Date Published: September 4, 2013
Publisher: BioMed Central
Author(s): Frida Silfversparre, Fredrik Spak.
In 2009, a project named SPIRA (Secondary prevention in Primary health care – Implementation of methods to reduce Risk drinking of Alcohol) was launched with the objective to investigate different methods that can draw attention to and detect risk-behavior concerning alcohol among people that seek care at primary health care units (PHC-units) in Sweden. The aims of this study were to investigate if BI (Brief intervention) counseling decreased alcohol consumption and to study if it improved health related quality of life for individuals seeking care at PHC-units in Sweden. Patients visiting PHC-units were asked to answer questionnaires containing AUDIT-C and EQ-5D-questions. 643 of 2918 respondents were contacted in 2012 for follow-up. 16 PHC-units participated and were randomized into four strands. These received two different education programs in how to detect risk-behavior related to alcohol consumption and half of the strands were assisted by implementation coaches. All received the same information on intervention methods. Intervention was done with 5-A BI or a modified MI-model.