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Addict Sci Clin Pract. 2012; 7(Suppl 1): A27.
Published online Oct 9, 2012. doi:  10.1186/1940-0640-7-S1-A27
PMCID: PMC3480073
Alcohol screening, brief intervention, and stepped care with older alcohol users
Ruth McGovern,corresponding author1 Simon Coulton,2 Jude Watson,3 Martin Bland,3 Colin Drummond,4 Eileen Kaner,1 Christine Godfrey,3 Alan Hassey,5 and Dorothy Newbury-Birch1
1Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
2Center for Health Service Studies, University of Kent, Canterbury, UK
3Department of Health Sciences, University of York, Heslington, York, UK
4National Addiction Center, Institute of Psychiatry, King's College London, London, UK
5Fisher Medical Center, Skipton, UK
corresponding authorCorresponding author.
International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2011
Richard Saitz
The conference was funded in part by grants from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the National Institute on Drug Abuse (NIDA). The content of the abstracts included in this supplement is solely the responsibility of the authors and does not necessarily represent the official views of NIAAA, NIDA, or the National Institutes of Health. Financial support for publication of this supplement was provided by the US National Institute on Drug Abuse (NIDA).
International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2011
21-23 September 2011
Boston, MA, USA
The Alcohol Needs Assessment Project estimated that 20% of people aged ≥55 years consume alcohol at levels hazardous to their health, which is associated with a wide range of physical, psychological, and social problems, including coronary heart disease, hypertension, stroke, liver disease, and increased risk of a range of cancers. The Alcohol—Evaluating Stepped Care for Older Populations (AESOPS) research study is a randomized controlled trial looking at the effectiveness and cost-effectiveness of an opportunistic screening, brief intervention, and stepped care framework for older hazardous alcohol users in primary care compared with minimal intervention. Opportunistic screening of patients aged ≥55 years was conducted in 53 primary health care practices from eight areas across England. Patients who screened positive for an alcohol use disorder (AUD) were randomly allocated to one of two intervention conditions: brief structured advice (minimal intervention) or stepped care. Approximately 78,260 screening questionnaires were distributed, and 21,524 (27.5%) were returned. Seven-and-a-half percent of respondents screened positive for AUD. Of eligible patients, 51.3% were randomized to stepped care, most (99.6%) of whom received step one (brief lifestyle intervention); 55.1% received step two (brief motivational intervention), and 10.2% were referred to step three (specialist alcohol treatment). Results to date are discussed.
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