Behavioral Counseling After Screening for Alcohol Misuse in Primary Care: A Systematic Review and Meta-analysis for the U.S. Preventive Services Task Force
Annals of Internal MedicinePublished 6 November 2012
Daniel E Jonas, James C. Garbutt, Halle R Amick, Janice M. Brown, Kimberly A. Brownley, Carol L. Council
Citations377
SJR quartileQ1
SJR score3.38
SNIP3.27
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Behavioral counseling interventions improve behavioral outcomes for adults with risky drinking and trials enrolling young adults or college students showed reduced consumption and fewer heavy drinking episodes.
Abstract
Agency for Healthcare Research and Quality.
Keywords
MedicineHealth Professions
BMJMeasuring inconsistency in meta-analyses
62,756 Citations2003Julian P. T. Higgins, Simon G. Thompson +2 more
A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
Statistics in MedicineQuantifying heterogeneity in a meta‐analysis
36,744 Citations2002Julian P. T. Higgins, Simon G. Thompson
It is concluded that H and I2, which can usually be calculated for published meta-analyses, are particularly useful summaries of the impact of heterogeneity, and one or both should be presented in publishedMeta-an analyses in preference to the test for heterogeneity.
JAMAActual Causes of Death in the United States
5,351 Citations1993J. Michael McGinnis
The most prominent contributors to mortality in the United States in 1990 were tobacco, diet and activity patterns, alcohol, microbial agents, toxic agents, firearms, sexual behavior, motor vehicles, and illicit use of drugs.
JAMAActual Causes of Death in the United States, 2000
5,213 Citations2004Ali H. Mokdad
These analyses show that smoking remains the leading cause of mortality in the United States, however, poor diet and physical inactivity may soon overtake tobacco as the lead cause of death.
American Journal of Preventive MedicineCurrent methods of the U.S. Preventive Services Task Force
1,734 Citations2001Russell Harris, Mark Helfand +5 more
This paper summarizes the current methods of the third USPSTF, supported by the Agency for Healthcare Research and Quality and two of the AHRQ Evidence-based Practice Centers (EPCs), and examines a variety of methodologic issues and document work group progress in future communications.
Preventive MedicineA meta-analysis of alcohol consumption and the risk of 15 diseases
1,098 Citations2004Giovanni Corrao
This meta-analysis shows no evidence of a threshold effect for both neoplasms and several non-neoplastic diseases, and J-shaped relations were observed only for coronary heart disease.
American Journal of Preventive MedicineEvaluating primary care behavioral counseling interventions An evidence-based approach
1,045 Citations2002Evelyn P Whitlock
Two separate analytic frameworks derived from screening topic tools that are developed to guide USPSTF behavioral topic reviews are presented and the use of the Five A's construct-assess, advise, agree, assist, and arrange-adapted from tobacco cessation interventions in clinical care provides a workable framework to report behavioral counseling intervention review findings.
Annals of Internal MedicineBehavioral Counseling Interventions in Primary Care To Reduce Risky/Harmful Alcohol Use by Adults: A Summary of the Evidence for the U.S. Preventive Services Task Force
728 Citations2004Evelyn P Whitlock, Michael R Polen +3 more
The assumption underlying brief behavioral counseling interventions in primary care is that, for identified risky or harmful drinkers, reducing overall alcohol consumption or adopting safer drinking patterns will reduce the risk for medical, social, and psychological problems, and little experimental evidence supports this assumption.
The LancetAlcohol-use disorders
690 Citations2009Marc A. Schuckit
Clinicians should routinely screen for alcohol disorders, using clinical interviews, questionnaires, blood tests, or a combination of these methods to reliably identify people for whom drinking causes major physiological consequences and persistent impairment of quality of life and ability to function.
BMJRandomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption.
661 Citations1988Paul Wallace, S. Cutler +1 more
If the results of this study were applied to the United Kingdom intervention by general practitioners could each year reduce to moderate levels the alcohol consumption of some 250000 men and 67500 women who currently drink to excess.
New England Journal of MedicineUnhealthy Alcohol Use
587 Citations2005Richard Saitz
A 32-year-old man has a three-month history of difficulty sleeping and on questioning, he mentions that he drinks four to six glasses of wine three to four times per week.
