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Alcohol and Alcoholism Advance Access originally published online on September 20, 2004
Alcohol and Alcoholism 2004 39(6):548-551; doi:10.1093/alcalc/agh095
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Alcohol & Alcoholism Vol. 39, No. 6 © Medical Council on Alcohol 2004; all rights reserved

LONG-TERM EFFECT OF BRIEF INTERVENTION IN AT-RISK ALCOHOL DRINKERS: A 9-YEAR FOLLOW-UP STUDY

ODD NILSSEN

Institute of Community Medicine, University of Tromsö, Tromsö, Norway

Correspondence: Institute of Community Medicine, University of Tromsö, N-9037 Tromsö, Norway. Tel.: +47 776 44817; Fax: +47 776 44831; E-mail: Odd.Nilssen{at}ism.uit.no

(Received 16 April 2004; first review notified 17 May 2004; in revised form 18 June 2004; accepted 24 August 2004)

Aims: In 1986, 338 men and women attending a general population screening study were identified as at-risk alcohol drinkers and randomly assigned into three groups. Two groups received slightly different, brief interventions; a third group served as control. After 1 year there was a 50% reduction in alcohol intake in the intervention groups and a 20% increase in the control group. Controls then received advice to reduce their drinking. This study evaluates outcomes 9 years after these interventions. Methods: In a survey in the same city in 1995 (over 27 000 participants), 247 subjects (73.1%) from the 1986 study, were re-assessed. Serum gamma-glutamyltransferase (GGT) was examined and compared with values in 1986. A ‘pseudo-control’ group was established to compare ‘treated’ and ‘untreated’. Results: After 9 years, the original study groups displayed significant mean reduction in GGT. The reductions achieved in the three groups did not significantly differ from each other. However, the reductions were significantly greater than that in the ‘pseudo-control’ group. Conclusion: The impact of brief intervention appears to be long lasting. At 9 years follow-up, the at-risk drinkers displayed GGT values close to that of the background population.


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