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Search Results: 1 - 10 of 4724 matches for " alcohol intervention "
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The effect of sustained, long-term changes in alcohol intake on cardiovascular risk  [PDF]
Ulla Toft, Charlotta Pisinger, Mette Aadahl, Allan Linneberg, Cathrine Lau, Torben J?rgensen
Open Journal of Preventive Medicine (OJPM) , 2012, DOI: 10.4236/ojpm.2012.24063
Abstract: Objective: To investigate whether sustained long-term changes in alcohol intake are predictive of cardiovascular risk. Methods: The study population was a subpopulation of the five-year intervention study, Inter99 study, (1999-2006), Copenhagen, Denmark (n = 2117; 30 - 60 years). Alcohol intake was assessed by questionnaires at baseline, one-, three- and five-year follow-up. The associations between sustained long-term changes in alcohol intake and cardiovascular risk factors (HDL and non-HDL cholesterol, systolic and diastolic blood pressure (BP); the absolute risk of ischemic heart disease (CRS)) at five-year follow-up were explored by linear regression models. The alcohol variables were tested for linear association with the response variable. Results: Sustained increased alcohol intake was significantly associated with increased CRS (β = 0.0028; P = 0.006) and a decreased HDL cholesterol (β = -0.0028; P = 0.005). Among participants with a moderate overall alcohol in-take at baseline increased alcohol intake was significantly associated with an increased plasma triglyceride (β = 0.0069; P = 0.04). No association with triglyceride was found for participants with a high alcohol intake. Change in wine intake was significantly negatively associated with changes in diastolic BP (β = 0.0015; P = 0.02). Conclusions: Sustained increase in the long-term intake of alcohol was a significant risk factor for an increased CRS, increased triglyceride level and decreased HDL cholesterol. Increased wine intake was associated with decreased diastolic BP.
Dialogue between Midwives and Parents-to-Be about Alcohol, from a Life Cycle Perspective—An Intervention Study  [PDF]
Hj?rdis H?gberg, Fredrik Spak, Margareta Larsson
Creative Education (CE) , 2015, DOI: 10.4236/ce.2015.65049
Abstract: The objective was to investigate the use of alcohol during pregnancy among parents-to-be and to develop and evaluate a method for a dialogue about alcohol from a life cycle perspective. The study was a quasi-experiment. An intervention group (IG) with 238 couples and a comparison group (CG) with 271 couples participated. All of the participants were recruited at public antenatal care clinics (ANC) in Sweden. At registration, the midwife had a dialogue about alcohol with the IG, and the intervention was evaluated using questionnaires in pregnancy weeks 12 and 33. Alcohol consumption, alcoholism in the family, social support, and source of information were measured. More than 91% of all pregnant women reported that they never drank alcohol either at registration or late in pregnancy, with no difference between the intervention group and the comparison group. Their male partners had a different pattern; 6% abstained from alcohol and about half of them drank alcohol two to four times a month. Nine percent of the participants had experienced an alcohol-dependent parent and 35% of the couples reported alcoholism in either of their families. Most women (92%) stated that the partner’s support to give up alcohol was important. After the intervention, more women in the IG were offered alcohol-free alternatives. About 40% of the partners had reduced their alcohol consumption; they received less social support for alcohol reduction than the pregnant women. A majority, 68%, of the women in the IG stated ANC as the most important source of information about alcohol and pregnancy, compared to 53% in the CG (p < 0.001). After the intervention, a higher proportion of women in the IG were offered alcohol-free alternatives and ANC became the most important source of information about alcohol. Involving the partner in counseling about alcohol-restriction during pregnancy may be a useful health promotion strategy.
Deadly Partners: Interdependence of Alcohol and Trauma in the Clinical Setting
Amanda V. Hayman,Marie L. Crandall
International Journal of Environmental Research and Public Health , 2009, DOI: 10.3390/ijerph6123097
Abstract: Trauma is the leading cause of death for Americans aged 1 to 45. Over a third of all fatal motor vehicle collisions and nearly eighty percent of completed suicides involve alcohol. Alcohol can be both a cause of traumatic injury as well as a confounding factor in the diagnosis and treatment of the injured patient. Fortunately, brief interventions after alcohol-related traumatic events have been shown to decrease both trauma recidivism and long-term alcohol use. This review will address the epidemiology of alcohol-related trauma, the influence of alcohol on mortality and other outcomes, and the role of prevention in alcohol-related trauma, within the confines of the clinical setting.
