{"id":845,"date":"2007-01-01T10:14:00","date_gmt":"2007-01-01T14:14:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2007\/01\/01\/brief-intervention-in-primary-care-does-it-really-work-in-practice\/"},"modified":"2017-01-31T11:46:53","modified_gmt":"2017-01-31T16:46:53","slug":"brief-intervention-in-primary-care-does-it-really-work-in-practice","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2007\/01\/01\/brief-intervention-in-primary-care-does-it-really-work-in-practice\/","title":{"rendered":"Brief Intervention in Primary Care: Does It Really Work in Practice?"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" -->  <\/p>\n<p> Although the efficacy of brief intervention (BI) for unhealthy alcohol use in primary care patients is established, important implementation questions remain (e.g., who should deliver a BI?; how effective is BI in general clinical practice?). To address these issues, researchers evaluated BI among a randomly selected sample of adult risky drinkers* in 15 clinics within 5 managed care organizations. <\/p>\n<p> Clinics were randomly assigned to provide 1 of the following: BI by licensed practitioner (MD, NP); BI by mid-level professional (nurse); or no BI. Follow-up was completed by 1329 subjects (of 2923) at 3 months and 737 at 12 months. <\/p>\n<ul>\n<li> At 3 months, patients who received BI as well as those who did not had significant decreases in consumption from baseline. <\/li>\n<li> A greater proportion of intervention than control patients decreased consumption by &gt;=1 drinks per week (60% vs. 53%). <\/li>\n<li> Decreases and differences between groups persisted at the 12-month follow-up. <\/li>\n<li> Provider type (licensed or mid-level) did not significantly affect the results. <\/li>\n<li> The estimated cost of BI ranged between $2.82 and $4.16. <\/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>This effectiveness study had substantial loss to follow-up. Still, its findings suggest that BI can be implemented at a defined cost in managed-care primary care settings and may produce modest decreases in alcohol consumption, whether delivered by a physician, nurse practitioner, or nurse. No cost-effectiveness outcomes were described despite the article\u2019s title. <\/p>\n<p>  <!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->  Jeffrey H. Samet, MD, MA, MPH<br \/>\n  <!-- 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\" -->*Assessed with adapted versions of the first 3 questions of the Alcohol Use Disorders Identification Test (AUDIT); defined as AUDIT scores of &gt;=7 for women or older men and &gt;=8 for younger men<!-- 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>Babor TF, Higgins-Biddle JC, Dauser D, et al. <a href=\"http:\/\/alcalc.oxfordjournals.org\/cgi\/content\/abstract\/41\/6\/624?maxtoshow=&amp;HITS=10&amp;hits=10&amp;RESULTFORMAT=&amp;fulltext=Babor&amp;searchid=1&amp;FIRSTINDEX=0&amp;resourcetype=HWCIT\" target=\"_blank\">Brief interventions for at-risk drinking: patient outcomes and cost-effectiveness in managed care organizations<\/a>. <em>Alcohol Alcohol<\/em>. 2006;41(6):624\u2013631.<\/p>\n<p>  <!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Although the efficacy of brief intervention (BI) for unhealthy alcohol use in primary care patients is established, important implementation questions remain (e.g., who should deliver a BI?; how effective is BI in general clinical practice?). To address these issues, researchers evaluated BI among a randomly selected sample of adult risky drinkers* in 15 clinics within [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/845"}],"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=845"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/845\/revisions"}],"predecessor-version":[{"id":2989,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/845\/revisions\/2989"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=845"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=845"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=845"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}