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Effect of electronic brief intervention on uptake of specialty treatment in hospital outpatients with likely alcohol dependence: Pilot randomized trial and qualitative interviews.
Johnson, Natalie A; Kypri, Kypros; Latter, Joanna; Dunlop, Adrian; Brown, Amanda; Saitz, Richard; Saunders, John B; Attia, John; Wolfenden, Luke; Doran, Christopher; McCambridge, Jim.
Afiliação
  • Johnson NA; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia. Electronic address: natalie.johnson@newcastle.edu.au.
  • Kypri K; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia.
  • Latter J; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia.
  • Dunlop A; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia; Hunter New England Local Health District Drug and Alcohol Clinical Services, Newcastle, NSW, 2300, Australia.
  • Brown A; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia; Hunter New England Local Health District Drug and Alcohol Clinical Services, Newcastle, NSW, 2300, Australia.
  • Saitz R; Department of Community Health Sciences, Boston University School of Public Health, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston University School of Medicine and the Grayken Center for Addiction, Boston Medical Center, Boston, MA, 02118, USA.
  • Saunders JB; Centre for Youth Substance Abuse Research, University of Queensland, Herston, 4006, Australia.
  • Attia J; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia; Department of General Medicine, John Hunter Hospital, New Lambton Heights, NSW, 2305, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, 2305, Australia.
  • Wolfenden L; School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW, 2308, Australia; Hunter New England Local Health District Population Health, Wallsend, NSW, 2287, Australia.
  • Doran C; Centre for Indigenous Health Equity Research, Central Queensland University, Brisbane, 4000, Australia.
  • McCambridge J; Department of Health Sciences, University of York, Heslington, York, YO10 5DD, UK.
Drug Alcohol Depend ; 183: 253-260, 2018 02 01.
Article em En | MEDLINE | ID: mdl-29306817
BACKGROUND: A large proportion of hospital outpatients are alcohol dependent (AD) but few are engaged in treatment for their drinking. Brief intervention, designed to raise patients' awareness of their drinking, might encourage uptake of referral to specialty treatment. We assessed the feasibility of conducting a randomized trial evaluating the effectiveness of electronic brief intervention on the uptake of specialty treatment in hospital outpatients with likely AD. METHODS: This study was conducted in the outpatient department of a large public hospital in Newcastle, Australia. We randomly assigned adults who scored ≥10 on the AUDIT-C and were not currently receiving treatment for their drinking to electronic brief intervention (comprising an assessment of their drinking and personalized feedback) and referral (n = 59), or to referral alone (n = 64). We pre-specified two co-primary outcomes as the proportions of patients who (1) accepted and (2) attended a Drug and Alcohol outpatient clinic appointment. We interviewed 15 study participants to investigate why they had declined the appointment and what sort of help they might prefer to receive. RESULTS: Ten patients (five in each group) accepted an appointment, and one patient (control) attended. Most interviewees' did not see their drinking as a problem or were confident they could manage it by themselves. Those who identified a preferred source of help expressed a preference for treatment by a GP. CONCLUSION: Uptake of specialty treatment in hospital outpatients with likely AD was low regardless of whether they received brief intervention. Accordingly, a large randomized trial does not appear to be feasible.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Psicoterapia Breve / Encaminhamento e Consulta / Aceitação pelo Paciente de Cuidados de Saúde / Alcoolismo Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Drug Alcohol Depend Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pacientes Ambulatoriais / Psicoterapia Breve / Encaminhamento e Consulta / Aceitação pelo Paciente de Cuidados de Saúde / Alcoolismo Tipo de estudo: Clinical_trials / Prognostic_studies / Qualitative_research Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Drug Alcohol Depend Ano de publicação: 2018 Tipo de documento: Article