Alcoholism Clinical and Experimental ResearchBrief Physician Advice for Problem Drinkers: Long‐Term Efficacy and Benefit‐Cost Analysis
535 Citations2002Michael F. Fleming, Marlon P. Mundt +4 more
The long-term follow-up of Project TrEAT provides the first direct evidence that brief physician advice is associated with sustained reductions in alcohol use, health care utilization, motor vehicle events, and associated costs.
Journal of Clinical EpidemiologyAHRQ Series Paper 5: Grading the strength of a body of evidence when comparing medical interventions—Agency for Healthcare Research and Quality and the Effective Health-Care Program
506 Citations2009Douglas K Owens, Kathleen N Lohr +6 more
EPCs should grade strength of evidence separately for each major outcome and, for comparative effectiveness reviews, all major comparisons.
Annals of Internal MedicineFormulating Questions and Locating Primary Studies for Inclusion in Systematic Reviews
498 Citations1997Carl Counsell
A good systematic review is based on a well-formulated, answerable question, which guides the review by defining which studies will be included, what the search strategy to identify the relevant primary studies should be, and which data need to be extracted from each study.
Journal of Studies on AlcoholTalk is cheap: measuring drinking outcomes in clinical trials.
474 Citations2000Thomas F. Babor, Karl Steinberg +2 more
In clinical trials using self-selected research volunteers, biochemical tests and collateral informant reports do not add sufficiently to self-report measurement accuracy to warrant their routine use.
AddictionTruth or consequences: the validity of self‐report data in health services research on addictions
467 Citations2000Frances K. Del Boca, Jane A. Noll
Journal of Studies on AlcoholHow effective is alcoholism treatment in the United States?
437 Citations2001William R. Miller, Scott T. Walters +1 more
Estimates of the average effectiveness of alcoholism treatment were derived from seven large multisite studies to provide a meaningful and data-based answer to the common question of how people fare, on average, after being treated for alcoholism.
Annals of Internal MedicineScreening and Behavioral Counseling Interventions in Primary Care To Reduce Alcohol Misuse: Recommendation Statement
389 Citations2004U.S. Preventive Services Task Force*
The USPSTF found good evidence that screening in primary care settings can accurately identify patients whose levels or patterns of alcohol consumption do not meet criteria for alcohol dependence, but place them at risk for increased morbidity and mortality, and goodevidence that brief behavioral counseling interventions with follow-up produce small to moderate reductions in alcohol consumption.
Medical CareBenefit-Cost Analysis of Brief Physician Advice With Problem Drinkers in Primary Care Settings
360 Citations2000Michael F. Fleming, Marlon P. Mundt +4 more
These results offer the first quantitative evidence that implementation of a brief intervention for problem drinkers can generate positive net benefit for patients, the health care system, and society.
American Journal of Public HealthA cross-national trial of brief interventions with heavy drinkers. WHO Brief Intervention Study Group.
320 Citations1996
American Journal of Preventive MedicinePreventing Alcohol-Exposed Pregnancies
302 Citations2007R. Louise Floyd, Mark B. Sobell +10 more
A brief motivational intervention to reduce the risk of an alcohol-exposed pregnancy (AEP) in preconceptional women by focusing on both risk drinking and ineffective contraception use can reduce therisk of an AEP.
AddictionWeb‐based screening and brief intervention for hazardous drinking: a double‐blind randomized controlled trial
292 Citations2004Kypros Kypri, John B. Saunders +5 more
e-SBI reduced hazardous drinking among university students, to an extent similar to that found for practitioner-delivered brief interventions in the general population, and is capable of being incorporated into primary care.
Alcoholism Clinical and Experimental ResearchQuantifying the Risks Associated With Exceeding Recommended Drinking Limits
268 Citations2005Deborah A. Dawson, Bridget F. Grant +1 more
Data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions provide a useful tool for illustrating the broad range of risk of AUDs associated with exceeding recommended drinking limits, and they support the utility of the daily and weekly drinking limits in predicting AUDs.
