Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial
Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial
复制标题
DOI：
10.1136/bmj.e8501
复制
发表时间：
2013-01-09
影响因子：
105.7
通讯作者：
Drummond, Colin
中科院分区：
文献类型：
--
作者：
Kaner, Eileen;Bland, Martin;Drummond, Colin
目的评价不同简短干预策略在初级保健中减少危险或有害饮酒的效果。假设是，更密集的干预将导致更大程度上减少有害或有害的饮酒。设计实用群随机对照试验。设置初级保健实践在英格兰东北部和东南部和伦敦。参与者3562名18岁或以上的初级保健患者，其中2991名（84.0%）有资格进入试验：900名（30.1%）筛查出有害或有害饮酒阳性，756名（84.0%）接受了简短的干预。样本主要是男性（62%）和白人（92%），34%是当前吸烟者。干预措施将实践随机分为三个干预措施，每个干预措施都建立在前一个干预措施的基础上：患者信息传单对照组，5分钟结构化简短建议和20分钟简短生活方式咨询。筛查后直接发放患者传单和简短的建议，并在随后的咨询中提供简短的生活方式咨询。主要结局指标主要结局指标是患者在6个月时通过酒精使用障碍识别测试（AUDIT）测量的自我报告危险或有害饮酒状况。审计结果为负（分数）
Objective To evaluate the effectiveness of different brief intervention strategies at reducing hazardous or harmful drinking in primary care. The hypothesis was that more intensive intervention would result in a greater reduction in hazardous or harmful drinking.Design Pragmatic cluster randomised controlled trial.Setting Primary care practices in the north east and south east of England and in London.Participants 3562 patients aged 18 or more routinely presenting in primary care, of whom 2991 (84.0%) were eligible to enter the trial: 900 (30.1%) screened positive for hazardous or harmful drinking and 756 (84.0%) received a brief intervention. The sample was predominantly male (62%) and white (92%), and 34% were current smokers.Interventions Practices were randomised to three interventions, each of which built on the previous one: a patient information leaflet control group, five minutes of structured brief advice, and 20 minutes of brief lifestyle counselling. Delivery of the patient leaflet and brief advice occurred directly after screening and brief lifestyle counselling in a subsequent consultation.Main outcome measures The primary outcome was patients' self reported hazardous or harmful drinking status as measured by the alcohol use disorders identification test (AUDIT) at six months. A negative AUDIT result (score