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Substance Abuse Treatment, Prevention, and Policy

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Open Access 01-12-2015 | Research

Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial

Authors: Supa Pengpid, Karl Peltzer, Apa Puckpinyo, Somchai Viripiromgool, Kriengsak Thamma-aphiphol, Kawinarat Suthisukhon, Dussanee Dumee, Thiprada Kongtapan

Published in: Substance Abuse Treatment, Prevention, and Policy | Issue 1/2015

Abstract

Background

The aim of this study was to conduct a cluster randomized control trial to assess the efficacy of screening and brief intervention (SBI) for conjoint alcohol and tobacco use among hospital out-patients.

Method

In all 620 hospital out-patients who screened positive for both tobacco and alcohol moderate risk in four hospitals were randomized into 2 control and 1 intervention condition using the hospital as a unit of randomization (2 intervention and 2 control hospitals) to 405 patients in the two control groups (tobacco only intervention, n = 199, and alcohol only intervention, n = 206) and 215 in the intervention group. The intervention or control consisted of three counselling sessions.

Results

Results of the interaction (Group × Time) effects using GEE indicated that there were statistically significant differences between the three study groups over the 6-month follow-up on the ASSIST tobacco score (Wald χ² = 8.43, P = 0.004), and past week tobacco use abstinence (Wald χ² = 7.34, P = 0.007). Although there were no significant interaction effects on the other outcomes (Alcohol ASSIST score, low alcohol risk score, past week tobacco abstinence or low alcohol risk score, and past week tobacco abstinence and low alcohol risk score), the scores in all of the six outcome measures showed consistent improvements. For past week tobacco abstinence the tobacco only intervention was more effective than the alcohol only intervention and the integrated alcohol and tobacco intervention. For the outcome of low alcohol risk, the alcohol only intervention and the integrated alcohol and tobacco intervention was more effective than the tobacco only or alcohol only intervention.

Conclusions

The study found that for past week tobacco abstinence the tobacco only intervention was more effective than the alcohol only intervention and the polydrug use (alcohol and tobacco) integrated intervention.

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Title: Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial
Authors: Supa Pengpid
Karl Peltzer
Apa Puckpinyo
Somchai Viripiromgool
Kriengsak Thamma-aphiphol
Kawinarat Suthisukhon
Dussanee Dumee
Thiprada Kongtapan
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Substance Abuse Treatment, Prevention, and Policy / Issue 1/2015
Electronic ISSN: 1747-597X
DOI: https://doi.org/10.1186/s13011-015-0018-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial

Abstract

Background

Method

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Method

Results

Conclusions

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