Archives of Internal MedicineBrief Physician- and Nurse Practitioner–Delivered Counseling for High-Risk Drinkers
249 Citations1999Judith K. Ockene, Abigail Adams +3 more
Evidence is provided that screening and very brief advice and counseling delivered by a physician or nurse practitioner as part of routine primary care significantly reduces alcohol consumption by high-risk drinkers.
Drug and Alcohol ReviewAlcohol screening and brief intervention in primary care: Absence of evidence for efficacy in people with dependence or very heavy drinking
244 Citations2010Richard Saitz
The absence of evidence for the efficacy of BI among primary-care patients with screening-identified alcohol dependence raises questions regarding the efficiency of screening and BI, particularly in settings where dependence is common.
PLoS ONECan Simply Answering Research Questions Change Behaviour? Systematic Review and Meta Analyses of Brief Alcohol Intervention Trials
244 Citations2011Jim McCambridge, Kypros Kypri
Answering questions on drinking in brief intervention trials appears to alter subsequent self-reported behaviour, and the effects of brief alcohol interventions may have been consistently under-estimated.
The Medical Journal of AustraliaMeta‐analysis of alcohol and all‐cause mortality: a validation of NHMRC recommendations
228 Citations1996C. D’Arcy J. Holman, Dallas R. English +2 more
To compare the National Health and Medical Research Council (NHMRC) recommendations on responsible, hazardous and harmful alcohol intake with their effects on all‐cause mortality in men and women and on the occurrence of 10 specific neoplastic, cardiovascular and alimentary diseases, a meta-analysis is conducted.
Obstetrics and GynecologyBrief Intervention for Prenatal Alcohol Use: A Randomized Trial
220 Citations2005Grace Chang, Tay McNamara +6 more
Pregnant women with the highest levels of alcohol use reduced their drinking most after a brief intervention that included their partners, and recommendations include consistent screening for prenatal alcohol use followed by diagnostic assessment when indicated and if confirmed by other studies, a patient-partner brief intervention for the heaviest drinkers.
American Journal of Public HealthBrief Intervention for Alcohol Use by Pregnant Women
217 Citations2006Mary J. O’Connor, Shannon E. Whaley
The success of brief intervention conducted in a community setting by nonmedical professionals has significant implications for national public health policies.
British Journal of AddictionThe effect of general practitioners' advice to heavy drinking men
211 Citations1992Peter Anderson, Eileen Scott
At one year follow-up, the treatment group had reduced their consumption by an excess of 65 grams of alcohol per week when compared with the control group (p less than 0.05).
Journal of Studies on AlcoholFindings of a pilot study of motivational interviewing with pregnant drinkers.
206 Citations1999Nancy S. Handmaker, William R. Miller +1 more
Motivational interviewing shows promise as a specific intervention for initiating a reduction in drinking among pregnant women who are at greatest risk of fetal alcohol effects.
Archives of Internal MedicineRandomized Controlled Trial of Web-Based Alcohol Screening and Brief Intervention in Primary Care
193 Citations2008Kypros Kypri
Single-dose e-SBI reduces hazardous drinking, and the effect lasts 12 months, and additional sessions seem not to enhance the effect.
AddictionAssessment may conceal therapeutic benefit: findings from a randomized controlled trial for hazardous drinking
176 Citations2006Kypros Kypri, John Langley +2 more
Brief assessment appeared to reduce hazardous drinking in a four-arm randomized controlled trial and Controlled trials that rely on assessment may therefore underestimate treatment effects.
AddictionBrief intervention for alcohol use in pregnancy: a randomized trial
158 Citations1999Grace Chang, Louise Wilkins‐Haug +2 more
The importance of screening for prenatal alcohol use is underscored by the findings that any prenatal alcohol consumption increases the risk of continued antepartum drinking.
Canadian Journal of Public HealthLow-risk Drinking Guidelines: The Scientific Evidence
150 Citations1999Susan J. Bondy, Jürgen Rehm +4 more
The evidence reviewed demonstrated that placing limits on both daily intake and cumulative intake over the typical week is justifiable for the prevention of important causes of morbidity and mortality.
