Baby Sojan, Singh Harpreet, Singh Ranveer, Dixit Siddharth, Chail Amit, Dubey Amresh
Department of Psychiatry, Base Hospital Barrackpore, West Bengal, India.
Department of Psychiatry, Command Hospital (Southern Command), Pune, Maharashtra, India.
Ind Psychiatry J. 2019 Jul-Dec;28(2):294-300. doi: 10.4103/ipj.ipj_95_20. Epub 2020 Aug 14.
At the population level, screening and brief intervention (BI) is the most cost-effective method to reduce the burden of disease due to hazardous alcohol use. In delivering BI at individual level, trained workforce as well as time is a limiting factor. Hence, a study was conducted to assess the outcome of a "modified brief intervention" program delivered at workplace in a group setting for the participants identified with hazardous alcohol use pattern, as a secondary prevention measure.
Study was a pre- and post-intervention study without a control group. Following an educational lecture, conducted by a mental health team including a psychiatrist, participants were screened using the WHO ASSIST questionnaire, V3.0 version. Those screened positive for hazardous alcohol use were given "modified brief intervention" in a group setting at their workplace which consisted of two semi-structured sessions of 1-h duration each. The sessions were spaced in a month. First session was based on motivation enhancement measures along with gathering of current alcohol use details and second session focused on relapse prevention. Three months later, the outcomes were assessed using a semistructured questionnaire and ASSIST was reapplied. The analysis was done using the R-commander from R-software.
No significant difficulty was experienced in conducting the interventions. Fifty (55.6%) participants stayed alcohol abstinent following second session and another 22 (24.44%) had reduced both the quantity and frequency of use. Paired -tests revealed statistically significant reduction in all secondary outcome parameters (ASSIST scores, usual dose in one sitting, maximum dose, and number of days of use in month). Eighty (88.89%) participants reported the program to be effective. Only 3 months of observation is a limitation.
The study provides an efficient secondary prevention model to reduce hazardous drinking at the population level needing less workforce, cost, and time.
在人群层面，筛查与简短干预（BI）是减轻有害饮酒所致疾病负担最具成本效益的方法。在个体层面实施简短干预时，训练有素的工作人员以及时间都是限制因素。因此，开展了一项研究，以评估在工作场所针对被确定为有害饮酒模式的参与者以小组形式实施的“改良简短干预”项目的效果，作为二级预防措施。
本研究为无对照组的干预前后研究。在由包括一名精神科医生在内的心理健康团队举办的一次教育讲座之后，使用世界卫生组织酒精、吸烟和物质使用情况筛查工具（ASSIST）问卷V3. version对参与者进行筛查。那些有害饮酒筛查呈阳性的参与者在其工作场所接受了小组形式的“改良简短干预”，该干预包括两个每次时长1小时的半结构化环节。两个环节间隔一个月。第一个环节基于动机增强措施以及收集当前饮酒细节，第二个环节侧重于预防复发。三个月后，使用半结构化问卷评估结果，并再次应用ASSIST。分析使用R软件的R-commander完成。
实施干预过程中未遇到重大困难。50名（55.6%）参与者在第二个环节后戒酒，另外22名（24.44%）饮酒量和饮酒频率均有所减少。配对t检验显示所有次要结果参数（ASSIST评分、单次通常饮酒量、最大饮酒量以及每月饮酒天数）在统计学上均有显著降低。80名（88.89%）参与者报告该项目有效。仅3个月的观察期是一个局限性。
该研究提供了一种有效的二级预防模式，可在人群层面减少有害饮酒，所需的工作人员、成本和时间较少。