Effectiveness of a Novel Low Cost Intervention to Reduce Prenatal Alcohol Exposure in the Congo  [PDF]
Andrew D. Williams, Yannick Nkombo, Gery Nkodia, Gary Leonardson, Kathryn Martsolf, Larry Burd
Open Journal of Pediatrics (OJPed) , 2014, DOI: 10.4236/ojped.2014.41012

Objective: Determine the effectiveness of an intervention to reduce prenatal alcohol exposure in the Congo. Methods: We utilized a screening tool validated in the Congo to identify women who were drinking during pregnancy. The intervention was implemented by prenatal care providers comparing 162 women receiving the intervention with 58 (controls) who did not. The study endpoints were proportion of women who quit drinking, drinking days per week, drinks per drinking day, most drinks on any day, and number of binge episodes per week. Results: In the control group 36% of the women quit drinking compared to 54% in the intervention group (Chi-square 5.61; p = 0.02). The number of drinking days per week for the controls decreased by 50.1% compared to 68% for the intervention group (p = 0.008); drinks per drinking day for the controls decreased by 37% compared to 60.1% for the intervention group (p = 0.001); and most drinks on any occasion in the controls decreased by 38% compared to 61% for the intervention group (p = 0.004). Conclusions: This study demonstrates the effectiveness of a low cost in-office intervention to reduce prenatal alcohol exposure in the Congo. At $1.50 per beer, the reduction in drinks per week would more than pay for the cost of the intervention. In addition to efforts to reduce alcohol use prior to pregnancy in the Congo, providers can now offer an evidence based intervention to reduce exposure for women who continue to drink during pregnancy.

Preventing Alcohol Consumption during Pregnancy: A Randomized Controlled Trial  [PDF]
Cristian Bortes, Susanna Geidne, Charli Eriksson
Health (Health) , 2015, DOI: 10.4236/health.2015.73033
Abstract: The aim of this study is to report on a brief alcohol intervention for preventing drinking during pregnancy. The Women’s Organizations Committee on Alcohol and Drug Issues (WOCAD) in Sweden developed an informational brochure about alcohol during pregnancy, intended to reach pregnant women before their first visit at a prenatal clinic. A randomized controlled trial was conducted between 2004 and 2005 to measure whether the brochure had any effect. A total of 564 pregnant women between 17 and 46 years of age are included in the study. Differences between the intervention and control groups were analyzed with cross-tabulations and chi-squared tests. A multiple logistic regression analysis was also conducted to determine predictors of abstention from alcohol at the first prenatal visit. Findings show that significantly more of the women who received the brochure abstained completely from alcohol then of those who did not receive it (92% vs. 82%, p = 0.005). It was 2.6 times more likely that those who received the brochure had abstained completely from alcohol since pregnancy recognition at their first prenatal visit compared with those who did not receive it (OR = 2.6, CI 1.3 - 5.1, p = 0.005). We conclude that the informational brochure developed by WOCAD can be used in prenatal care to get more women to abstain from alcohol during pregnancy.
Estratégias de rastreamento e interven??es breves para problemas relacionados ao abuso de álcool entre bombeiros
Ronzani, Telmo Mota;Rodrigues, Thiago Pavin;Batista, Andréia Geraldo;Louren?o, Lélio Moura;Formigoni, Maria Lucia Oliveira de Souza;
Estudos de Psicologia (Natal) , 2007, DOI: 10.1590/S1413-294X2007000300011
Abstract: deleterious effects of alcohol abuse are widely known and described. prevention of alcohol abuse is particularly important in specific professional categories, i.e. workers subjected to constant risk and stressful situations, like firemen. prevention may be crucial to reduce possible consequences arising from alcohol abuse in such professional categories. in the present paper we illustrate the use of a particular approach based on prevention, the screening and brief intervention (tib), on firemen from juiz de fora, mg. the tib has been applied in association with other evaluation strategies and has proved to be viable and efficient as health care prevention in such context.
Prevención secundaria en traumatizados relacionados con alcohol y drogas: Resultados de una encuesta nacional
Fernández Mondéjar,E.; Guerrero López,F.; Quintana,M.; Alted,E.; Mi?ambres,E.; Salinas Gabi?a,I.; Rivera Fernández,R.; Galdos Anuncyabay,P.;
Medicina Intensiva , 2009,
Abstract: objective. to determine the degree of activity in the field of secondary prevention of alcohol and/or drug abuse in trauma patients in spain. material and methods. we surveyed 76 hospitals located in all the autonomous regions of spain. we collected information about the number of severe trauma patients admitted to the icu per year, the detection of alcohol and drugs in these patients, and the activity for secondary prevention through motivational intervention among other approaches. results. of the 76 hospitals surveyed, 66 responded and only one carried out any secondary prevention activity through motivational intervention. most of the hospitals surveyed (64.5%, 40/62) did not know of the possibility of secondary prevention through motivational intervention and (29%, 18/62) did not have the resources to carry it out. asked whether they screened trauma patients for drugs and/or alcohol, 15.6% of centers responded "always" 37.5% (24/64) "usually", and 40.6% only "sometimes". conclusion. most centers surveyed are unaware of the usefulness of secondary prevention in trauma patients. this lack of awareness may be responsible for the lack of activity in this field in spain. a plan to increase awareness, including educational interventions, is necessary to promote secondary prevention of alcohol and drug abuse among trauma patients.
