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Alcohol screening and brief advice in NHS general dental practices: a cluster randomized controlled feasibility trial

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Title: Alcohol screening and brief advice in NHS general dental practices: a cluster randomized controlled feasibility trial
Authors: Ntouva, A
Porter, J
Crawford, MJ
Britton, A
Gratus, C
Newton, T
Tsakos, G
Heilmann, A
Pikhart, H
Watt, RG
Item Type: Journal Article
Abstract: AIM: To assess the feasibility and acceptability of screening for alcohol misuse and delivering brief advice to eligible patients attending NHS dental practices in London. METHODS: A two-arm cluster randomized controlled feasibility trial was conducted. Twelve dental practices were recruited and randomized to intervention and control arms. Participants attending for a dental check were recruited into the study and were eligible if they consumed alcohol above recommended levels assessed by the AUDIT-C screening tool. All eligible participants were asked to complete a baseline socio-demographic questionnaire. Six months after the completion of baseline measures, participants were contacted via telephone by a researcher masked to their allocation status. The full AUDIT tool was then administered. Alcohol consumption in the last 90 days was also assessed using the Form 90. A process evaluation assessed the acceptability of the intervention. RESULTS: Over a 7-month period, 229 participants were recruited (95.4% recruitment rate) and at the 6 months follow-up, 176 participants were assessed (76.9% retention rate). At the follow-up, participants in the intervention arm were significantly more likely to report a longer abstinence period (3.2 vs. 2.3 weeks respectively, P = 0.04) and non-significant differences in AUDIT (44.9% vs. 59.8% AUDIT positive respectively, P = 0.053) and AUDIT C difference between baseline and follow-up (-0.67 units vs. -0.29 units respectively, P = 0.058). Results from the process evaluation indicated that the intervention and study procedures were acceptable to dentists and patients. CONCLUSIONS: This study has demonstrated the feasibility and acceptability of dentists screening for alcohol misuse and providing brief advice.
Issue Date: 1-May-2019
Date of Acceptance: 1-Mar-2019
URI: http://hdl.handle.net/10044/1/68640
DOI: 10.1093/alcalc/agz017
ISSN: 0735-0414
Publisher: Oxford University Press (OUP)
Start Page: 235
End Page: 242
Journal / Book Title: Alcohol and Alcoholism
Volume: 54
Issue: 3
Copyright Statement: © The Author(s) 2019. Medical Council on Alcohol and Oxford University Press. All rights reserved. This is a pre-copy-editing, author-produced version of an article accepted for publication in Alcohol and Alcoholism following peer review. The definitive publisher-authenticated version is available online at: https://academic.oup.com/alcalc/advance-article/doi/10.1093/alcalc/agz017/5382320
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: CP1TRD-78780
Keywords: Science & Technology
Life Sciences & Biomedicine
Substance Abuse
BRIEF INTERVENTION
FACIAL INJURIES
CONSUMPTION
DRINKING
DRINKERS
CANCERS
EPIDEMIOLOGY
ASSOCIATION
PREVALENCE
TRENDS
Substance Abuse
1117 Public Health and Health Services
1701 Psychology
1109 Neurosciences
Publication Status: Published
Conference Place: England
Online Publication Date: 2019-03-18
Appears in Collections:Department of Brain Sciences