SynthesisBMJ (Clinical research ed.)2003
Screening in brief intervention trials targeting excessive drinkers in general practice: systematic review and meta-analysis.
Synthesis in BMJ (Clinical research ed.), 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 73 papers, 12 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
"Effectiveness of a Brief Intervention for Substances Consumption Linked to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): A Randomized Control Trial in Chilean Primary Care."
Motivational Interviewing to Reduce Substance Use Among Depression Patients
Who cites it
73 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Which interventions for alcohol use should be included in a universal healthcare benefit package? An umbrella review of targeted interventions to address harmful drinking and dependence.BMC public health · 2023Pooled it
- Effects of brief substance use interventions delivered in general medical settings: a systematic review and meta-analysis.Addiction (Abingdon, England) · 2022Pooled it
- Shaping Alcohol Health Literacy: A Systematic Concept Analysis and Review.Health literacy research and practice · 2020Pooled it
- A realist review of brief interventions for alcohol misuse delivered in emergency departments.Systematic reviews · 2015Pooled it
- Brief alcohol interventions for adolescents and young adults: a systematic review and meta-analysis.Journal of substance abuse treatment · 2015Pooled it
- Accuracy of one or two simple questions to identify alcohol-use disorder in primary care: a meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Will emergency and surgical patients participate in and complete alcohol interventions? A systematic review.BMC surgery · 2011Pooled it
- Alcohol misuse.BMJ clinical evidence · 2011Pooled it
- Alcohol screening and brief intervention in primary care: Absence of evidence for efficacy in people with dependence or very heavy drinking.Drug and alcohol review · 2010Pooled it
- Alcohol misuse.BMJ clinical evidence · 2009Pooled it
- Screening and early psychological intervention for depression in schools : systematic review and meta-analysis.European child & adolescent psychiatry · 2006Pooled it
- The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews.Alcohol and alcoholism (Oxford, Oxfordshire)Pooled it
- A Randomized Controlled Trial of an Integrated Alcohol Reduction Intervention in Patients With Hepatitis C Infection.Hepatology (Baltimore, Md.) · 2020Trial
- Combining alcohol interventions with tobacco addictions treatment in primary care-the COMBAT study: a pragmatic cluster randomized trial.Implementation science : IS · 2017Trial
- See One, Do One, Order One: a study protocol for cluster randomized controlled trial testing three strategies for implementing motivational interviewing on medical inpatient units.Implementation science : IS · 2015Trial
- Trial
- A randomized control trial of a chronic care intervention for homeless women with alcohol use problems.Journal of substance abuse treatment · 2015Trial
- A multisite randomized controlled trial of brief intervention to reduce drinking in the trauma care setting: how brief is brief?Annals of surgery · 2014Trial
- Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): pragmatic cluster randomised controlled trial.BMJ (Clinical research ed.) · 2013Trial
- Screening, brief intervention, and referral to treatment (SBIRT) in a Polish emergency department: three-month outcomes of a randomized, controlled clinical trial.Journal of studies on alcohol and drugs · 2009Trial
13 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effectiveness of programmes of screening in general practice for excessive alcohol use and providing brief interventions.
designSystematic review and meta-analysis of randomised controlled trials that used screening as a precursor to brief intervention.
settingGeneral practice.
main outcome measuresNumber needed to treat, proportion of patients positive on screening, proportion given brief interventions, and effect of screening.
resultsThe eight studies included for meta-analysis all used health questionnaires for screening, and the brief interventions included feedback, information, and advice. The studies contained several sources of bias that might lead to overestimates of the effects of intervention. External validity was compromised because typically three out of four people identified by screening as excessive users of alcohol did not qualify for the intervention after a secondary assessment. Overall, in 1000 screened patients, 90 screened positive and required further assessment, after which 25 qualified for brief intervention; after one year 2.6 (95% confidence interval 1.7 to 3.4) reported they drank less than the maximum recommended level.
conclusionsAlthough even brief advice can reduce excessive drinking, screening in general practice does not seem to be an effective precursor to brief interventions targeting excessive alcohol use. This meta-analysis raises questions about the feasibility of screening in general practice for excessive use of alcohol.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.