Nurse-provided screening and brief intervention for risky alcohol consumption by sexual health clinic patients

Sexually Transmitted Infections
J LaneP S Haber

Abstract

Brief intervention for excessive alcohol consumption is effective yet not implemented widely. Alcohol misuse is implicated in unsafe sex and sexually transmitted infections and is common in clients of sexual health services. Our aims were to assess feasibility, acceptability and effectiveness of screening and brief intervention for risky alcohol consumption by a nurse in a sexual health clinic. Patients completed the AUDIT questionnaire on handheld computers. Those scoring >or=8 on AUDIT were asked to participate in the study and the 3 months' follow-up and were randomised to intervention or control groups. The Drink-less package (based on WHO validated methods) was used to implement the brief intervention by a trained registered nurse. Of 519 (87%) who completed screening, 204 (39%) scored >or=8 on AUDIT (eligible), 184 agreed to follow-up and 133 completed it. At follow-up, both groups showed significant reductions in AUDIT scores. Mean scores decreased from 13.7 to 11.5 (control group) and 14.0 to 10.7 (intervention group); most (94%) recalled the intervention and 62% reported reducing drinking compared with 47% of controls (p<0.001). The nurse screening and intervention process was reported acceptable by 74% of patients at ...Continue Reading

Citations

Apr 13, 2013·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Kathryn PuskarHelen K Burns
Jan 11, 2011·Journal of Addictive Diseases·Adeline M NyamathiBarbara Leake
Oct 22, 2011·Alcoholism, Clinical and Experimental Research·Alys HavardChristopher M Doran
Sep 8, 2015·Lancet·Jason P ConnorWayne D Hall
Aug 12, 2015·The Journal of Family Planning and Reproductive Health Care·Paul RoderickVeerakathy Harindra
Nov 6, 2014·Sexually Transmitted Infections·Keith Radcliffe, Nicola Thorley
Aug 24, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Jennifer L WalshMichael P Carey
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Nov 11, 2010·Sexual Health·Rudiger Pittrof, Elizabeth Goodburn

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