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A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results
Struzzo, Pierluigi; Vedova, Roberto; Ferrante, Donatella et al.
2015In Addiction Science and Clinical Practice, 10 (Suppl 2), p. 29
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Abstract :
[en] Background The effectiveness of brief interventions for risky drinkers by GPs is well documented.[1] However, implementation levels remain low. Facilitated access to an alcohol reduction website offers an alternative to standard face-to-face intervention, but it is unclear whether it is as effective.[2] This study evaluates whether online brief intervention, through GP facilitated access to an alcohol reduction website for risky drinkers, is not inferior to the face-to-face brief intervention conducted by GPs. Material and methods In a northern Italy region participating GPs actively encouraged all patients age 18 attending their practice, to access an online screening website based on AUDIT-C.[3] Those screening positive underwent a baseline assessment with the AUDIT-10[4] and EQ-5D[5] questionnaires and subsequently, were randomly assigned to receive either online counselling on the alcohol reduction website (intervention) or face-to-face intervention based on the brief motivational interview[6] by their GP (control). Follow-up took place at 3 and 12 months and the outcome was calculated on the basis of the proportion of risky drinkers in each group according to the AUDIT-10. Results More than 50% (n= 3974) of the patients who received facilitated access logged-on to the website and completed the AUDIT-C. Just under 20% (n = 718) screened positive and 94% (n= 674) of them completed the baseline questionnaires and were randomized. Of the 310 patients randomized to the experimental Internet intervention, 90% (n = 278) logged-on to the site. Of the 364 patients of the control group, 72% (263) were seen by their GP. A follow-up rate of 94% was achieved at 3 months. Conclusions The offer of GP facilitated access to an alcohol reduction website appears to be an effective way of identifying risky drinkers and enabling them to receive brief intervention.
Disciplines :
General & internal medicine
Computer science
Human health sciences: Multidisciplinary, general & others
Public health, health care sciences & services
Author, co-author :
Struzzo, Pierluigi
Vedova, Roberto
Ferrante, Donatella
Freemantle, Nicholas
Lygidakis, Charilaos ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Marcatto, Francesco
Scafato, Emanuele
Scafuri, Francesca
Tersar, Costanza
Wallace, Paul
External co-authors :
yes
Language :
English
Title :
A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results
Publication date :
2015
Event name :
INEBRIA 12th Congress
Event place :
United States
Event date :
24-25 September 2015
Audience :
International
Journal title :
Addiction Science and Clinical Practice
ISSN :
1940-0640
Publisher :
BioMed Central
Volume :
10
Issue :
Suppl 2
Pages :
O29
Peer reviewed :
Peer Reviewed verified by ORBi
Funders :
This work is jointly supported by the Italian Ministry of Health and by the regional school for the training in Primary Care of the Region Friuli-Venezia Giulia, Italy.
Commentary :
10.1186/1940-0640-10-S2-O29
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since 23 December 2016

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