Imperial College London

Emeritus ProfessorPeterTyrer

Faculty of MedicineDepartment of Brain Sciences

Emeritus Professor in Community Psychiatry - Clinical
 
 
 
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Contact

 

+44 (0)20 3313 4161p.tyrer

 
 
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Location

 

13.09Claybrook CentreCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Crawford:2014:10.1136/sextrans-2014-051561,
author = {Crawford, MJ and Sanatinia, R and Barrett, B and Byford, S and Dean, M and Green, J and Jones, R and Leurent, B and Sweeting, MJ and Touquet, R and Greene, L and Tyrer, P and Ward, H and Lingford-Hughes, A},
doi = {10.1136/sextrans-2014-051561},
journal = {Sexually Transmitted Infections},
pages = {37--43},
title = {The clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial},
url = {http://dx.doi.org/10.1136/sextrans-2014-051561},
volume = {91},
year = {2014}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Objectives To examine the clinical and costeffectivenessof brief advice for excessive alcoholconsumption among people who attend sexual healthclinics.Methods Two-arm, parallel group, assessor blind,pragmatic, randomised controlled trial. 802 people aged19 years or over who attended one of three sexualhealth clinics and were drinking excessively wererandomised to either brief advice or control treatment.Brief advice consisted of feedback on alcohol and health,written information and an offer of an appointment withan Alcohol Health Worker. Control participants receiveda leaflet on health and lifestyle. The primary outcomewas mean weekly alcohol consumption during theprevious 90 days measured 6 months afterrandomisation. The main secondary outcome wasunprotected sex during this period.Results Among the 402 randomised to brief advice,397 (99%) received it. The adjusted mean difference inalcohol consumption at 6 months was −2.33 units perweek (95% CI −4.69 to 0.03, p=0.053) among thosein the active compared to the control arm of the trial.Unprotected sex was reported by 154 (53%) of thosewho received brief advice, and 178 (59%) controls(adjusted OR=0.89, 95% CI 0.63 to 1.25, p=0.496).There were no significant differences in costs betweenstudy groups at 6 months.Conclusions Introduction of universal screening andbrief advice for excessive alcohol use among peopleattending sexual health clinics does not result inclinically important reductions in alcohol consumption orprovide a cost-effective use of resources.
AU - Crawford,MJ
AU - Sanatinia,R
AU - Barrett,B
AU - Byford,S
AU - Dean,M
AU - Green,J
AU - Jones,R
AU - Leurent,B
AU - Sweeting,MJ
AU - Touquet,R
AU - Greene,L
AU - Tyrer,P
AU - Ward,H
AU - Lingford-Hughes,A
DO - 10.1136/sextrans-2014-051561
EP - 43
PY - 2014///
SN - 1472-3263
SP - 37
TI - The clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people attending sexual health clinics: a randomised controlled trial
T2 - Sexually Transmitted Infections
UR - http://dx.doi.org/10.1136/sextrans-2014-051561
UR - http://hdl.handle.net/10044/1/27500
VL - 91
ER -