Brief intervention and decrease of alcohol consumption among women: a systematic review

Substance Abuse Treatment, Prevention, and Policy

Ana Regina Noto²  Lelio Moura Lourenço³  Telmo Mota Ronzani¹  Fernanda Monteiro de Castro Bhona³  Carla Ferreira de Paula Gebara² 

[1] Department of Psychology, Center for Research, Intervention and Evaluation for Alcohol & Drugs (CREPEIA), Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora - MG, Brazil;Department of Psychobiology, Research Center on Health and Substance Use (NEPSIS), Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, 862 – 1° andar, 04023-062 São Paulo - SP, Brazil;Department of Psychology, Center for Studies on Violence and Social Anxiety (NEVAS), Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora - MG, Brazil

关键词: Systematic review;    Prevention;    Alcohol;    Women;    Brief intervention;   

Others  :  833933
DOI  :  10.1186/1747-597X-8-31

 received in 2013-04-08, accepted in 2013-09-05,  发布年份 2013

【 摘 要 】

Problems related to alcohol consumption are priority public health issues worldwide and may compromise women’s health. The early detection of risky alcohol consumption combined with a brief intervention (BI) has shown promising results in prevention for different populations. The aim of this study was to examine data from recent scientific publications on the use of BI toward reducing alcohol consumption among women through a systematic review. Electronic searches were conducted using Web of Science, PubMed(Medline) and PsycInfo databases. In all databases, the term “brief intervention” was associated with the words “alcohol” and “women”, and studies published between the years 2006 and 2011 were selected. Out of the 133 publications found, the 36 scientific articles whose central theme was performing and/or evaluating the effectiveness of BI were included. The full texts were reviewed by content analysis technique. This review identified promising results of BI for women, especially pregnant women and female college students, in different forms of application (face-to-face, by computer or telephone) despite a substantial heterogeneity in the clinical trials analyzed. In primary care, which is a setting involving quite different characteristics, the results among women were rather unclear. In general, the results indicated a decrease in alcohol consumption among women following BI, both in the number of days of consumption and the number of doses, suggesting that the impact on the woman’s reproductive health and the lower social acceptance of female consumption can be aspects favorable for the effectiveness of BI in this population.

