Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial
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...
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th-mahidol.32022023-03-31T06:59:32Z Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial Supa Pengpid Peltzer, Karl Apa Puckpinyo Somchai Viripiromgool Kriengsak Thamma-aphiphol Kawinarat Suthisukhon Dussanee Dumee Thiprada Kongtapan Mahidol University. ASEAN Institute for Health Development Conjoint alcohol and tobacco use Brief intervention Moderate risk Tobacco use alcohol use Hospital out-patients Thailand 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. 2017-11-17T08:06:15Z 2017-11-17T08:06:15Z 2017-11-17 2015 Research Substance Abuse Treatment, Prevention, and Policy. Vol.10, (2015), 22 10.1186/s13011-015-0018-1 https://repository.li.mahidol.ac.th/handle/123456789/3202 eng Mahidol University BioMed Central application/pdf |
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Conjoint alcohol and tobacco use Brief intervention Moderate risk Tobacco use alcohol use Hospital out-patients Thailand |
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Conjoint alcohol and tobacco use Brief intervention Moderate risk Tobacco use alcohol use Hospital out-patients Thailand Supa Pengpid Peltzer, Karl Apa Puckpinyo Somchai Viripiromgool Kriengsak Thamma-aphiphol Kawinarat Suthisukhon Dussanee Dumee Thiprada Kongtapan Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial |
description |
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. |
author2 |
Mahidol University. ASEAN Institute for Health Development |
author_facet |
Mahidol University. ASEAN Institute for Health Development Supa Pengpid Peltzer, Karl Apa Puckpinyo Somchai Viripiromgool Kriengsak Thamma-aphiphol Kawinarat Suthisukhon Dussanee Dumee Thiprada Kongtapan |
format |
Research Report |
author |
Supa Pengpid Peltzer, Karl Apa Puckpinyo Somchai Viripiromgool Kriengsak Thamma-aphiphol Kawinarat Suthisukhon Dussanee Dumee Thiprada Kongtapan |
author_sort |
Supa Pengpid |
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 |
title_short |
Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial |
title_full |
Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial |
title_fullStr |
Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial |
title_full_unstemmed |
Screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in Thailand: a randomized controlled trial |
title_sort |
screening and concurrent brief intervention of conjoint hazardous or harmful alcohol and tobacco use in hospital out-patients in thailand: a randomized controlled trial |
publishDate |
2017 |
url |
https://repository.li.mahidol.ac.th/handle/123456789/3202 |
_version_ |
1763490739124174848 |