Cochrane · systematic review · CD004148

Effectiveness of brief alcohol interventions in primary care populations

Kaner, EFS, Beyer, FR, Muirhead, C, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Drugs and AlcoholAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
12
No studies
1
Included studies
NR
No studies 1 · 7.7%Ungraded 0 · 0%Very low 2 · 15.4%Low 3 · 23.1%Moderate 7 · 53.8%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Brief intervention compared to no or minimal intervention for people with hazardous or harmful alcohol consumption

Population: people with hazardous or harmful alcohol consumption as identified by a screening tool
5 questions
OutcomeEffectEvidenceStatus / GRADE
Quantity of drinking (g/week) at 12 months
Brief intervention vs no or minimal intervention
no estimate extracted34 studies · 15197 participantsModerate
Downgraded: risk of bias
Frequency of drinking (no. binges/wk) at 12 months
Brief intervention vs no or minimal intervention
no estimate extracted15 studies · 6946 participantsModerate
Downgraded: risk of bias
Frequency of drinking (no. days drinking/wk) at 12 months
Brief intervention vs no or minimal intervention
no estimate extracted11 studies · 5469 participantsModerate
Downgraded: risk of bias
Intensity of drinking (g/drinking day) at 12 months
Brief intervention vs no or minimal intervention
no estimate extracted10 studies · 3128 participantsModerate
Downgraded: risk of bias
Adverse effects
Brief intervention vs no or minimal intervention
no estimate extracted5 studies · 5 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency

Extended intervention compared to no or minimal intervention for people with hazardous or harmful alcohol consumption

Population: people with hazardous or harmful alcohol consumption
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quantity of drinking (g/week) at 12 months
Extended intervention vs no or minimal intervention
no estimate extracted6 studies · 1296 participantsModerate
Downgraded: risk of bias
Frequency of drinking (no. binges/wk) at 12 months
Extended intervention vs no or minimal intervention
no estimate extracted2 studies · 456 participantsModerate
Downgraded: risk of bias
Frequency of drinking (no. days drinking/week) at 12 months
Extended intervention vs no or minimal intervention
no estimate extracted2 studies · 319 participantsModerate
Downgraded: risk of bias
Intensity of drinking (g/drinking day) at 12 months
Extended intervention vs no or minimal intervention
no estimate extracted1 study · 158 participantsLow
Downgraded: risk of bias, imprecision

Extended intervention compared to brief intervention for people with hazardous or harmful alcohol consumption

Population: people with hazardous or harmful alcohol consumption
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quantity of drinking (g/week) at 12 months
Extended intervention vs brief intervention
no estimate extracted3 studies · 552 participantsLow
Downgraded: imprecision
Frequency of binge drinking (no. binges/wk) at 12 months ‐ not measured
Extended intervention vs brief intervention
no estimate extractedNRNo studies
Frequency of drinking (no. days drinking/week) at 12 months
Extended intervention vs brief intervention
no estimate extracted1 study · 147 participantsLow
Downgraded: risk of bias, imprecision
Intensity of drinking (g/drinking day) at 12 months
Extended intervention vs brief intervention
no estimate extracted1 study · 147 participantsVery low
Downgraded: imprecision