The efficacy of a brief intervention to reduce alcohol misuse in patients with HIV in South Africa: study protocol for a randomized controlled trial
Huis in ’t Veld Diana,Skaal Linda,Peltzer Karl,Colebunders Robert
Trials , 2012, DOI: 10.1186/1745-6215-13-190
Abstract: Background Alcohol abuse comes with risks for increased morbidity and mortality among patients with HIV. This study aims to determine the prevalence of alcohol use and other risk factors in a sample of primary care patients with HIV in South Africa and to assess a brief intervention to reduce the use of alcohol in this group. Methods/Design A single-blinded randomized controlled trial is designed to determine the efficacy of a brief intervention to reduce hazardous alcohol use in patients with HIV. The study will be carried out on out-patients with HIV in two primary healthcare HIV clinics near Pretoria, South Africa. Alcohol use will be assessed with the Alcohol Use Disorder Identification Test questionnaire. Other data that will be collected relate to health-related quality of life, depression, sexual behavior, internalized AIDS stigma, HIV-related information and adherence to antiretroviral therapy (self-reported 7-day recall of missed doses, Visual Analog Scale and pill count). The intervention consists of a brief counseling session to reduce alcohol risk; the control group receives a health education leaflet. Discussion The findings will be important in the public health setting. If the intervention proves to be efficient, it could potentially be incorporated into the HIV care policy of the Ministry of Health. Trial registration Pan African Clinical trial Registry: PACTR201202000355384
The Basics of Alcohol Screening, Brief Intervention and Referral to Treatment in the Emergency Department
Vaca, Federico E,Winn, Diane
Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health , 2007,
Abstract: Nearly eight million emergency department (ED) visits are attributed to alcohol every year in the United States. A substantial proportion is due to trauma. In 2005, 16,885 people were killed as a result of alcohol-related motor vehicle crashes. Patients with alcohol-use problems (AUPs) are not only more likely to drive after drinking but are also at greater risk for serious alcohol-related illness and injury. Emergency departments have an important and unique opportunity to identify these patients and intervene during the “teachable moment” of an ED visit. The American College of Emergency Physicians, Emergency Nurses Association, American College of Surgeons-Committee on Trauma, American Public Health Association, and the National Highway Traffic Safety Administration, have identified Alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) as a pivotal injury and illness-prevention strategy to improve the health and well-being of ED patients. We provide a general overview of the basis and need for integrating SBIRT into EDs. Models of SBIRT, as well as benefits and challenges to its implementation, are also discussed.
Brief alcohol intervention in a psychiatric outpatient setting: a randomized controlled study
Christina Nehlin, Leif Gr?nbladh, Anders Fredriksson, Lennart Jansson
Addiction Science & Clinical Practice , 2012, DOI: 10.1186/1940-0640-7-23
Abstract: Psychiatric outpatients with Alcohol Use Disorders Identification Test (AUDIT) scores indicating hazardous or harmful drinking were invited to participate in the study. The outpatients were randomized to minimal (assessment, feedback, and an informational leaflet) or BI (personalized advice added). Measurements were performed at baseline and at six and 12 months after the intervention. The primary outcome was change in AUDIT score at the 12-month follow-up.In all, 150 patients were enrolled and received either a minimal intervention (n?=?68) or BI (n?=?82). At 12 months, there was a small reduction in AUDIT score in both groups, with no significant differences in outcome between groups. At 12-month follow-up, 21% of participants had improved from a hazardous AUDIT score level to a nonhazardous level, and 8% had improved from a harmful level to a hazardous level (8%).Brief alcohol interventions may result in a reduction of AUDIT score to a small extent in psychiatric patients with hazardous or harmful alcohol use. Results suggest that BI may be of some value in the psychiatric outpatient setting. Still, more profound forms of alcohol interventions with risky-drinking psychiatric patients need elaboration.Over the past two decades, numerous investigations of the effectiveness of brief intervention (BI) for hazardous or harmful drinking have been performed [1,2]. Brief intervention has been established as an effective preventive approach, in particular among men, and is strongly recommended by the World Health Organization (WHO) [3,4].Brief intervention is a method of addressing alcohol problems in an early stage. The method usually comprises a screening procedure (normally by means of a printed or computerized self-report questionnaire), brief feedback on the results, and personalized information about possible consequences. Five to 15 minutes is the average length of a BI (longer counseling has little additional effect) [1,5-7]. Written information is commonly offere
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