AddictionControlled evaluation of a general practice-based brief intervention for excessive drinking
146 Citations2003Robyn Richmond, Nick Heather +3 more
The Alcoholscreen Program did not result in a significantly greater reduction in consumption at follow-up than control conditions but patients offered Alcoholscreen reported a significantly great reduction in alcohol-related problems in the period to 6 months follow- up.
Alcoholism Clinical and Experimental ResearchTreatment of Problem Alcohol Use in Women of Childbearing Age: Results of a Brief Intervention Trial
144 Citations2000Linda Baier Manwell, Michael F. Fleming +3 more
This trial provides the first direct evidence that brief intervention is associated with sustained reductions in alcohol consumption by women of childbearing age and has enormous implications for the U.S. health care system.
Annals of Internal MedicineAddressing Alcohol Problems in Primary Care: A Cluster Randomized, Controlled Trial of a Systems Intervention: The Screening and Intervention in Primary Care (SIP) Study
132 Citations2003Richard Saitz, Nicholas J. Horton +3 more
This randomized trial, from an academic primary care setting, tested whether prompting physicians with positive alcohol screening results that are linked to specific management recommendations works and whether this would increase physician alcohol counseling and decrease patient drinking.
Obstetrics and GynecologyAlcohol Use and Pregnancy: Improving Identification
124 Citations1998Grace Chang
The T-ACE was the most sensitive screen for lifetime alcohol diagnoses, risk drinking, and current alcohol consumption and outperformed obstetric staff assessment of any alcohol use by pregnant women enrolled in the study.
American Journal of Preventive MedicineBrief Intervention in a Primary Care Setting for Hazardous Drinkers
123 Citations1997Robert A. Senft, Michael R Polen +2 more
A one-time, brief motivational intervention using minimal clinician time supplemented by trained counselors resulted in a modest reduction in frequency of alcohol consumption in a busy primary care population.
Journal of Studies on Alcohol and Drugs SupplementAlcohol Screening and Brief Intervention in a College Student Health Center: A Randomized Controlled Trial
121 Citations2009James F Schaus, Mary Lou Sole +3 more
Repeated measures analysis showed that, compared with the control group, the intervention group (I) had significant reductions in typical estimated blood alcohol concentration (BAC) and peak BAC, and brief interventions delivered by primary care providers in a student health center to high-risk-drinking students may result in significantly decreased alcohol consumption, high- risk drinking, and alcohol-related harms.
Journal of Studies on AlcoholEffects of two types of brief intervention and readiness to change on alcohol use in hazardous drinkers.
116 Citations2001Stephen A. Maisto, Joseph Conigliaro +4 more
The results confirm that, among primary care patients, substantial changes in alcohol consumption are possible and suggest that matching studies of patient readiness to change their alcohol use, as well as other variables, are warranted.
Drug and Alcohol ReviewRandomized controlled trial of general practitioner intervention in women with excessive alcohol consumption
110 Citations1991Eileen Scott, Peter Anderson
At one year follow-up, when analyzed by intention to treat, women in the treatment group had reduced their alcohol consumption from an average of 35-24 units per week, and similar reductions were found in the control group.
AddictionPrimary care-based intervention to reduce at-risk drinking in older adults: a randomized controlled trial
107 Citations2010Alison Moore, Fred Blow +11 more
A multi-faceted intervention among older at- risk drinkers in primary care does not reduce the proportions of at-risk or heavy drinkers, but does reduce amount of drinking at 12 months.
Drug and Alcohol DependenceEvaluation of a telephone-based stepped care intervention for alcohol-related disorders: A randomized controlled trial
104 Citations2007Gallus Bischof, Janina Grothues +4 more
Study results reveal that a stepped care approach can be expected to increase cost-effectiveness of brief interventions for individuals with at-risk drinking.
Europe PMC (PubMed Central)Screening, Behavioral Counseling, and Referral in Primary Care To Reduce Alcohol Misuse
103 Citations2012Jonas De, Garbutt Jc +11 more
Alcohol misuse, which includes the full spectrum from drinking above recommended limits (i.e., risky/hazardous drinking) to alcohol dependence, 1-3 is associated with numerous health and social problems and more than 85,000 deaths per year in the United States.
