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Review
. 2016 Nov;51(5):801-811.
doi: 10.1016/j.amepre.2016.04.013.

Alcohol Electronic Screening and Brief Intervention: A Community Guide Systematic Review

Affiliations
Review

Alcohol Electronic Screening and Brief Intervention: A Community Guide Systematic Review

Kristin A Tansil et al. Am J Prev Med. 2016 Nov.

Abstract

Context: Excessive drinking is responsible for one in ten deaths among working-age adults in the U.S. annually. Alcohol screening and brief intervention is an effective but underutilized intervention for reducing excessive drinking among adults. Electronic screening and brief intervention (e-SBI) uses electronic devices to deliver key elements of alcohol screening and brief intervention, with the potential to expand population reach.

Evidence acquisition: Using Community Guide methods, a systematic review of the scientific literature on the effectiveness of e-SBI for reducing excessive alcohol consumption and related harms was conducted. The search covered studies published from 1967 to October 2011. A total of 31 studies with 36 study arms met quality criteria and were included in the review. Analyses were conducted in 2012.

Evidence synthesis: Twenty-four studies (28 study arms) provided results for excessive drinkers only and seven studies (eight study arms) reported results for all drinkers. Nearly all studies found that e-SBI reduced excessive alcohol consumption and related harms: nine study arms reported a median 23.9% reduction in binge-drinking intensity (maximum drinks/binge episode) and nine study arms reported a median 16.5% reduction in binge-drinking frequency. Reductions in drinking measures were sustained for up to 12 months.

Conclusions: According to Community Guide rules of evidence, e-SBI is an effective method for reducing excessive alcohol consumption and related harms among intervention participants. Implementation of e-SBI could complement population-level strategies previously recommended by the Community Preventive Services Task Force for reducing excessive drinking (e.g., increasing alcohol taxes and regulating alcohol outlet density).

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Figures

Figure 1
Figure 1
Model showing conceptualization of how alcohol e-SBI is expected to reduce excessive alcohol consumption and related harms.
Figure 2
Figure 2
Alcohol e-SBI systematic review search yield (1967 – October 2011).

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