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Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial

Kaner, Eileen, Bland, Martin, Cassidy, Paul, Coulton, Simon, Dale, Veronica, Deluca, Paolo, Gilvarry, Eilish, Godfrey, Christine, Heather, Nick, Myles, Judy, and others. (2013) Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial. British Medical Journal, 346 . ISSN 0959-8138. (doi:10.1136/bmj.e8501)

Abstract

Objective To evaluate the effectiveness of different brief intervention

The hypothesis was that more intensive intervention would result in a

Design Pragmatic cluster randomised controlled trial.

England and in London.

primary care, of whom 2991 (84.0%) were eligible to enter the trial: 900

(84.0%) received a brief intervention. The sample was predominantly

Interventions Practices were randomised to three interventions, each

group, five minutes of structured brief advice, and 20 minutes of brief

occurred directly after screening and brief lifestyle counselling in a

Main outcome measures The primary outcome was patients’ self

use disorders identification test (AUDIT) at six months. A negative AUDIT

Secondary outcomes were a negative AUDIT result at 12 months,

health utility (EQ-5D), service utilisation, and patients’ motivation to

modified readiness ruler.

79% at 12 months (n=617). At both time points an intention to treat

between the three interventions. Compared with the patient information

advice was 0.85 (95% confidence interval 0.52 to 1.39) and for brief

confirmed these findings.

outcome. Beyond this input, however, evidence that brief advice or brief

hazardous or harmful drinking compared with the patient information

leaflet was lacking.

Item Type: Article
DOI/Identification number: 10.1136/bmj.e8501
Projects: Projects 0 not found.
Subjects: H Social Sciences > HV Social pathology. Social and public welfare > HV5001 Alcoholism and intemperance
R Medicine > RA Public aspects of medicine
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 21 Jan 2013 09:42 UTC
Last Modified: 22 Jan 2020 04:04 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/33045 (The current URI for this page, for reference purposes)
Coulton, Simon: https://orcid.org/0000-0002-7704-3274
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