【 授权许可】

   
2013 Gebara et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Humeniuk RE, Henry-Edwards S, Ali RL, Poznyak V, Monteiro M: The ASSIST-Linked Brief Intervention for Hazardous and Harmful Substance use: Manual for use in Primary Care. Geneva: World Health Organization (WHO), Department of Mental Health and Substance Abuse; 2010.
• [2]World Health Organization (WHO): Global Status Report on Alcohol and Health. Geneva; 2011.
• [3]Begun AL, Rose SJ, LeBel TP: Intervening with women in jail around alcohol and substance abuse during preparation for community reentry. Alcohol Treat Q 2011, 29:453-478.
• [4]Babor TF, Mcree GB, Kassebaum MA, Grimaldi PL, Ahmed K, Bray J: Screening, brief intervention, and referral to treatment (SBIRT): toward a public health approach to the management. Subst Abuse 2007, 28:7-30.
• [5]Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG: AUDIT: The Alcohol Use Disorders Identification Test. World Health Organization, Geneva: Guidelines for Use in Primary Care; 2001.
• [6]Nilsen P, Kaner E, Babor TF: Brief intervention, three decades on. An overview of research findings and strategies for more widespread implementation. Nordisk Alkohol Nark 2008, 25:453-469.
• [7]Formigoni MLOS, Ronzani TM: Efetividade e Relação Custo-Benefício das Intervenções Breves. 2nd edition. Brasília: Senad – Governo Federal; 2008:58-63. [Secretaria Nacional Antidrogas – Senad. (Org.). Sistema Para a Detecção do Uso Abusivo e Dependência de Substâncias Psicoativas – SUPERA. Volume 4]
• [8]Saitz R, Palfai TP, Cheng DM, et al.: Some medical inpatients with unhealthy alcohol use may benefit from brief intervention. J Stud Alcohol Drugs Suppl 2009, 70:426-435.
• [9]Kaner EFS, Beyer F, Dickinson HO, Pienaar E, Campbell F, Schlesinger C, Heather N, Saunders J, Burnand B: Effectiveness of brief alcohol interventions in primary care populations [review]. Cochrane Libr 2008, 1:1-76.
• [10]Nilsen P, Holmqvist M, Bendtsen P, Hultgren E, Cedergren M: Is questionnaire-based alcohol counseling more effective for pregnant women than standard maternity care? J Womens Health (Larchmt) 2010, 19:161-167.
• [11]Eberhard S, Nordstrom G, Hoglund P, Ojehagen A: Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study. Soc Psychiatry Psychiatr Epidemiol 2009, 44:1013-1021.
• [12]Fleming MF, Lund MR, Wilton G, Landry M, Scheets D: The healthy moms study: the efficacy of brief alcohol intervention in postpartum women. Alcohol Clin Exp Res 2008, 32:1600-1606.
• [13]Armstrong MA, Kaskutas LA, Witbrodt J, Taillac CJ, Hung YY, Osejo VM, Escobar GJ: Using drink size to talk about drinking during pregnancy: a randomized clinical trial of early start plus. Soc Work Health Care 2009, 48:90-103.
• [14]Kypri K, Langley JD, Saunders JB, Cashell-Smith ML, Herbison P: Randomized controlled trial of web-based alcohol screening and brief intervention in primary care. Arch Intern Med 2008, 168:530-536.
• [15]Miller WR, Rollnick S: Motivational Interviewing: Preparing People to Change. New York: Guilford Press; 2002.
• [16]Martens MP, Cimini MD, Barr AR, Rivero EM, Vellis PA, Desemone GA, Horner KJ: Implementing a screening and brief intervention for high-risk drinking in university-based health and mental health care settings: reductions in alcohol use and correlates of success. Addict Behav 2007, 32:2563-2572.
• [17]Floyd RL, Weber MK, Denny C, O’Connor MJ: Preventions of fetal alcohol spectrum disorders. Dev Disabil Res Rev 2009, 15:193-199.
• [18]World Health Organization (WHO): Gender, Health and Alcohol use. Geneva: WHO Department of Gender, Women and Health; 2005.
• [19]Bardin L: Análise de Conteúdo (content analysis). Lisboa: Edições 1977, 70:95-150.
• [20]Chang G, McNamara TK, Wilkins-Haug L, Orav EJ: Brief intervention for prenatal alcohol use: the role of drinking goal selection. J Subst Abuse Treat 2006, 31:419-424.
• [21]Chang G, McNamara TK, Haimovici F, Hornstein MD: Problem drinking in women evaluated for infertility. Am J Addict 2006, 15:174-179.
• [22]Carey KB, Carey MP, Maisto SA, Henson JM: Brief motivational interventions for heavy college drinkers: a randomized controlled trial. J Consult Clin Psychol 2006, 74:943-954.
• [23]Beich A, Gannik D, Saelan H, Thorsen T: Screening and brief intervention targeting risky drinkers in Danish general practice - a pragmatic controlled trial. Alcohol Alcohol 2007, 42:593-603.
• [24]Wood MD, Capone C, Laforge R, Erickson DJ, Brand NH: Brief motivational intervention and alcohol expectancy challenge with heavy drinking college students: a randomized factorial study. Addict Behav 2007, 32:2509-2528.
• [25]Witbrodt J, Kaskutas LA, Diehl S, Armstrong MA, Escobar GJ, Taillac C, Osejo V: Using drink size to talk about drinking during pregnancy: early start plus. J Addict Nurs 2007, 18:199-206.
• [26]O’Connor MJ, Whaley SE: Brief intervention for alcohol use by pregnant women. Am J Public Health 2007, 97:252-258.
• [27]Brown RL, Saunders LA, Bobula JA, Mundt MP, Koch PE: Randomized-controlled trial of a telephone and mail intervention for alcohol use disorders: three-month drinking outcomes. Alcohol Clin Exp Res 2007, 31:1372-1379.
• [28]Gmel G, Daeppen JB: Recall bias for seven-day recall measurement of alcohol consumption among emergency department patients: implications for case-crossover designs. J Stud Alcohol Drugs 2007, 68:303-310.
