Aim:

This two-arm parallel randomised controlled trial explored the effectiveness of a brief counselling model compared with the usual multi-session counselling at an alcohol telephone helpline.

Methods:

A total of 320 callers who contacted the Swedish Alcohol Helpline (SAH) because of hazardous or harmful alcohol use were randomised to either brief structured intervention (self-help booklet plus one proactive call) or usual care (multi-session telephone counselling). The primary outcome was a downward shift in risk level at 12-month follow-up compared with baseline, based on self-reports. Sustained risk level reduction throughout the whole follow-up was also assessed as secondary outcome.

Results:

Both interventions were significantly associated with a shift to a lower level of risky alcohol use (75% among participants in the brief structured intervention, and 70% in the usual care group) after 12 months. There was no difference between the two interventions in the proportions changing alcohol use or sustaining risk level reduction.

Conclusion:

In the context of telephone helplines, minimal and extended interventions appear to be equally effective in promoting long-term change in alcohol use.

中文翻译：

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瑞典戒酒热线两种咨询模式的随机对照研究：12 个月随访的有效性和可持续性结果

目的：

这项双臂平行随机对照试验探索了简短咨询模式与酒精电话求助热线通常的多次咨询相比的有效性。

方法：

共有 320 名因危险或有害饮酒而联系瑞典酒精帮助热线 (SAH) 的来电者被随机分配到简短的结构化干预（自助手册加上一个主动电话）或常规护理（多次电话咨询）。主要结果是根据自我报告，与基线相比，在 12 个月的随访中风险水平下降。在整个随访期间持续降低风险水平也被评估为次要结果。

结果：

12 个月后，这两种干预措施都与向较低风险饮酒水平的转变显着相关（简短结构化干预组的参与者为 75%，常规护理组为 70%）。两种干预措施在改变饮酒或持续降低风险水平方面的比例没有差异。

结论：

在电话求助热线的背景下，最小干预和延长干预似乎在促进长期改变饮酒方面同样有效。