Journal of General Internal MedicineBrief physician and nurse practitioner-delivered counseling for high-risk drinking
102 Citations2005Sarah Reiff-Hekking, Judith K. Ockene +2 more
Evidence is provided that screening and very brief advice and counseling delivered by a patient’s personal physician or nurse practitioner as a routine part of a primary care visit can reduce alcohol consumption by high-risk drinkers.
Substance Use & MisuseComparison of Consumption Effects of Brief Interventions for Hazardous Drinking Elderly
93 Citations2003Adam J. Gordon, Joseph Conigliaro +4 more
It is suggested that hazardous alcohol consumption in the elderly is common and that BIs reduce alcohol consumption among hazardous alcohol drinking elderly similar to younger populations.
Journal of Substance Abuse TreatmentA brief intervention for prenatal alcohol use An in-depth look
91 Citations2000Grace Chang, Margaret Ann Goetz +2 more
This study examines the relationship of drinking goals, reasons for the goals, recognition of situations increasing risk of drinking, and subsequent antepartum consumption in 123 alcohol screen-positive pregnant women receiving a brief intervention in the 16th week of gestation.
The American Journal of Drug and Alcohol AbusePreventing Alcohol and Drug Exposed Births in Washington State: Intervention Findings From Three Parent-Child Assistance Program Sites
86 Citations2005Therese M. Grant, Cara C. Ernst +2 more
Outcomes among 216 women enrolled in the Washington State Parent-Child Assistance Program are examined, suggesting that this community-based intervention model is effective over time and across venues.
Journal of Studies on Alcohol and DrugsBrief Physician Advice for Heavy Drinking College Students: A Randomized Controlled Trial in College Health Clinics
82 Citations2010Michael F. Fleming, Stacey L. Balousek +6 more
The study supports resource allocation and implementation of alcohol screening and brief physician advice in primary care-based college health clinics and shows no difference on the other outcome measures of interest.
Journal of Advanced NursingEffectiveness of nurse‐led brief alcohol intervention: a cluster randomized controlled trial
82 Citations2006Catherine A. Lock, Eileen Kaner +6 more
The brief intervention evaluated in this trial had no effect over standard advice delivered by nurses in primary health care, however, there was a reduction in excessive drinking across both arms of the trial over time.
Alcoholism Clinical and Experimental ResearchRates and Correlates of Alcohol Use Among Pregnant Women in Obstetrics Clinics
81 Citations2003Heather A. Flynn, Sheila M. Marcus +2 more
This study demonstrated that screening in busy obstetrics clinics is feasible and acceptable to women and that it may be optimal to use both indirect and direct measures of alcohol use, and that brief assessments should be conducted throughout pregnancy.
PubMedAlcohol counselling of 85 pregnant problem drinkers: effect on drinking and fetal outcome.
79 Citations1988Erja Halmesmäki
BJOG An International Journal of Obstetrics & GynaecologyAlcohol counselling of 85 pregnant problem drinkers: effect on drinking and fetal outcome
78 Citations1988Erja Halmesmäki
Of the women with continuous alcohol abuse 89% gave birth to infants with at least one feature of FAE compared with only 40% of those who decreased their alcohol consumption, and 7% of blood specimens collected at follow‐up visits contained ethanol.
Health PsychologyA randomized trial of a brief primary-care based intervention for reducing at-risk drinking practices.
71 Citations2003Susan J. Curry, Evette Ludman +3 more
Members of the intervention group received a message from their physician during their regularly scheduled visit, a self-help manual, written personalized feedback, and up to 3 telephone counseling calls.
The Journal of Behavioral Health Services & ResearchScreening and brief intervention for hazardous drinking in an HMO: Effects on medical care utilization
68 Citations2000Donald K. Freeborn, Michael R Polen +2 more
Although the intervention reduced alcohol consumption at six-month follow-up, intervention and control groups made similar numbers of outpatient visits and, among those hospitalized, had similar lengths of stay.
The Annals of Family MedicineBrief Physician Advice For High-Risk Drinking Among Young Adults
68 Citations2004Paul M. Grossberg
The findings of this study support more widespread implementation of brief interventions in primary care settings after long-term reductions in high-risk drinking behaviors and consequences.
