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Randomised controlled non-inferiority trial of primary care based facilitated access to an alcohol reduction website (EFAR-FVG)

  • Paul Wallace
  • Piero Struzzo
  • Roberto della Vedova
  • Costanza Tersar
  • Lisa Verbano
  • Harris Lygidakis
  • Richard MacGregor
  • Nick Freemantle
  • Emanuele Scafato
Open Access
Meeting abstract

Keywords

Primary Care Primary Care Setting Innovative Approach Screening Questionnaire Main Trial 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Introduction

There is a strong body of evidence demonstrating effectiveness of brief interventions by primary care professionals for risky drinkers but implementation levels remain low. Facilitated access to an alcohol reduction website constitutes an innovative approach to brief intervention, offering a time-saving alternative to face to face intervention, but it is not known whether it is as effective.

Objective

To determine whether facilitated access to an alcohol reduction website is equivalent to face to face intervention.

Methods

Randomised controlled non-inferiority trial for risky drinkers comparing facilitated access to a dedicated website with face to face brief intervention conducted in primary care settings in the Region of Friuli Venezia-Giulia, Italy. Adult patients are given a leaflet inviting them to log on to a website to complete the AUDIT-C alcohol screening questionnaire. Screen positives are requested to complete an online trial module including consent, baseline assessment and randomisation to either standard intervention by the practitioner or facilitated access to an alcohol reduction website. Follow up assessment of risky drinking is undertaken online at 1 month, 3 months and 1 year using the full AUDIT questionnaire. Proportions of risky drinkers in each group will be calculated and non-inferiority assessed against a specified margin of 10%. The trial is being undertaken as an initial pilot and a subsequent main trial.

Results

12 practices have participated in the pilot, and more than 1300 leaflets have been distributed. 89 patients have been recruited to the trial with a one month follow-up rate of 79%.

Discussion

The findings of the pilot study suggest that the trial design is feasible, though modifications will be made to optimize performance in the main trial which will commence in January 2014. Plans are concurrently underway to replicate the trial in Australia, and potentially in the UK and Spain.

Copyright information

© Wallace et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Authors and Affiliations

  • Paul Wallace
    • 1
  • Piero Struzzo
    • 2
  • Roberto della Vedova
    • 2
  • Costanza Tersar
    • 2
  • Lisa Verbano
    • 2
  • Harris Lygidakis
    • 3
  • Richard MacGregor
    • 4
  • Nick Freemantle
    • 5
  • Emanuele Scafato
    • 6
  1. 1.National Institute for Health ResearchPrimary Care Research NetworkLondonUK
  2. 2.Regional Centre for the Training in Primary CareMonfalconeItaly
  3. 3.Movimento GiottoBolognaItaly UK
  4. 4.Codeface LtdHoveUK
  5. 5.Department of Primary Care and Population HealthUniversity College LondonLondonUK
  6. 6.National Observatory on Alcohol, Center for Epidemiology, Surveillance and Health PromotionNational Institute of Health (ISS)RomeItaly

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