Referral to an Electronic Screening and Brief Alcohol Intervention in Primary Health Care in Sweden: Impact of Staff Referral to the Computer
2011

Impact of Staff Referral to Electronic Alcohol Screening in Primary Health Care

Sample size: 7863 publication 10 minutes Evidence: moderate

Author Information

Author(s): Preben Bendtsen, Diana Stark Ekman, Anne Lie Johansson, Siw Carlfjord, Agneta Andersson, Matti Leijon, Kjell Johansson, Per Nilsen

Primary Institution: Linköping University

Hypothesis

Does staff referral to an electronic screening and brief intervention for alcohol use lead to greater changes in alcohol consumption compared to self-referral?

Conclusion

Staff-referred patients showed a reduction in alcohol consumption, while self-referred patients reported an increase, but the overall effectiveness was similar for both groups.

Supporting Evidence

  • Staff-referred responders reported an average decrease of 8.4 grams in weekly alcohol consumption.
  • Self-referred responders reported an average increase of 2.4 grams in weekly alcohol consumption.
  • Both groups showed significant reductions in the number of heavy episodic drinking occasions.

Takeaway

This study looked at whether asking patients to use a computer to check their drinking habits helps them drink less. It found that both groups, those asked by staff and those who chose to do it themselves, had similar results.

Methodology

Patients were recruited from primary health care settings and divided into staff-referred and self-referred groups to assess changes in alcohol consumption after using an electronic screening and brief intervention.

Potential Biases

Potential social desirability bias may have influenced participants' self-reported alcohol consumption.

Limitations

The study design was based on convenience sampling and lacked a control group, which limits the ability to draw definitive conclusions about the effectiveness of the intervention.

Participant Demographics

The study included a diverse population from Östergötland County, Sweden, with a mix of urban and rural residents.

Statistical Information

P-Value

0.043 for staff-referred group change in consumption

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2011/918763

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