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Volume 10 Supplement 2

INEBRIA 12th Congress,

A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results

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Background

The effectiveness of brief interventions for risky drinkers by GPs is well documented.[1] However, implementation levels remain low. Facilitated access to an alcohol reduction website offers an alternative to standard face-to-face intervention, but it is unclear whether it is as effective.[2] This study evaluates whether online brief intervention, through GP facilitated access to an alcohol reduction website for risky drinkers, is not inferior to the face-to-face brief intervention conducted by GPs.

Material and methods

In a northern Italy region participating GPs actively encouraged all patients age 18 attending their practice, to access an online screening website based on AUDIT-C.[3] Those screening positive underwent a baseline assessment with the AUDIT-10[4] and EQ-5D[5] questionnaires and subsequently, were randomly assigned to receive either online counselling on the alcohol reduction website (intervention) or face-to-face intervention based on the brief motivational interview[6] by their GP (control). Follow-up took place at 3 and 12 months and the outcome was calculated on the basis of the proportion of risky drinkers in each group according to the AUDIT-10.

Results

More than 50% (n= 3974) of the patients who received facilitated access logged-on to the website and completed the AUDIT-C. Just under 20% (n = 718) screened positive and 94% (n= 674) of them completed the baseline questionnaires and were randomized. Of the 310 patients randomized to the experimental Internet intervention, 90% (n = 278) logged-on to the site. Of the 364 patients of the control group, 72% (263) were seen by their GP. A follow-up rate of 94% was achieved at 3 months.

Conclusions

The offer of GP facilitated access to an alcohol reduction website appears to be an effective way of identifying risky drinkers and enabling them to receive brief intervention.

References

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    Kaner EFS, Dickinson HO, Beyer FR, et al: Effectiveness of brief alcohol interventions in primary care populations. Cochrane Database Syst Rev. 2007, doi: 10.1002/14651858.CD004148.pub3, 2

  2. 2.

    Wallace P, Murray E, McCambridge J, et al: On-line randomized controlled trial of an Internet based psychologically enhanced intervention for people with hazardous alcohol consumption. PLoS ONE. 2011, 6: e14740-10.1371/journal.pone.0014740.

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    Struzzo P, De Faccio S, Moscatelli E: Identificazione precoce dei bevitori a rischio in Assistenza Primaria in Italia:o ed adattamento del questionario AUDIT al contesto italiano e verifica dell’ efficacia d'uso dello short-AUDIT test nel contesto nazionale di assistenza primaria: uno studio di validazione interna. Boll delle Farmacodipendenze e Alcolismo. 2006, XXIX: 20-5.

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    Saunders JB, Aasland OG, Babor TF, et al: Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption. II. Addiction. 1993, 88: 791-804. 10.1111/j.1360-0443.1993.tb02093.x.

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    Rabin R, Charro F: EQ-5D: a measure of health status from the Euroqol group. Ann Med. 2001, 33: 337-43. 10.3109/07853890109002087.

  6. 6.

    Miller WR, Rollnick S: Il colloquio motivazionale. Preparare la persona al cambiamento. 2004, Erickson

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Acknowledgements

This work is jointly supported by the Italian Ministry of Health and by the regional school for the training in Primary Care of the Region Friuli-Venezia Giulia, Italy.

(Grant number: D25E12002900003). On behalf of the EFAR Study Group.

Author information

Correspondence to Pierluigi Struzzo.

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Struzzo, P., Vedova, R.D., Ferrante, D. et al. A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results. Addict Sci Clin Pract 10, O29 (2015). https://0-doi-org.brum.beds.ac.uk/10.1186/1940-0640-10-S2-O29

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Keywords

  • Public Health
  • Alcohol
  • Social Work
  • Health Psychology
  • Baseline Assessment