AIMS: To investigate whether brief interventions (BIs) delivered by a dedicated Alcohol Specialist Nurse (ASN) to non-treatment-seeking alcohol-dependent patients in an acute hospital setting are effective in reducing alcohol consumption and dependence. METHODS: A prospective cohort control study in two acute NHS Hospital Trusts in the North West England, one of which provided BI (university teaching hospital-test site) while the other did not (district general hospital-control site), including follow-up BIs. Subjects were alcohol-dependent patients aged ≥18 years. RESULTS: A total of 100 patients were recruited at each site. No differences were found between the groups in the baseline demographic parameters or medical co-morbidities. At the test site, further sessions were sometimes offered, and 46 patients received more than one intervention (median 4, mean 6.3 and maximum 20). At 6 months, alcohol consumption (P < 0.0001), Alcohol Use Disorders Identification Tool (AUDIT) score (P < 0.0001) and Severity of Alcohol Dependence Questionnaire score (P = 0.0001) were significantly lower at the test site than the control site. Outcomes were found to be independent of both the baseline level of dependence and medical co-morbidity. CONCLUSION: BI delivered by a dedicated ASN for non-treatment-seeking alcohol-dependent individuals, who often have significant medical co-morbidities, seem to be effective in an acute hospital setting. This study provides a framework to inform the design of a future randomized controlled trial.
AIMS: To investigate whether brief interventions (BIs) delivered by a dedicated Alcohol Specialist Nurse (ASN) to non-treatment-seeking alcohol-dependent patients in an acute hospital setting are effective in reducing alcohol consumption and dependence. METHODS: A prospective cohort control study in two acute NHS Hospital Trusts in the North West England, one of which provided BI (university teaching hospital-test site) while the other did not (district general hospital-control site), including follow-up BIs. Subjects were alcohol-dependent patients aged ≥18 years. RESULTS: A total of 100 patients were recruited at each site. No differences were found between the groups in the baseline demographic parameters or medical co-morbidities. At the test site, further sessions were sometimes offered, and 46 patients received more than one intervention (median 4, mean 6.3 and maximum 20). At 6 months, alcohol consumption (P < 0.0001), Alcohol Use Disorders Identification Tool (AUDIT) score (P < 0.0001) and Severity of Alcohol Dependence Questionnaire score (P = 0.0001) were significantly lower at the test site than the control site. Outcomes were found to be independent of both the baseline level of dependence and medical co-morbidity. CONCLUSION: BI delivered by a dedicated ASN for non-treatment-seeking alcohol-dependent individuals, who often have significant medical co-morbidities, seem to be effective in an acute hospital setting. This study provides a framework to inform the design of a future randomized controlled trial.
Authors: Antoinette Krupski; Jutta M Joesch; Chris Dunn; Dennis Donovan; Kristin Bumgardner; Sarah Peregrine Lord; Richard Ries; Peter Roy-Byrne Journal: Addict Sci Clin Pract Date: 2012-12-14
Authors: Lynn Owens; Graham Butcher; Ian Gilmore; Ruwanthi Kolamunnage-Dona; James Oyee; Liz Perkins; Tom Walley; Paula Williamson; Ken Wilson; Munir Pirmohamed Journal: BMC Public Health Date: 2011-07-04 Impact factor: 3.295
Authors: Isabel A Barata; Jamie R Shandro; Margaret Montgomery; Robin Polansky; Carolyn J Sachs; Herbert C Duber; Lindsay M Weaver; Alan Heins; Heather S Owen; Elaine B Josephson; Wendy Macias-Konstantopoulos Journal: West J Emerg Med Date: 2017-09-21
Authors: H L Graham; A Copello; E Griffith; N Freemantle; P McCrone; L Clarke; K Walsh; C A Stefanidou; A Rana; M Birchwood Journal: Acta Psychiatr Scand Date: 2015-11-21 Impact factor: 6.392