| Reference : A randomized controlled non-inferiority trial of primary care-based facilitated acces... |
| Scientific congresses, symposiums and conference proceedings : Paper published in a journal | |||
| Engineering, computing & technology : Computer science Human health sciences : General & internal medicine Human health sciences : Public health, health care sciences & services Human health sciences : Multidisciplinary, general & others | |||
| http://hdl.handle.net/10993/29180 | |||
| A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results | |
| English | |
| 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 [> >] | |
| 2015 | |
| Addiction Science & Clinical Practice | |
| BioMed Central | |
| 10 | |
| Suppl 2 | |
| O29 | |
| Yes | |
| International | |
| 1940-0640 | |
| INEBRIA 12th Congress | |
| 24-25 September 2015 | |
| USA | |
| [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. | |
| 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. | |
| http://hdl.handle.net/10993/29180 | |
| 10.1186/1940-0640-10-S2-O29 | |
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4596998/ | |
| 10.1186/1940-0640-10-S2-O29 |
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