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Brief motivational counselling does not reduce alcohol consumption in people with high alcohol intake

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Does a brief motivational counselling session improve alcohol outcomes in hospitalised patients with unhealthy alcohol use?

Saitz R, Palfai TP, Cheng DM, et al. Brief intervention for medical inpatients with unhealthy alcohol use: a randomized, controlled trial. Ann Intern Med 2007;146:167–76.

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Unblinded.

Embedded ImageFollow-up period:

Twelve months.

Embedded ImageSetting:

Patient recruitment from an urban teaching hospital with out-patient follow-up; Massachusetts, USA; time period not stated.

Embedded ImagePatients:

341 medical in-patients (⩾18 years) with unhealthy alcohol intake over the past month (men: >14 standard drinks/week or ⩾5 drinks/occasion; women and those aged ⩾66 years: >11 standard drinks/week or ⩾4 drinks/occasion). Drinking habits were initially assessed using the Alcohol Use Disorders Identification Test (AUDIT). In the first 7 months, patients with AUDIT score ⩾8 were asked additional questions (drinking-days per week; drinks per day; maximum drinks per occasion) to determine eligibility; subsequently, any patient who drank in past 12 months was asked …

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