Alcohol Abuse Clinical Trial
Official title:
Efficacy of a Brief Alcohol Intervention for Non Dependant Alcohol-misusing Patients Undergoing a Scheduled Surgery: a Randomized Controlled Trial
Excessive alcohol consumption is a worldwide major public health problem. Brief
interventions have shown to be an efficient treatment modality for problem drinkers, but
have never been tested in scheduled surgery.
Patients will be recruited in various surgery units in 7 hospital in France. All patients
attending a scheduled surgery will be screened during the visit with the anaesthesist by the
Alcohol Use Disorders Identification Test (AUDIT). Patients aged 30-75 with an AUDIT between
7 and 12, corresponding to at risk or harmful use, will be proposed to enter a control study
and randomized between a brief intervention by a trained nurse during the post-surgery
hospitalisation and no intervention. Twelve months after the surgery, a research technician
will interview by telephone patients and evaluate AUDIT and alcohol consumption of the last
month.
Excessive alcohol consumption is a worldwide major public health problem. Persons who drink
more than 2-3 drinks per day are at risk for numerous medical, psychological and social
problems. Brief interventions have shown to be an efficient treatment modality for problem
drinkers in settings such as primary care, emergencies or psychiatric hospitals by numerous
randomized studies. Brief intervention consists typically in a brief assessment, giving
patients personal feedback, dealing with resistance and ambivalence, establishing a goal of
reduced alcohol use, and giving a workbook; reinforcement visits or calls are included.
Brief interventions seem to be particularly effective in patients with alcohol problem
without dependence.
Screening for alcohol problem is best done using standardized questionnaires, as the Alcohol
Use Disorders Identification Test (AUDIT), developed by WHO and translated in many
languages. The AUDIT allows distinguishing between normal alcohol use, harmful or at risk
use and dependence and is easy to use.
No study on brief intervention has been conducted in scheduled surgery. This seems to be a
promising situation, since there is first a visit with the anaesthetist, during which
screening for alcohol problem should occur, then a hospitalisation, during which the
intervention could be made. It is possible that patients are more concerned by their health
when they come to hospital for a surgery.
The aim of this controlled, randomized study is to test the hypothesis that a brief
intervention, consisting in a visit with a trained nurse, followed by a telephone call three
months later, in patients with at risk or harmful alcohol use, undergoing a scheduled
surgery, could be efficient to promote the decrease of alcohol consumption.
Patients will be screened during the visit with the anaesthetist with AUDIT. Patients with
AUDIT between 7 and 12 will be proposed to enter the study, and randomised between Brief
Intervention and no intervention. A research technician will interview patients 12 months
after the surgery, with assessment of the AUDIT and alcohol consumption. CDT and GGT will be
measured prior to surgery, then at 12 months after surgery.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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