Richmond R, Heather N, Wodak A, Kehoe L, Webster I
National Drug and Alcohol Research Centre, University of New South Wales, Australia.
Addiction. 1995 Jan;90(1):119-32. doi: 10.1046/j.1360-0443.1995.90111915.x.
In a controlled evaluation of general practitioner (GP)-based brief intervention, 378 excessive drinkers identified opportunistically by screening in 40 group practices in metropolitan Sydney were assigned to groups receiving: (i) a five-session intervention by the GP (the Alcoholscreen Program); (ii) a single session of 5 minutes' advice by the GP plus a self-help manual (minimal intervention); (iii) an alcohol-related assessment but no intervention; (iv) neither intervention nor assessment. Among all patients allocated to receive it, the Alcoholscreen Program did not result in a significantly greater reduction in consumption at follow-up than control conditions but patients offered Alcoholscreen reported a significantly greater reduction in alcohol-related problems in the period to 6 months follow-up. A greater proportion of patients who returned for the second Alcoholscreen visit were drinking below recommended levels at follow-up than in the remainder of the sample. There was no evidence that minimal intervention or alcohol-related assessment were effective in reducing alcohol consumption or problems. Implications for further research into GP-based brief interventions are discussed.
在一项基于全科医生（GP）的简短干预的对照评估中，通过在悉尼大都市的40个团体诊所进行筛查而机会性识别出的378名过度饮酒者被分配到接受以下治疗的组中：（i）由全科医生进行的五节干预课程（酒精筛查计划）；（ii）由全科医生提供的单次5分钟建议加一本自助手册（最小干预）；（iii）与酒精相关的评估但不进行干预；（iv）既不进行干预也不进行评估。在所有被分配接受该计划的患者中，酒精筛查计划在随访时的饮酒量减少幅度并不比对照条件显著更大，但接受酒精筛查的患者在随访至6个月期间报告的与酒精相关问题的减少幅度显著更大。在随访时，返回接受第二次酒精筛查就诊的患者中，饮酒量低于推荐水平的比例高于样本中的其余患者。没有证据表明最小干预或与酒精相关的评估在减少酒精消费或问题方面有效。文中讨论了对基于全科医生的简短干预进行进一步研究的意义。
