Although alcohol screening and brief intervention (SBI) reduces drinking in primary care patients with unhealthy alcohol use, incorporating SBI into clinical settings has been challenging. We systematically reviewed the literature on implementation studies of alcohol SBI using a broad conceptual model of implementation, the Consolidated Framework for Implementation Research (CFIR), to identify ...

The prevalence of alcohol abuse among patients treated in accident and emergency departments (A&E) is considered as substantial. This paper is a narrative review of studies investigating the effectiveness of brief interventions (BI) for hazardous and harmful alcohol consumption in A&E. A&E departments in hospitals (and other health care infrastructures) are commonly the place where serious cons...

Hazardous alcohol use is a function of implicit cognition, i.e., nonconscious influences on appetitive behavior stemming from memory associations that are automatically activated upon exposure to alcohol cues. Implicit cognition is typically not addressed by alcohol brief intervention (BI), which targets explicit or conscious processes underlying alcohol restraint (e.g., readiness-to-change). T...

BACKGROUND There is strong evidence to support the effectiveness of Brief Intervention (BI) in reducing alcohol consumption in primary healthcare. METHODS AND DESIGN This study is a two-arm randomised controlled trial to determine the effectiveness of BI delivered by community pharmacists in their pharmacies. Eligible and consenting participants (aged 18 years or older) will be randomised in ...

BACKGROUND Sexually transmitted infections (STIs) are among the frequent risks encountered by travelers. Efficient interventions are needed to improve the understanding of the risks of STIs. We investigated the potential benefits of a motivational brief intervention (BI) and the provision of condoms on the engagement in unprotected casual sex. METHODS 3-arm randomized controlled trial perform...

Scientific attention has shifted to understanding the underlying mechanisms that account for the efficacy of brief intervention (BI) based on the principles of motivational interviewing (MI). A large portion of work thus far has emphasized therapist skills and client language mechanisms in the context of single-session interventions. The present study examined three global therapist variables o...

BACKGROUND While brief intervention (BI) for risky alcohol use generally yields positive effects among those identified by screening, effect sizes are small and there is unexplained heterogeneity in outcome. The heterogeneity may be related to differences in intervention style and content, including elements of motivational interviewing (MI). To date, it has been difficult to interpret the role...

Methods Residents participating in SBIRT training in 4 U.S. primary care residency programs were surveyed during Months 0, 12, and 24. Interventions included training faculty site coordinators, providing residents 6 hours of motivational interviewing (MI)-based SBIRT curriculum per year, and implementing SBI protocols in residency clinics. Impact was assessed using the Short Alcohol and Alcohol...

BACKGROUND Brief interventions (BIs) involve screening for alcohol misuse and providing feedback to patients about their use, with the aim of reducing alcohol consumption and related consequences. BIs have been implemented in various healthcare settings, including emergency departments (ED), where they have been found to contribute mixed results in their ability to address alcohol misuse among ...

INTRODUCTION Alcohol use disorders (AUD) place a significant burden on individuals and society. The emergency department (ED) offers a unique opportunity to address AUD with brief screening tools and early intervention. We undertook a systematic review of the effectiveness of ED brief interventions for patients identified through screening who are at risk for AUD, and the effectiveness of these...