The Annals of Family MedicineAlcohol and Sleep Problems in Primary Care Patients: A Report from the AAFP National Research Network
67 Citations2010Daniel C. Vinson, Brian Manning +4 more
Moderate and hazardous drinking were associated with few sleep problems, but using alcohol for sleep was strongly associated with hazardous drinking relative to moderate drinking and may serve as a prompt for physicians to ask about excessive alcohol use.
Alcohol and AlcoholismRCT of Effectiveness of Motivational Enhancement Therapy Delivered by Nurses for Hazardous Drinkers in Primary Care Units in Thailand
64 Citations2010Sairat Noknoy, Ram Rangsin +3 more
MET delivered by nurses in PCUs in Thailand appears to be an effective intervention for male hazardous drinkers, although self-reported consumption in both groups fell from baseline to 6-month follow-up, serum gamma-glutamyl transferase increased in both group, which raises doubts about the validity of this marker in this sample.
Journal of Studies on AlcoholBrief physician advice for problem drinking among older adults: an economic analysis of costs and benefits.
61 Citations2005Marlon P. Mundt, Michael T. French +3 more
Although the clinical benefits of brief alcohol interventions with older adults are clear, the economic results in this age group are less certain and may require more intensive and costly interventions to achieve economic benefits similar to those seen in younger adult problem drinkers.
Alcoholism Clinical and Experimental ResearchThe Healthy Moms Study: The Efficacy of Brief Alcohol Intervention in Postpartum Women
59 Citations2008Michael F. Fleming, Michael Lund +3 more
The findings of the Healthy Moms Trial support the implementation of brief alcohol intervention during the postpartum period.
International Journal of the AddictionsEvaluation of a Self-Help Program to Reduce Alcohol Consumption among Pregnant Women
51 Citations1995Kim D. Reynolds, David Coombs +3 more
A higher alcohol quit rate was observed among the intervention participants than controls, and the effect was strongest for "light" drinkers, African-Americans, and non-Protestants.
Behavioral Counseling Interventions in Primary Care to Reduce Risky/Harmful Alcohol Use
50 Citations2004Evelyn P Whitlock, Carla A. Green +5 more
Drug and Alcohol DependenceEffectiveness of brief alcohol interventions for general practice patients with problematic drinking behavior and comorbid anxiety or depressive disorders
49 Citations2008Janina Grothues, Gallus Bischof +4 more
BI did not significantly effect a reduction of drinking in comorbid patients, and as BI are known to be less effective for dependent drinkers, a larger proportion of dependents among the COMorbid might have limited the effectiveness of BI.
American Journal of Preventive MedicineValidation of a self-administered questionnaire to screen for prenatal alcohol use in Northern Plains Indian women
43 Citations1999Loretta Bad Heart Bull, Valborg L. Kvigne +3 more
The SAQ is a useful screening tool for alcohol use in this population of American Indian prenatal patients and is sensitive and specific in detecting pregnant women who had consumed alcohol during pregnancy.
Journal of General Internal MedicineDo Health Educator Telephone Calls Reduce At-risk Drinking Among Older Adults in Primary Care?
38 Citations2010James C. Lin, Mitchell P. Karno +8 more
Telephone-based intervention delivered by a health educator was moderately efficacious in reducing at-risk drinking at 3 months after enrollment among older adults receiving a multi-faceted intervention in primary care settings; however, the effect was not sustained at 12 months.
American Journal on AddictionsIdentifying Prenatal Alcohol Use: Screening Instruments Versus Clinical Predictors
36 Citations1999Grace Chang, Margaret Ann Goetz +2 more
The purpose of this study is to compare the accuracy of screening instruments with clinical predictors in the identification of prenatal alcohol use and found the predictive ability of the T-ACE was further improved with the addition of clinical predictor.
Alcohol and AlcoholismGender differences in the efficacy of brief interventions with a stepped care approach in general practice patients with alcohol-related disorders
33 Citations2008S. Reinhardt, Gallus Bischof +4 more
In a heterogeneous sample, the intervention was only effective for women, and women tended to profit more from the first, less intensive intervention than men.
