review supports  behavioral counseling interventions for primary care patients who screen positive  for nondependent unhealthy alcohol use. The main observed benefit was for  intermediate outcomes such as alcohol consumption. However, response to initial  or repeated interventions over time could lead to reductions in \u201chard\u201d outcomes  such as mortality, alcohol-related trauma, and liver disease. The results do  not apply to patients with alcohol dependence, since most of the included  trials excluded such patients. <!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Kevin L. Kraemer, MD, MSc<!-- InstanceEndEditable --><br \/>\n\t\t\t\t\t<\/cite><\/p>\n<div class=\"research-summary-footnotes\">\n\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes\" --><\/p>\n<p>\u00a0<\/p>\n<p>\t\t\t\t\t<!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2>Reference:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"reference\" -->Jonas DE, Garbutt JC, Amick HR, et al. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23007881\">Behavioral  counseling after screening for alcohol misuse in primary care: a systematic  review and meta-analysis for the U.S. Preventive Services Task Force.<\/a> <em>Ann Intern Med.<\/em> 2012;157(9):645\u2013654.<!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>To help the US Preventive Services Task Force update its guidelines, researchers searched for English-language controlled trials published between 1985 and 2012 that evaluated behavioral counseling interventions for unhealthy alcohol use identified by screening in primary care settings. Twenty-three trials met eligibility criteria. Interventions were usually multicontact and included brief advice\/feedback, motivational interviews, and cognitive [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[56],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/339"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/11272"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=339"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/339\/revisions"}],"predecessor-version":[{"id":2507,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/339\/revisions\/2507"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=339"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}