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Slovenian Journal of Public Health

The Journal of National Institute of Public Health

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Volume 50, Issue 1


The case for extended brief interventions

Nick Heather
  • Department of Psychology, School of Life Sciences, Northumbria University, Newcastle upon Tyne, UK
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2011-01-17 | DOI: https://doi.org/10.2478/v10152-010-0023-8

The case for extended brief interventions

Brief interventions directed against hazardous and harmful drinking have become popular in recent years, both among researchers and, to some extent, among general practitioners and other health professionals. There is a strong evidence-base, at least in primary health care, to justify this popularity. But there is often confusion about what exactly alcohol brief intervention consists of. In fact, the term ‘brief intervention’ does not describe a single, well-defined activity but rather a family of interventions that differ in a range of ways. Although they all share the characteristics of being briefer than most formal treatment programmes for alcohol problems and of being aimed at drinkers with less severe problems and levels of dependence than those typically attending specialized treatment services, brief interventions differ among themselves in duration over time, number of scheduled sessions, procedures and accompanying materials, styles of interaction, delivery personnel and settings, and the underlying theoretical approach on which they are based.

Razlogi za uporabo kratkih intervencij

Keywords: extended brief interventions

  • Anderson, P., & Baumberg, B. (2006). Alcohol in Europe: A Public Health Perspective - A Report for the European Commission. London: Institute of Alcohol Studies.Google Scholar

  • Anderson, P., & Scott, E. (1992). The effect of general practitioners' advice to heavy drinking men. British Journal of Addiction, 87, 891-900.Google Scholar

  • Babor, T. F. (1996). A cross-national trial of brief interventions with heavy drinkers. American Journal of Public Health, 86, 948-955.Google Scholar

  • Babor, T., & Higgins-Biddle, J. (2001). Brief Intervention for Hazardous and Harmful Drinking. Geneva, Switzerland: World Health Organisation.Google Scholar

  • Ballesteros, J., Duffy, J. C., Querejeta, I., Arino, J., & Gonzalez-Pinto, A. (2004). Efficacy of brief interventions for hazarous drinkers in primary caređ: systematic review and meta-analysis. Alcoholism: Clinical & Experimental Research, 28(4), 608-618.CrossrefGoogle Scholar

  • Burke, B. L., Arkowitz, H., & Dunn, C. (2002). The efficacy of motivational interviewing and its adaptations: what we know so far. In W. R. Miller & S. Rollnick (Eds.), Motivational Interviewing: Preparing People for Change (2nd ed., pp. 217-250). New York NY: Guilford.Google Scholar

  • Carey, K., Scott-Sheldon, L., Carey, M., & DeMartini, K. (2007). Individual-level interventions to reduce college student drinking: a meta-analytic review. Addictive Behaviors, 32, 2469-2494.Web of ScienceGoogle Scholar

  • Coulton, S., Perryman, K., Bland, M., Cassidy, P., Crawford, M., DeLuca, P., et al. (2009). Screening and brief interventions for hazardous alcohol use in accident and emergency departments: a randomised controlled trial protocol. BMC Health Services Research, 9, 114.Google Scholar

  • Crawford, M. J., Patton, R., Touquet, R., Drummond, C., Byford, S., Barrett, B., et al. (2004). Screening and referral for brief intervention of alcohol-misusing patients in an emergency department: a pragmatic randomised controlled trial. Lancet, 364, 1334-1339.Google Scholar

  • Fleming, M. F., Barry, K. L., Manwell, L. B., Johnson, K., & London, R. (1997). Brief physician advice for problem alcohol drinkers: a randomized controlled trial in community-based primary care practices. Journal of the American Medical Association, 277, 1039-1045.Google Scholar

  • Harvard, A., Shakeshaft, A. P., & Sanson-Fisher, R. (2008). Systematic review and meta-analysis of strategies targeting alcohol problems in emergency departments: interventions to reduce alcohol-related injuries. Addiction, 103, 368-376.Web of ScienceGoogle Scholar

  • Heather, N. (1995). Interpreting the evidence on brief interventions for excessive drinkers: the need for caution. Alcohol & Alcoholism, 30, 287-296.Google Scholar

  • Heather, N. & Kaner, E. (2010) (Eds.) Special Issue on Alcohol Brief Interventions: Breaking New Ground. Drug & Alcohol Review, 29, 581-688.Web of ScienceGoogle Scholar

  • Heather, N., Campion, P. D., Neville, R. G., & MacCabe, D. (1987). Evaluation of a controlled drinking minimal intervention for problem drinkers in general practice (The DRAMS Scheme). Journal of the Royal College of General Practitioners, 37, 358-363.Google Scholar

  • Heather, N., Rollnick, S., Bell, A., & Richmond, R. (1996). Effectiveness of brief counselling among male heavy drinkers identified on general hospital wards. Drug and Alcohol Review, 15, 29-38.Google Scholar

  • Holloway, A., Watson, H., Arthur, A., Starr, G., McFadyen, A., & McIntosh, J. (2007). The effect of brief intervention on alcohhol consumption among heavy drinkers in a general hospital setting. Addiction, 102, 1762-1770.Google Scholar

