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Brief interventions in routine health care: a population-based study of conversations about alcohol in Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
London School of Hygiene and Tropical Medicine, London, UK.
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Department of Medical and Health Sciences, Work and Rehabilitation. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-0279-5903
Linköping University, Department of Medical and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Acute Health Care. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Department of Medical Specialist.
2011 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 106, no 10, 1748-1756 p.Article in journal (Refereed) Published
Abstract [en]

Aims To investigate how brief alcohol interventions are delivered in routine practice in the Swedish health-care system. Design, setting and participants  A cross-sectional sample of 6000 individuals representative of the adult population aged 18-64 years registered in the Swedish total population register was drawn randomly. Data were collected in 2010 by means of a mail questionnaire. The response rate was 54%.

Measurements The questionnaire consisted of 27 questions, of which 15 variables were extracted for use in this study. Whether alcohol had been discussed and the duration, contents, experiences and effects of any conversations about alcohol, as reported by patients themselves, were assessed.

Findings Sixty-six per cent of the respondents had visited health-care services in the past 12 months and 20% of these had had one or more conversations about alcohol during these visits (13% of the population aged 18-64 years). The duration of the conversations was generally brief, with 94% taking less than 5 minutes, and were not experienced as problematic. The duration, contents, experiences and effects of these conversations generally varied between abstainers, moderate, hazardous and excessive drinkers. Twelve per cent of those having a conversation about alcohol reported that it led to reduced alcohol consumption. Reduced alcohol consumption was more likely when conversations lasted for 1-10 minutes rather than less than 1 minute and included advice on how to reduce consumption.

Conclusions Population survey data in Sweden suggest that when health-care professionals give brief advice to reduce alcohol consumption, greater effects are observed when the advice is longer and includes advice on how to achieve it.

Place, publisher, year, edition, pages
Blackwell-Wiley , 2011. Vol. 106, no 10, 1748-1756 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-70021DOI: 10.1111/j.1360-0443.2011.03476.xISI: 000294896300008PubMedID: 21518068OAI: oai:DiVA.org:liu-70021DiVA: diva2:434488
Note
Funding Agencies|Swedish National Institute of Public Health||Available from: 2011-08-15 Created: 2011-08-15 Last updated: 2017-12-08

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Nilsen, PerKarlsson, NadineBendtsen, Preben

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Division of Preventive and Social Medicine and Public Health ScienceFaculty of Health SciencesWork and RehabilitationDepartment of Acute Health CareDepartment of Medical Specialist
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