© 2000 Evidence-Based Nursing
Brief counselling by a primary care physician or nurse practitioner reduced alcohol consumption in high risk drinkers
Ockene JK, Adams A, Hurley T, et al.Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers. Does it work?Arch Intern Med 1999 ;159:2198–205
QUESTION: Is brief counselling given by a physician or nurse practitioner during a routine outpatient visit effective in reducing alcohol consumption among high risk drinkers?
Randomised (unclear allocation concealment), blinded (outcome assessors), controlled trial with 6 months of follow up.
4 primary care internal medicine sites at a university medical centre in Massachusetts, USA.
530 patients between 21 and 70 years of age (mean age 44 y, 65% men) who were scheduled to be seen at 1 of the 4 primary care sites and who were high risk drinkers (men who drank >12 drinks/wk or binged on 
5 drinks on 1 occasion in the previous month; or women who drank >9 drinks/wk or binged on 4 drinks on 1 occasion in the previous month). Patients were excluded if they were pregnant, planned to move out of the area within 1 year, did not have a telephone, were already in an alcohol intervention programme, or had an Axis I psychiatric disorder. Follow up was 91%.
The 4 primary care sites (38 physicians and 8 nurse practitioners)
Community Psychiatric Nurse for Alcohol and Drugs Highland Primary Care NHS Trust Wick, UK
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General practice / family medicine
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Drugs misuse (including addiction)
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