Brief alcohol intervention as pragmatic intervention: who is voluntarily taking an offered intervention?

Alcohol
Gerhard GmelJean-Bernard Daeppen

Abstract

Brief alcohol interventions (BAI) have shown the potential to decrease problematic alcohol use among adolescents and young adults. Most of the BAI studies have been efficacy trials designed to achieve high internal validity but have raised questions regarding the feasibility of large-scale implementation. Providing interventions for those voluntarily wanting them might offer an alternative, and studies using this design would be more similar to effectiveness studies. The present research compares randomly selected 20-year-old men who took part in a scientific trial (efficacy) with those who voluntarily sought an intervention (effectiveness). Sampling took place during army recruitment procedures that are mandatory for all males in Switzerland. At-risk drinking (20+ drinks per week, or more than one risky drinking occasion of 6+ drinks per month) was determined a posteriori; there was no screening. There were a higher percentage of at-risk drinkers in the volunteer arm at baseline, but at-risk drinkers did not differ from those in the trial arm on any of the assessed alcohol measures. This suggests that offering BAI on a large-scale, voluntary basis may reach at-risk drinkers as effectively as do more scientifically oriented tri...Continue Reading

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Citations

Aug 31, 2012·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Shufeng ChenJianfeng Huang
May 10, 2017·Emergency Medicine Journal : EMJ·Robert Patton, Ghiselle Green

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