• [29]Floyd RL, Sobell M, Velasquez MM: Preventing alcohol-exposed pregnancies: a randomized controlled trial. Am J Prev Med 2007, 32:1-10.
• [30]Chang G, McNamara T, Wilkins-Haug L, Orav EJ: Stages of change and prenatal alcohol use. J Subst Abuse Treat 2007, 32:105-109.
• [31]Saitz R, Palfai TP, Cheng DM: Brief intervention for medical inpatients with unhealthy alcohol use - a randomized controlled trial. Ann Intern Med 2007, 146:167-176.
• [32]Larimer ME, Lee CM, Kilmer JR, Fabiano PM, Stark CB, Geisner IM, Mallett KA, Lostutter TW, Cronce JM, Feeney M, Neighbors C: Personalized mailed feedback for college drinking prevention: a randomized clinical trial. J Consult Clin Psychol 2007, 75:285-293.
• [33]Baker AL, Kavanagh DJ, Kay-Lambkin FJ, Hunt AS, Lewin TJ, Carr VJ, Connolly J: Randomized controlled trial of cognitive-behavioural therapy for coexisting depression and alcohol problems: short-term outcome. Addiction 2009, 105:87-99.
• [34]Fleming MF: The effect of brief alcohol intervention on postpartum depression. MCN Am J Matern Child Nurs 2009, 34:297-302.
• [35]Yonkers KA, Howell HB, Allen AE, Ball AS, Pantalon MV, Rounsaville BJ: A treatment for substance abusing pregnant women. Arch Womens Ment Health 2009, 12:221-227.
• [36]Schaus JF, Sole ML, McCoy TP, Mullett N, O’Brien MC: Alcohol screening and brief intervention in a college student health center: a randomized controlled trial. J Stud Alcohol Drugs 2009, 16:131-141.
• [37]Carey KB, Henson JM, Carey MP, Maisto AS: Computer versus in-person intervention for students violating campus alcohol policy. J Consult Clin Psychol 2009, 77:74-87.
• [38]Bingham CR, Barretto AI, Walton MA, Bryant CM, Shope JT, Raghunathan TE: Efficacy of a web-based, tailored, alcohol prevention/intervention program for college students: initial findings. J Am Coll Health 2010, 58:349-356.
• [39]Lin JC, Karno MP, Tang LQ, Barry KL, Blow FC, Davis JW, Ramirez KD, Welgreen S, Hoffin M, Moore AA: Do health educator telephone calls reduce at-risk drinking among older adults in primary care? J Gen Intern Med 2010, 25:334-339.
• [40]Field C, Caetano R: The role of ethnic matching between patient and provider on the effectiveness of brief alcohol interventions with Hispanics. Alcohol Clin Exp Res 2010, 34:262-271.
• [41]Martens MP, Kilmer JR, Beck NC, Zamboanga BL: The efficacy of a targeted personalized drinking feedback intervention among intercollegiate athletes: a randomized controlled trial. Psychol Addict Behav 2010, 24:660-669.
• [42]Fleming MF, Balousek SL, Grossberg PM, Mundt MP, Brown D, Wiegel JR, Zakletskaia LI, Saewyc EM: Brief physician advice for heavy drinking college students: a randomized controlled trial in college health clinics. J Stud Alcohol Drugs 2010, 71:23-31.
• [43]Sinadinovic K, Berman AH, Hasson D, Wennberg P: Internet-based assessment and self-monitoring of problematic alcohol and drug use. Addict Behav 2010, 35:464-470.
• [44]Ahacic K, Allebeck P, Thakker KD: Being questioned and receiving advice about alcohol and smoking in health care: associations with patients’ characteristics, health behavior, and reported stage of change. Subst Abuse Treat Prev Policy 2010, 5:1-11. BioMed Central Full Text
• [45]Tzilos GK, Sokol RJ, Ondersma SJ: A randomized phase I trial of a brief computer-delivered intervention for alcohol use during pregnancy. J Womens Health 2011, 20:1517-1524.
• [46]Chang G, Fisher NDL, Hornstein MD, Jones JA, Hauke SH, Niamkey N, Briegleb C, Orav EJ: Brief intervention for women with risky drinking and medical diagnoses: a randomized controlled trial. J Subst Abuse Treat 2011, 41:105-114.
• [47]Delrahim-Howlett K, Chambers CD, Clapp JD, Xu RH, Duke K, Moyer RJ, Van Sickle D: Web-based assessment and brief intervention for alcohol use in women of childbearing potential: a report of the primary findings. Alcohol Clin Exp Res 2011, 35:1331-1338.
• [48]Nilsen P: Brief alcohol intervention to prevent drinking during pregnancy: an overview of research findings. Curr Opin Obstet Gynecol 2009, 21:496-500.
• [49]Keough VA, Jennrich JA: Including a screening and brief alcohol intervention program in the care of the obstetric patient. J Obstet Gynecol Neonatal Nurs 2009, 38:715-722.
• [50]Robinson M, Oddy WH, McLean NJ, Jacoby P, Pennell CE, Klerk NH, Zubrick SR, Stanley FJ, Newnham JP: Low-moderate prenatal alcohol exposure and risk to child behavioural development: a prospective cohort study. BJOG 2010, 117:1139-1150.
• [51]Kelly Y, Sacker A, Gray R, Kelly J, Wolke D, Head J, Quigley MA: Light drinking during pregnancy: still no increased risk for socioemotional difficulties or cognitive deficits at 5 years of age? J Epidemiol Community Health 2012, 66:41-48.
• [52]Kelly Y, Iacovou M, Quigley MA, Gray R, Wolke D, Kelly J, Sacker A: Light drinking versus abstinence in pregnancy - behavioural and cognitive outcomes in 7-year-old children: a longitudinal cohort study. BJOG 2013, 1-8. doi:10.1111/1471-0528.12246
• [53]Kelly-Weeder S: Binge drinking in college-aged women: framing a gender-specific prevention strategy. J Am Acad Nurse Pract 2008, 20:577-584.
• [54]Gual A, Sabadini MBA: Implementing alcohol disorders treatment throughout the community. Curr Opin Psychiatry 2011, 24:203-207.