Community-based alcohol counselling: a randomized clinical trial

Shakeshaft, Anthony P., Bowman, Jenny A,, Burrows, Sally, Doran, Christopher M. and Sanson-Fisher, Rob W. (2002) Community-based alcohol counselling: a randomized clinical trial. Addiction, 97 11: 1449-1463. doi:10.1046/j.1360-0443.2002.00199.x

Author Shakeshaft, Anthony P.
Bowman, Jenny A,
Burrows, Sally
Doran, Christopher M.
Sanson-Fisher, Rob W.
Title Community-based alcohol counselling: a randomized clinical trial
Journal name Addiction   Check publisher's open access policy
ISSN 1360-0443
Publication date 2002-11-01
Sub-type Article (original research)
DOI 10.1046/j.1360-0443.2002.00199.x
Open Access Status
Volume 97
Issue 11
Start page 1449
End page 1463
Total pages 15
Place of publication Abingdon England
Publisher Blackwell
Language eng
Subject 1117 Public Health and Health Services
Abstract Aims To examine the effectiveness of a brief intervention (BI) and cognitive behaviour therapy (CBT) for alcohol abuse. Design A randomized trial with clients randomized within counsellors. Setting Community-based drug and alcohol counselling in Australia. Participants Of all new clients attending counselling, 869 (82%) completed a computerized assessment at their first consultation. Four hundred and twenty-one (48%) were defined as eligible, of whom 295 (70%) consented and were allocated randomly to an intervention. Of these, 133 (45%) were followed-up at 6 months post-test. Interventions BI comprised the elements identified by the acronym FRAMES: feedback, responsibility, advice, menu, empathy, self-efficacy. Face-to-face counselling time was not to exceed 90 minutes. CBT comprised six consecutive weekly sessions: introduction; cravings and urges; managing crises; saying 'no' and solving problems; emergencies and lapses; and maintenance. Total face-to-face counselling time was 270 minutes (six 45-minute sessions). Measurements Treatment outcomes are measured in terms of counsellor compliance, client satisfaction, weekly and binge consumption, alcohol-related problems, the AUDIT questionnaire and cost-effectiveness. Findings When analysed on an intention-to-treat basis and for those followed-up, treatment outcomes between BI and CBT were not statistically significantly different at pre- or post-test, whether considered as continuous or categorical variables. BI was statistically significantly more cost-effective than CBT and there was no difference between them in clients' reported levels of satisfaction. Conclusion For low-dependence alcohol abuse in community settings, BI may be the treatment of choice.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
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