{"id":820,"date":"2007-05-01T10:18:00","date_gmt":"2007-05-01T14:18:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2007\/01\/01\/brief-intervention-is-insufficient-for-medical-inpatients-with-unhealthy-drinking\/"},"modified":"2017-01-31T11:46:48","modified_gmt":"2017-01-31T16:46:48","slug":"brief-intervention-is-insufficient-for-medical-inpatients-with-unhealthy-drinking","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2007\/05\/01\/brief-intervention-is-insufficient-for-medical-inpatients-with-unhealthy-drinking\/","title":{"rendered":"Brief Intervention Is Insufficient  for Medical Inpatients With Unhealthy Drinking"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>Data show  that brief intervention reduces consumption and consequences among outpatients  with unhealthy, but not dependent, alcohol use. To assess whether brief  interventions work among medical inpatients with unhealthy drinking,*  researchers randomized 341 of such patients to a 30-minute session of  motivational counseling in the hospital or to usual care.\u00a0 <\/p>\n<p>Most  subjects had alcohol dependence, were unemployed during the previous 3 months,  used other drugs, and had substantial psychiatric symptoms. Almost half were  hospitalized for an alcohol-related medical diagnosis.<\/p>\n<ul type=\"disc\">\n<li>At 3 months among subjects with       alcohol dependence, similar proportions of the intervention and control groups       received alcohol assistance (e.g., specialty treatment) (49% and 44%,       respectively).\n<\/li>\n<li>At 12 months among all       subjects, decreases in alcohol consumption did not significantly differ       between the groups (e.g., adjusted mean decreases in drinks per day, 1.5       for intervention subjects and 3.1 for usual care subjects). <\/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\" --><!-- 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\" --><\/p>\n<p>Unlike most  brief intervention studies in outpatients, this study enrolled a predominantly  alcohol-dependent sample with major comorbidities\u2014a group reflective of the  treatment-resistant population identified when screening occurs in inpatient  settings. The study suggests that screening, assessment, and brief counseling  are necessary but not sufficient to change alcohol consumption in this  population.\u00a0Although the findings are disappointing, this study  underscores that alcoholism\u2014like cancer, atherosclerosis and other complex  diseases\u2014will not succumb to simple solutions.<\/p>\n<p>\t\t\t\t\t<!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Peter D. Friedmann, MD, MPH<!-- 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>*Defined in  this study as &gt;14 drinks per week or <u>&gt;<\/u>5 drinks per occasion for  men; &gt;11 drinks per week or <u>&gt;<\/u>4 drinks per occasion for women and  people <u>&gt;<\/u>66 years old<\/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\" --><\/p>\n<p>Saitz R, Palfai TP, Cheng DM, et al. <a href=\"http:\/\/www.annals.org\/cgi\/content\/abstract\/146\/3\/167?maxtoshow=&amp;HITS=10&amp;hits=10&amp;RESULTFORMAT=&amp;fulltext=guerriero&amp;searchid=1&amp;FIRSTINDEX=0&amp;resourcetype=HWCIT\" target=\"_blank\">Brief intervention for medical inpatients with unhealthy alcohol use: a randomized controlled trial<\/a>. <em>Ann Intern Med<\/em>. 2007;146(3):167\u2013176.\n    <\/p>\n<p>\t    <!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data show that brief intervention reduces consumption and consequences among outpatients with unhealthy, but not dependent, alcohol use. To assess whether brief interventions work among medical inpatients with unhealthy drinking,* researchers randomized 341 of such patients to a 30-minute session of motivational counseling in the hospital or to usual care.\u00a0 Most subjects had alcohol dependence, [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[39],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/820"}],"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=820"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/820\/revisions"}],"predecessor-version":[{"id":2965,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/820\/revisions\/2965"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=820"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=820"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=820"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}