AIMS: To examine the effectiveness of a brief intervention (BI) and cognitive behaviour therapy (CBT) for alcohol abuse. DESIGN: A randomized trial with clients randomized within counsellors. SETTING:Community-based drug and alcohol counsellingin Australia. PARTICIPANTS: Of all new clients attending counselling. 869 (82%) completed a computerized assessment at their first consultation. Four hundred and twenty-one (48%) were defined as eligible, of whom 295 (70%) consented and were allocated randomly to an intervention. Of these, 13 3 (45%) were followed-up at 6 months post-test. INTERVENTIONS: BI comprised the elements identified by the acronym FRAMES:feedback, responsibility, advice, menu, empathy, self-efficacy. Face-to-face counselling time was not to exceed 90 minutes. CBT comprised six consecutive weekly sessions: introduction: cravings and urges; managing crises; saying 'no' and solving problems: emergencies and lapses: and maintenance. Total face-to-face counselling time was 270 minutes (six 45-minute sessions). MEASUREMENTS: Treatment outcomes are measured in terms of counsellor compliance, client satisfaction, weekly and binge consumption, alcohol-related problems, the AUDIT questionnaire and cost-effectiveness. FINDINGS: When analysed on an intention-to-treat basis and for those followed-up. treatment outcomes between BI and CBT were not statistically significantly different at pre- or post-test, whether considered as continuous or categorical variables. BI was statistically significantly more cost-effective than CBT and there was no difference between them in clients' reported levels of satisfaction. CONCLUSION: For low-dependence alcohol abuse in community settings, BI may be the treatment of choice.
RCT Entities:
AIMS: To examine the effectiveness of a brief intervention (BI) and cognitive behaviour therapy (CBT) for alcohol abuse. DESIGN: A randomized trial with clients randomized within counsellors. SETTING: Community-based drug and alcohol counselling in Australia. PARTICIPANTS: Of all new clients attending counselling. 869 (82%) completed a computerized assessment at their first consultation. Four hundred and twenty-one (48%) were defined as eligible, of whom 295 (70%) consented and were allocated randomly to an intervention. Of these, 13 3 (45%) were followed-up at 6 months post-test. INTERVENTIONS:BI comprised the elements identified by the acronym FRAMES:feedback, responsibility, advice, menu, empathy, self-efficacy. Face-to-face counselling time was not to exceed 90 minutes. CBT comprised six consecutive weekly sessions: introduction: cravings and urges; managing crises; saying 'no' and solving problems: emergencies and lapses: and maintenance. Total face-to-face counselling time was 270 minutes (six 45-minute sessions). MEASUREMENTS: Treatment outcomes are measured in terms of counsellor compliance, client satisfaction, weekly and binge consumption, alcohol-related problems, the AUDIT questionnaire and cost-effectiveness. FINDINGS: When analysed on an intention-to-treat basis and for those followed-up. treatment outcomes between BI and CBT were not statistically significantly different at pre- or post-test, whether considered as continuous or categorical variables. BI was statistically significantly more cost-effective than CBT and there was no difference between them in clients' reported levels of satisfaction. CONCLUSION: For low-dependence alcohol abuse in community settings, BI may be the treatment of choice.
Authors: Javier Goti; Rosa Diaz; Lourdes Serrano; Laura Gonzalez; Rosa Calvo; Antoni Gual; Josefina Castro Journal: Eur Child Adolesc Psychiatry Date: 2009-09-25 Impact factor: 4.785
Authors: Anthony Shakeshaft; Dennis Petrie; Christopher Doran; Courtney Breen; Robert Sanson-Fisher Journal: BMC Public Health Date: 2012-01-10 Impact factor: 3.295
Authors: Bernhard T Baune; Rafael T Mikolajczyk; Gerhard Reymann; Annette Duesterhaus; Susanne Fleck; Hildegard Kratz; Ulrike Sundermann Journal: BMC Health Serv Res Date: 2005-11-18 Impact factor: 2.655
Authors: Anna Letícia Moraes Alves; Izadora Karina Silva; Pedro Henrique Paula Lemos; Victor Lomachinsky Torres; Eric Crevanzi Arraes; Pedro Augusto Sampaio Rocha-Filho Journal: Acta Neurol Belg Date: 2021-07-23 Impact factor: 2.396
Authors: Cristina Martín-Pérez; Juan F Navas; José C Perales; Ángela López-Martín; Sergio Cordovilla-Guardia; Mónica Portillo; Antonio Maldonado; Raquel Vilar-López Journal: PLoS One Date: 2019-12-10 Impact factor: 3.240