Volume 10 Supplement 2

INEBRIA 12th Congress,

Open Access

A randomized controlled non-inferiority trial of primary care-based facilitated access to an alcohol reduction website (EFAR-FVG): preliminary results

  • Pierluigi Struzzo1, 2Email author,
  • Roberto Della Vedova1,
  • Donatella Ferrante2,
  • Nicholas Freemantle3,
  • Charilaos Lygidakis4,
  • Francesco Marcatto2,
  • Emanuele Scafato5,
  • Francesca Scafuri1,
  • Costanza Tersar1 and
  • Paul Wallace6
Addiction Science & Clinical Practice201510(Suppl 2):O29

DOI: 10.1186/1940-0640-10-S2-O29

Published: 24 September 2015

Background

The effectiveness of brief interventions for risky drinkers by GPs is well documented.[1] However, implementation levels remain low. Facilitated access to an alcohol reduction website offers an alternative to standard face-to-face intervention, but it is unclear whether it is as effective.[2] This study evaluates whether online brief intervention, through GP facilitated access to an alcohol reduction website for risky drinkers, is not inferior to the face-to-face brief intervention conducted by GPs.

Material and methods

In a northern Italy region participating GPs actively encouraged all patients age 18 attending their practice, to access an online screening website based on AUDIT-C.[3] Those screening positive underwent a baseline assessment with the AUDIT-10[4] and EQ-5D[5] questionnaires and subsequently, were randomly assigned to receive either online counselling on the alcohol reduction website (intervention) or face-to-face intervention based on the brief motivational interview[6] by their GP (control). Follow-up took place at 3 and 12 months and the outcome was calculated on the basis of the proportion of risky drinkers in each group according to the AUDIT-10.

Results

More than 50% (n= 3974) of the patients who received facilitated access logged-on to the website and completed the AUDIT-C. Just under 20% (n = 718) screened positive and 94% (n= 674) of them completed the baseline questionnaires and were randomized. Of the 310 patients randomized to the experimental Internet intervention, 90% (n = 278) logged-on to the site. Of the 364 patients of the control group, 72% (263) were seen by their GP. A follow-up rate of 94% was achieved at 3 months.

Conclusions

The offer of GP facilitated access to an alcohol reduction website appears to be an effective way of identifying risky drinkers and enabling them to receive brief intervention.

Declarations

Acknowledgements

This work is jointly supported by the Italian Ministry of Health and by the regional school for the training in Primary Care of the Region Friuli-Venezia Giulia, Italy.

(Grant number: D25E12002900003). On behalf of the EFAR Study Group.

Authors’ Affiliations

(1)
Research & innovation Area, Regional Centre for the Training in Primary Care
(2)
Department of Life Sciences, University of Trieste
(3)
Department of Primary Care and Population Health, University College London
(4)
Movimento Giotto
(5)
Istituto Superiore di Sanità, WHO Collaborating Centre for Research and Health Promotion on Alcohol and Alcohol-Related Health Problems, Osservatorio Nazionale Alcol, Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute
(6)
National Institute of Health Research Clinical Research Networks, University of Leeds

References

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Copyright

© Struzzo et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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