Michael A Cucciare 1,2,3 , Ann S Combs 4 , Gauri Joshi 4 , Xiaotong Han 1,2,3 , Keith Humphreys 4,5 Show Affiliations »
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BACKGROUND AND AIMS: Reducing alcohol consumption by liver disease patients can reduce morbidity and mortality . This study compared a computer-delivered brief alcohol intervention (cBAI) with standard care in a sample of US military veterans with liver disease . DESIGN: Multi-site, randomized controlled trial of a cBAI plus standard care (n = 67) versus standard care only (n = 71). Participants were assessed at baseline and 3- and 6-month follow-up. SETTING: US Veterans Health Administration liver clinics . PARTICIPANTS: Participants were mostly male and diagnosed with hepatitis C . INTERVENTIONS AND COMPARATORS: A cBAI tailored to veterans with liver disease and consisting of assessment and personalized feedback . Standard care was brief education and advice about alcohol and liver disease. MEASUREMENT: Primary outcomes were self-reported number of drinking days and unhealthy drinking days (defined as more than two drinks for men and more than one for women) in the past 30 days at 6-month follow-up. Secondary outcomes were these two variables at 3-month follow-up, and drinks consumed per drinking day, depression and overall health at 3- and 6-month follow-ups. Missing data were imputed using multiple imputation. FINDINGS: Compared with standard care , cBAI participants reported significantly fewer drinking days at 6-month follow-up and fewer unhealthy drinking days at both 3- and 6-month follow-ups. Least square means (LS-means) for number of drinking days were 3.78 for the cBAI condition and 6.89 for the standard care condition at 6 months [LS-mean ratio = 3.78/6.89 = 0.55, 95% confidence interval (CI) = 0.34, 0.89]. LS-means for number of unhealthy drinking days were 1.04 for the cBAI condition and 2.57 for the standard care condition at 3-month follow-up (LS-mean ratio = 1.04/2.57 = 0.41, 95% CI = 0.19, 0.85). At 6-months follow-up, LS-means were 1.18 for the cBAI condition and 2.75 for the standard care condition (LS-mean ratio = 1.18/2.75 = 0.43, 95% CI = 0.20, 0.91). CONCLUSIONS: A computer-delivered brief alcohol intervention reduced drinking days and unhealthy drinking days at 6-month follow up in military veterans with liver disease compared with brief education and advice to reduce consumption. © 2020 Society for the Study of Addiction .
RCT Entities: Population
Interventions
Outcomes
BACKGROUND AND AIMS: Reducing alcohol consumption by liver disease patients can reduce morbidity and mortality . This study compared a computer-delivered brief alcohol intervention (cBAI ) with standard care in a sample of US military veterans with liver disease . DESIGN: Multi-site, randomized controlled trial of a cBAI plus standard care (n = 67) versus standard care only (n = 71). Participants were assessed at baseline and 3- and 6-month follow-up. SETTING: US Veterans Health Administration liver clinics. PARTICIPANTS : Participants were mostly male and diagnosed with hepatitis C. INTERVENTIONS AND COMPARATORS: A cBAI tailored to veterans with liver disease and consisting of assessment and personalized feedback. Standard care was brief education and advice about alcohol and liver disease . MEASUREMENT: Primary outcomes were self-reported number of drinking days and unhealthy drinking days (defined as more than two drinks for men and more than one for women ) in the past 30 days at 6-month follow-up. Secondary outcomes were these two variables at 3-month follow-up, and drinks consumed per drinking day, depression and overall health at 3- and 6-month follow-ups. Missing data were imputed using multiple imputation. FINDINGS: Compared with standard care, cBAI participants reported significantly fewer drinking days at 6-month follow-up and fewer unhealthy drinking days at both 3- and 6-month follow-ups. Least square means (LS-means) for number of drinking days were 3.78 for the cBAI condition and 6.89 for the standard care condition at 6 months [LS-mean ratio = 3.78/6.89 = 0.55, 95% confidence interval (CI) = 0.34, 0.89]. LS-means for number of unhealthy drinking days were 1.04 for the cBAI condition and 2.57 for the standard care condition at 3-month follow-up (LS-mean ratio = 1.04/2.57 = 0.41, 95% CI = 0.19, 0.85). At 6-months follow-up, LS-means were 1.18 for the cBAI condition and 2.75 for the standard care condition (LS-mean ratio = 1.18/2.75 = 0.43, 95% CI = 0.20, 0.91). CONCLUSIONS: A computer-delivered brief alcohol intervention reduced drinking days and unhealthy drinking days at 6-month follow up in military veterans with liver disease compared with brief education and advice to reduce consumption. © 2020 Society for the Study of Addiction.
Entities: Chemical
Disease
Species
Keywords:
Brief alcohol intervention; US military veterans; computer-delivered; hepatitis C virus; liver clinics; liver disease
Year: 2020
PMID： 32924207 DOI： 10.1111/add.15263
Source DB: PubMed Journal: Addiction ISSN： 0965-2140 Impact factor: 6.526