Moderating drinking by correspondence: an evaluation of a new method of intervention

Addiction. 1996 Mar;91(3):345-55. doi: 10.1046/j.1360-0443.1996.9133455.x.

Abstract

Recognizing the need to offer alternative methods of brief interventions, this study developed correspondence treatments for low-dependent problem drinkers and evaluated their impact. One hundred and twenty-one problem drinkers were recruited by media advertisements and were randomly allocated to a full cognitive-behavioural treatment programme (CBT) or to a minimal intervention condition (MI) that gave information regarding alcohol misuse and instructions to record drinking++. As predicted, CBT was more effective than MI in reducing alcohol consumption over the 4-month controlled trial period. CBT produced a 50% fall in consumption, bringing the average intake of subjects within recommended maximum levels. Treatment gains at 6 months were well maintained to 12 months. High levels of consumer satisfaction, a high representation of women and a substantial participation from isolated rural areas attested to the feasibility of the correspondence programme as an alternative treatment. However, some drinking occasions still involved high intake for a significant subgroup of subjects, and this issue will be addressed in future programmes. The results supported the use of correspondence delivery as a means of promoting early engagement and equity of access between city and country areas.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / prevention & control*
  • Alcohol Drinking / psychology
  • Alcoholism / prevention & control*
  • Alcoholism / psychology
  • Australia
  • Cognitive Behavioral Therapy
  • Correspondence as Topic*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Temperance
  • Treatment Outcome