  • Israel, Y., Hollander, O., Sanchez-Craig, M., Booker, S., Miller, V., Gingrich, R., et al. (1996). Screening for problem drinking and counseling by the primary care physician-nurse team. Alcoholism, Clinical & Experimental Research, 20(8), 1443-1450.CrossrefGoogle Scholar

  • Kaner, E. (2010). NICE work if you can get it: development of national guidance incorporating screening and brief intervention to prevent hazardous and harmful drinking in England. Drug & Alcohol Review, 29, 589-595.Web of ScienceGoogle Scholar

  • Kaner, E., Bland, M., Cassidy, P., Coulton, S., Crawford, M., DeLuca, P., et al. (2009). Screening and brief interventions for hazardous and harmful alcohol use in primary care: a randomised controlled trial protocol. BMC Public Health, 9, 287.Google Scholar

  • Kaner, E., Dickinson, H., Beyer, F., Pienaar, E., Schlesinger, C., Campbell, F., et al. (2009). The effectiveness of brief alcohol interventions in primary care settings: a systematic review. Drug & Alcohol Review, 28, 301-323.Web of ScienceGoogle Scholar

  • Kaner, E., Newbury-Birch, D., & Heather, N. (2009). Brief intervention. In P. Miller (Ed.), Evidence-based Addiction Treatment (pp. 189-213). Burlington VT: Academic Press.Google Scholar

  • Lundhal, B., Kunz, C., Brownell, C., Tollefson, D., & Burke, B. (2010). A meta-analysis of motivational interviewing: twenty-five years of empirical studies. Research on Social Work Practice, 20, 137-160.Web of ScienceGoogle Scholar

  • McQueen, J., Howe, T., Allan, L., & Mains, D. (2009). Brief interventions for heavy alcohol users admitted to general hospital wards. Cochrane Review. Chichester: Wiley.Google Scholar

  • Miller, W. R., & Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior. New York NY: Guilford.Google Scholar

  • Miller, W. R., & Rollnick, S. (2002). Motivational Interviewing: Preparing People for Change (2nd ed.). New York NY: Guilford.Google Scholar

  • Miller, W., Zweben, A., DiClemente, C., & Rychtarik, R. (1992). Motivational Enhancement Therapy Manual: A Clinical Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence. Rockville MD: Alcohol, Drug Abuse & Mental Health Administration, US Department of Health & Human ServicesGoogle Scholar

  • Moyer, A., Finney, J., Swearingen, C., & Vergun, P. (2002). Brief Interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment -seeking and non-treatment seeking populations. Addiction, 97, 279-292.Google Scholar

  • National Institute for Health and Clinical Excellence. (2010). Alcohol Use Disorders: Preventing the Development of Hazardous and Harmful Drinking (No. Nice Public Health Guidance 24). London: Author.Google Scholar

  • Newbury-Birch, D., Bland, M., Cassidy, P., Coulton, S., Deluca, P., Drummond, C., et al. (2009). Screening and brief interventions for hazardous and harmful alcohol use in probation services: a cluster randomised controlled trial protocol. BMC Public Health, 9, 418.Google Scholar

  • Poikolainen, K. (1999). Effectiveness of brief interventions to reduce alcohol intake in primary health care populations: a meta-analysis. Preventive Medicine, 28, 503-509.Google Scholar

  • Prochaska, J., & DiClemente, C. C. (1986). Towards a comprehensive model of change. In W. Miller & N. Heather (Eds.), Treating Addictive Behaviours: Processes of Change (pp. 3-27). New York: Plenum Press.Google Scholar

  • Raistrick, D., Heather, N., & Godfrey, C. (2006). Review of the Effectiveness of Treatment for Alcohol Problems. London: National Treatment Agency.Google Scholar

  • Richmond, R., Heather, N., Wodak, A., Kehoe, L., & Webster, I. (1995). Controlled evaluation of a general practice-based brief intervention for excessive drinking. Addiction, 90, 119-132.Google Scholar

  • Rollnick, S., Heather, N., & Bell, A. (1992). Negotiating behaviour change in medical settings: the development of brief motivational interviewing. Journal of Mental Health, 1, 25-37.Google Scholar

  • Rollnick, S., Mason, P., & Butler, C. (1999). Health Behavior Change: A Guide for Practitioners. Edinburgh: Churchill Livingstone.Google Scholar

  • Rollnick, S., Miller, W., & Butler, C. (2008). Motivational Interviewing in Health Care: Helping Patients Change. New York: Guilford Press.Google Scholar

  • Saunders, J. B., Aasland, O. G., Babor, T. F., de la Fuente, J. R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II. Addiction, 88(6), 791-804.CrossrefGoogle Scholar

  • Silagy, C., & Stead, L. (2003). Physician advice for smoking cessation (Cochrane Review). Chichester: Wiley.Google Scholar

  • Wallace, P., Cutler, S., & Haines, A. (1988). Randomized controlled trial of general practitioner intervention with excessive alcohol consumption. British Medical Journal, 297, 663-668.Google Scholar

About the article

Published Online: 2011-01-17

Published in Print: 2011-01-01

Citation Information: Slovenian Journal of Public Health, Volume 50, Issue 1, Pages 1–11, ISSN (Online) 1854-2476, ISSN (Print) 0351-0026, DOI: https://doi.org/10.2478/v10152-010-0023-8.

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