Evidence map›Paper›PMID 29364766›Full record

ArticleSubstance use & misuse2018

Does Documented Brief Intervention Predict Decreases in Alcohol Use in Primary Care?

Kimberly A Hepner, Katherine J Hoggatt, Andy Bogart, Susan Paddock

Abstract read
In one paragraph

Article in Substance use & misuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 97% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Kimberly A Hepnera Health Unit, RAND Corporation , Santa Monica , California , USA.
Katherine J Hoggattb VA Greater Los Angeles Health Services Research and Development (HSR&D), Center for the Study of Healthcare Innovation , Implementation & Policy , Los Angeles , California , USA.
Andy Bogarta Health Unit, RAND Corporation , Santa Monica , California , USA.
Susan Paddocka Health Unit, RAND Corporation , Santa Monica , California , USA.
RAND Corporation · USUniversity of California, Los Angeles · US

Funding

Validating Quality Measures for the Treatment of Alcohol Use DisordersR01AA019440 · NIAAA · RAND CORPORATION · PI HEPNER, KIMBERLY A · 2010 to 2013
$2.6M
Improving care for women Veterans with substance use disordersIK2HX000846 · VA · VA GREATER LOS ANGELES HEALTHCARE SYSTEM · PI HOGGATT, KATHERINE JOANN · 2014 to 2016
–
HSRD VA IK2 HX000846NIAAA NIH HHS R01 AA019440
6 · The paper itself

Abstract

backgroundBrief intervention (BI) is recommended for patients with unhealthy alcohol use, but the effectiveness of BI in usual care settings remains unclear.

objectiveWe evaluated whether BI predicts decreases in drinking 6 months after a positive screen for unhealthy alcohol use.

methodWe enrolled patients who recently screened positive for unhealthy alcohol use during a routine screen in Veterans Health Administration primary care. We conducted medical record review to assess whether providers documented advice to reduce or abstain, feedback about risks to health, feedback about how patient drinking compares to norms or recommended limits, and discussion of drinking-related goals. BI elements were coded from 7 days before the date of the positive screen to 60 days after. We conducted baseline and 6-month follow-up telephone interviews to assess change in past 30-day drinking. We fit regression models examining each BI element and another model for the total count of instances of any combination of elements.

resultsOf the 327 patients included, 86% had at least one documented instance of receiving advice, 86% had risk feedback, 55% had normative feedback, 38% had goal discussion, and 75% had three or more instances of any combination of elements of BI. None of the individual BI elements, nor the total number of instances, were significantly associated with decreased drinking.

conclusionsResults suggest that provider documentation of elements of BI and increasing numbers of instances of BI elements were not associated with decreased heavy drinking at 6-month follow-up among patients identified with unhealthy alcohol use.

Indexed as

Feedback, PsychologicalAdultAgedAlcohol DrinkingAlcoholismFeedbackFemaleHumansInterviews as TopicMaleMedical RecordsMiddle AgedPatient Acceptance of Health CarePrimary Health CareProfessional-Patient RelationsProgram EvaluationAlcohol usebrief interventionmedical recordprimary care

Identifiers

PMID29364766
PMCPMC6143139
OpenAlexW2793775384

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.