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Bright SJ, Williams CM. Development of Australia's first older adult-specific early intervention for alcohol-related harm: Feasibility and proof of concept. Australas J Ageing 2016; 36:52-55. [DOI: 10.1111/ajag.12366] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Stephen J Bright
- National Drug Research Institute; Curtin University; Perth Western Australia Australia
- Peninsula Health; Melbourne Victoria Australia
| | - Cylie M Williams
- Peninsula Health; Melbourne Victoria Australia
- School of Primary Health Care; Monash University; Melbourne Victoria Australia
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Johnson NA, Kypri K, Latter J, McElduff P, Attia J, Saitz R, Saunders JB, Wolfenden L, Dunlop A, Doran C, McCambridge J. Effect of telephone follow-up on retention and balance in an alcohol intervention trial. Prev Med Rep 2016; 2:746-9. [PMID: 26844146 PMCID: PMC4721312 DOI: 10.1016/j.pmedr.2015.08.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVES Telephone follow-up is not currently recommended as a strategy to improve retention in randomized trials. The aims of this study were to estimate the effect of telephone follow-up on retention, identify participant characteristics predictive of questionnaire completion during or after telephone follow-up, and estimate the effect of including participants who provided follow-up data during or after telephone follow-up on balance between randomly allocated groups in a trial estimating the effect of electronic alcohol screening and brief intervention on alcohol consumption in hospital outpatients with hazardous or harmful drinking. METHOD Trial participants were followed up 6 months after randomization (June-December 2013) using e-mails containing a hyperlink to a web-based questionnaire when possible and by post otherwise. Telephone follow-up was attempted after two written reminders and participants were invited to complete the questionnaire by telephone when contact was made. RESULTS Retention before telephone follow-up was 62.1% (520/837) and 82.8% (693/837) afterward: an increase of 20.7% (173/837). Therefore, 55% (95% CI 49%-60%) of the 317 participants who had not responded after two written reminders responded during or after the follow-up telephone call. Age < 55 years, a higher AUDIT-C score and provision of a mobile/cell phone number were predictive of questionnaire completion during or after telephone follow-up. Balance between randomly allocated groups was present before and after inclusion of participants who completed the questionnaire during or after telephone follow-up. CONCLUSION Telephone follow-up improved retention in this randomized trial without affecting balance between the randomly allocated groups.
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Affiliation(s)
- Natalie A Johnson
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Kypros Kypri
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
| | - Joanna Latter
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Patrick McElduff
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia
| | - John Attia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia; Department of General Medicine, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia
| | - Richard Saitz
- Department of Community Health Sciences, Boston University School of Public Health, and Clinical Addiction Research and Education Unit, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA; Boston Medical Center, Boston, MA 02118, USA
| | - John B Saunders
- Centre for Youth Substance Abuse Research, University of Queensland, Herston, QLD 4006, Australia; Disciplines of Psychiatry and Addiction Medicine, University of Sydney, Sydney, NSW 2006, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter New England Local Health District Population Health, Wallsend, NSW 2287, Australia
| | - Adrian Dunlop
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter New England Local Health District Drug and Alcohol Clinical Services, Newcastle, NSW 2300, Australia
| | - Christopher Doran
- School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
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Johnson NA, Kypri K, Latter J, McElduff P, Saunders JB, Saitz R, Attia J, Dunlop A, Doran C, Wolfenden L, McCambridge J. Prevalence of unhealthy alcohol use in hospital outpatients. Drug Alcohol Depend 2014; 144:270-3. [PMID: 25193718 DOI: 10.1016/j.drugalcdep.2014.08.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2014] [Revised: 08/18/2014] [Accepted: 08/18/2014] [Indexed: 10/24/2022]
Abstract
BACKGROUND Few studies have examined the prevalence of unhealthy alcohol use in the hospital outpatient setting. Our aim was to estimate the prevalence of unhealthy alcohol use among patients attending a broad range of outpatient clinics at a large public hospital in Australia. METHODS Adult hospital outpatients were invited to complete the Alcohol Use Disorders Identification Test Consumption questions (AUDIT-C) using an iPad as part of a randomised trial testing the efficacy of alcohol electronic screening and brief intervention. Unhealthy alcohol use was defined as an AUDIT-C score ≥5 among men and ≥4 among women. RESULTS Sixty percent (3616/6070) of invited hospital outpatients consented, of whom 89% (3206/3616) provided information on their alcohol consumption (either reported they had not consumed any alcohol in the last 12 months or completed the AUDIT-C). The prevalence of unhealthy alcohol use was 34.7% (95% confidence interval [CI]: 33.0-36.3%). The prevalence among men aged 18-24 years, 25-39 years, 40-59 years and 60 years and older, was 74.4% (95% CI: 68.4-80.4%), 54.3% (95% CI: 48.7-59.8%), 44.1% (95% CI: 39.9-48.3%), and 27.0% (95% CI: 23.6-30.4%), respectively (43.1% overall; 95% CI: 40.8-45.5%). The prevalence among women aged 18-24 years, 25-39 years, 40-59 years, and 60 years and older, was 48.6% (95% CI: 39.2-58.1%), 36.9% (95% CI: 31.2-42.6%), 25.2% (95% CI: 21.5-29.0%) and 14.5% (95% CI: 11.7-17.3%), respectively (24.9% overall; 95% CI: 22.7-27.1%). CONCLUSION A large number of hospital outpatients who are not currently seeking treatment for their drinking could benefit from effective intervention in this setting.
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Affiliation(s)
- Natalie A Johnson
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
| | - Kypros Kypri
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - Joanna Latter
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - Patrick McElduff
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - John B Saunders
- Centre for Youth Substance Abuse Research, University of Queensland, Herston, QLD 4006, Australia; Disciplines of Psychiatry and Addiction Medicine, University of Sydney, Sydney, NSW 2006, Australia
| | - Richard Saitz
- Department of Community Health Sciences, Boston University School of Public Health, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston, MA 02118, USA
| | - John Attia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia; Department of General Medicine, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Adrian Dunlop
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia; Hunter New England Local Health District Drug and Alcohol Clinical Services, Newcastle, NSW 2300, Australia
| | - Christopher Doran
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia; Hunter New England Local Health District Population Health, Wallsend, NSW 2287, Australia
| | - Jim McCambridge
- Faculty of Public Health & Policy, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK
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