Social Science & MedicinePreventing alcohol related birth damage: A review
33 Citations1990Elissa Waterson, Iain M. Murray‐Lyon
It is concluded that women should be advised to limit their alcohol consumption to no more than one unit a day when they are either pregnant or planning a pregnancy, and the form of advice should be designed with the characteristics of the risk population in mind.
Social Work in Health CareUsing Drink Size to Talk About Drinking During Pregnancy: A Randomized Clinical Trial of Early Start Plus
28 Citations2009Mary Anne Armstrong, Lee Ann Kaskutas +5 more
Early Start Plus provides clinicians with an innovative assessment tool that creates open dialogue about drinking during pregnancy that favored ESP for preterm labor and ES for low birth weight.
Journal of Substance Abuse TreatmentBrief intervention for prenatal alcohol use: The role of drinking goal selection
26 Citations2006Grace Chang, Tay McNamara +2 more
It is concluded that goal choice in behavioral self-management of alcohol use by pregnant women is critical and the women who chose cutting down on drinking were the least likely to drink less subsequently, despite recognizing more situations putting them at risk for drinking and identifying more alternatives to consumption.
Journal of Studies on Alcohol and DrugsAlcohol-Attributable Fraction for Injury in the U.S. General Population: Data From the 2005 National Alcohol Survey
25 Citations2008Cheryl J. Cherpitel, Yu Ye
The data suggest that alcohol plays a larger role in those injuries for which treatment is sought in EDs, and this may be related to the severity of the injury.
MCN The American Journal of Maternal/Child NursingTHE EFFECT OF BRIEF ALCOHOL INTERVENTION ON POSTPARTUM DEPRESSION
23 Citations2009Georgiana Wilton, D. Paul Moberg +1 more
The results of the Healthy Moms Study support the importance of both alcohol and depression screening during the postpartum period and suggest brief alcohol intervention during this time may also positively affect depressive symptomatology.
The American Journal of MedicineEfficacy of Physician-delivered Brief Counseling Intervention for Binge Drinkers
23 Citations2009Gabriel Rubio, Miguel Ángel Jiménez‐Arriero +3 more
Evidence is provided that screening and brief counseling delivered by a primary care physician as part of regular health care significantly reduced binge drinking episodes in binge drinkers.
NSUWorks (Nova Southeastern University)Motivational intervention to reduce alcohol-exposed pregnancies--Florida, Texas, and Virginia, 1997-2001
23 Citations2003Mark B. Sobell, Linda C. Sobell +2 more
Annals of Behavioral MedicineBrief Patient-Centered Clinician-Delivered Counseling for High-Risk Drinking: 4-Year Results
19 Citations2009Judith K. Ockene, George Reed +1 more
With a single brief intervention, SI participants had significantly greater reductions in their drinking levels at 6 and 12 months compared to UC participants and maintained the lower-risk levels at 48 months resulting in a reduction in health risk exposure time.
Acta Obstetricia Et Gynecologica ScandinavicaModerate alcohol consumption—need for intervention programs in pregnancy?
19 Citations1986Alf Meberg, Bjørn Halvorsen +5 more
Strategy for reducing alcohol consumption during pregnancy should include a structured alcohol anamnesis at the first ante‐natal visit, accompanied by counseling focused on reduction of alcohol consumption.
Journal of Obstetric, Gynecologic & Neonatal NursingTwo Prenatal Alcohol Use Screening Instruments Compared With a Physiologic Measure
18 Citations2000Karen W. Budd, Kathleen Ross-Alaolmolki +1 more
The PAUI is a more sensitive screen than the ACOG record and should be the instrument preferred for screening prenatal alcohol use.
American Journal on AddictionsThe Relationship between Eligibility Criteria for Participation in Alcohol Brief Intervention Trials and Other Alcohol and Health‐Related Variables
10 Citations2001Stephen A. Maisto, Joseph Conigliaro +3 more
The analyses showed statistical differences among the three subgroups on three outcome dimensions of alcohol consumption, related consequences and behaviors, and medical complications; for both consumption and complications, the AUDIT + QF participants showed greater severity than participants in either of the other two groups.
…