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Community-based alcohol counselling: a randomized clinical trial

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ABSTRACT Aims To examine the effectiveness of a brief intervention (BI) and cognitive behaviour therapy (CBT) for alcohol abuse. Design A randomized trial with clients randomized within counsellors. Setting Community-based drug and alcohol counselling in Australia. Participants Of all new clients attending counselling, 869 (82%) completed a computerized assessment at their first consultation. Four hundred and twenty-one (48%) were defined as eligible, of whom 295 (70%) consented and were allocated randomly to an intervention. Of these, 133 (45%) were followed-up at 6 months post-test. Interventions BI comprised the elements identified by the acronym FRAMES: feedback, responsibility, advice, menu, empathy, self-efficacy. Face-to-face counselling time was not to exceed 90 minutes. CBT comprised six consecutive weekly sessions: introduction; cravings and urges; managing crises; saying ‘no’ and solving problems; emergencies and lapses; and maintenance. Total face-to-face counselling time was 270 minutes (six 45-minute sessions). Measurements Treatment outcomes are measured in terms of counsellor compliance, client satisfaction, weekly and binge consumption, alcohol-related problems, the AUDIT questionnaire and cost-effectiveness. Findings When analysed on an intention-to-treat basis and for those followed-up, treatment outcomes between BI and CBT were not statistically significantly different at pre- or post-test, whether considered as continuous or categorical variables. BI was statistically significantly more cost-effective than CBT and there was no difference between them in clients’ reported levels of satisfaction. Conclusion For low-dependence alcohol abuse in community settings, BI may be the treatment of choice.
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Keywords: community-based; intervention; randomized clinical trial;  Alcohol

Document Type: Research Article

Affiliations: 1: National Drug and Alcohol Research Centre, University of NSW, Australia and National Health and Medical Research Council of Australia 2: Discipline of Psychology, School of Behavioural Sciences, University of Newcastle, Australia, 3: Hunter Centre for Health Advancement and University of Newcastle, Australia, 4: National Drug and Alcohol Research Centre, University of NSW, Australia 5: Faculty of Medicine and Health Sciences, University of Newcastle, Australia

Publication date: 01 November 2002

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