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Study (country; participants)
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Screening method and when administered
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Definition of excessive drinking*
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No screened; screened positive (%); randomised (%)
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Mean (SD) drinks per week at baseline
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Intervention
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Treatment goal (maximum drinks*/week)
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Follow up period
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Difference between groups for main outcomes as reported in the paper
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| Manwell (USA; women aged 18-40)28 |
Lifestyle questionnaire administered during consultation |
>11/week or 5/occasion; 2 positive answers to CAGE |
5979; 730 (12); 205 (3.4) |
14 (9) |
Physician advice (15 min)x2; telephone boosterx2; self help material |
13 |
4 years |
Change in No of drinks/week: -1.7 (P=0.0039)
|
|
|
|
|
|
|
|
|
ARR for binge drinking: 3.4% (P=0.0021)
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|
|
|
|
|
|
|
|
ARR for drinking above limits: 11% (P=0.05)
|
| Scott (UK; women aged 17-69)29 |
Health questionnaire administered during consultation; some patients invited for first screening by mail or telephone |
>17/week |
11521; 384 (3.3); 104 (0.9) |
30 (10) |
Physician advice (10 min)x1; self help material |
12 |
1 year |
Change in No of drinks/week: -1.1 (NS)
|
|
|
|
|
|
|
|
|
ARR for binge drinking: 1.6% (NS)
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|
|
|
|
|
|
|
|
ARR for drinking above limits: 3.3% (NS)
|
| Fleming (USA; men and women aged over 65)435 |
Health questionnaire administered during consultation |
>11/week or 4/occasion (men), >8/week or 4/occasion (women); or 2 positive answers to CAGE |
6073; 656 (11); 158 (2.6) |
16 (9) |
Physician advice (10-15 min)x2; telephone booster x2; self help material |
20 (men), 13 (women) |
1 year |
Change in No of drinks/week: -5.3 (P<0.001)
|
|
|
|
|
|
|
|
|
ARR for binge drinking: 59% (P<0.005)
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|
|
|
|
|
|
|
|
ARR for drinking above limits: 63% (P<0.005)
|
| Ockene (USA; men and women aged 21-84)30 |
Health questionnaire administered during consultation; some patients invited for first screening by mail or telephone |
>12/week or 5/occasion (men), >9/week (women); or 4/occasion or 2 positive answers to CAGE |
9772; 1760 (18); 530 (5.4) |
20 (15)men; 13 (7) women |
Physician or nurse advice (5-10 min)x1; self help material |
12 (men), 9 (women) |
0.5 year |
Change in No of drinks/week: -2.4 (P=0.001)
|
|
|
|
|
|
|
|
|
ARR for binge drinking: 5.0% (P=0.32)
|
|
|
|
|
|
|
|
|
ARR for drinking above limits: 20% (P=0.01)
|
| Fleming (USA; men and women aged 18-65)34 |
Health questionnaire administered during consultation |
>14/week (men), >11/week (women) |
17695; 2925 (17); 774 (4.4) |
22 (13) men; 15 (10) women |
Physician advice (15 min)x2; telephone booster x2; self help material |
20 (men), 13 (women) |
1 year |
Change in No of drinks/week: -3.5 (P<0.01)
|
|
|
|
|
|
|
|
|
ARR for binge drinking: 17% (P<0.02)
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|
|
|
|
|
|
|
|
ARR for drinking above limits: 30% (P<0001)
|
| Richmond (Australia; men and women aged 18-70)33 |
Health questionnaire administered during consultation |
>29/week (men), >17/week (women) |
13017; 894 (6.9); 378 (2.9) |
42 (24) men; 22 (14) women |
Physician advice (5-20 min)x1-5; self help material |
23 (men), 12 (women) |
1 year |
Change in consumption: -0.3 (NS)
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|
|
|
|
|
|
|
|
Temporary effect on problem score
|
| Wallace (UK; men and women aged 17-69)31 |
Health questionnaire administered during consultation; some patients invited for first screening by mail |
>22/week (men), >13/week (women) |
62153; 4454 (7.2); 909 (1.5) |
42 (21) men; 24 (12) women |
Physician advice (few min)x1-5; self help material |
22 (men), 13 (women) |
1 year |
Change in No of drinks/week: men -6.7 (P<0.001); women -3.5 (P<0.05)
|
|
|
|
|
|
|
|
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ARR for drinking above limits: men 18% (P<0.001); women 18% (P<0.05)
|
| Anderson (UK; men aged 17-69)32 |
Health questionnaire administered during consultation; some patients invited for first screening by mail |
>29/week |
8483; 524 (6.2); 259 (3.1) |
44 (11) |
Physician advice (10 min)x1; self help material |
18 |
1 year |
Change in No of drinks/week -5.4 (P<0.06)
|
|
|
|
|
|
|
|
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ARR for binge drinking: 30% (P<0.05)
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|
|
|
|
|
|
|
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ARR for drinking above limits: 13% (P<0.05)
|