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Alcohol screening and brief advice in NHS general dental practices: a cluster randomized controlled feasibility trial
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Attached file edited-DART----final-revisions.docx | Accepted version | 91.42 kB | Microsoft Word | View/Open |
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 |