141st APHA Annual Meeting

In This section

282812
Effectiveness of a dental practice-based brief screening and intervention protocol for heavy drinking

Sunday, November 3, 2013

James Alan Neff, PhD, MPH, FAAHB , School of Community and Envionmental Health, College of Health Sciences, Old Dominion University, Norfolk, VA
Michelle L. Kelley, PhD , Department of Psychology, Old Dominion University, Norfolk, VA
James F. Paulson, PhD , Department of Psychology, Old Dominion University, Norfolk, VA
Abby L. Braitman, PhD , Department of Psychology, Old Dominion University, Norfolk, VA
Scott T. Walters, PhD , School of Public Health, University of North Texas Health Science Center, Fort Worth, TX
Tina D. Cunningham, PhD , Graduate Program in Public Health, Eastern Virginia Medical School-Old Dominion University, Norfolk, VA
Tegwyn Brickhouse, DDS, PhD , Department of Pediatric Dentistry, VIrginia Commonwealth University School of Dentistry, Richmond, VA
John C. Gunsolley, DDS, MS , School of Dentistry, VIrginia Commonwealth University, Richmond, VA
Michele Darby, MS, RDH , School of Dental Hygiene, Old Dominion University, Norfolk, VA
Patrick Vandersluis, PhD , Health RX Corporation, Fairfax, VA
Margaret M. Walsh, MS, EdD , Department of Preventive and Restorative Dental Sciences; Center to Address Disparities in Chidren's Oral Health (CAN DO), University of California, San Francisco, San Francisco, CA
Margaret Lemaster, MS , Gene W. Hirschfeld School of Dental Hygiene, Old Dominion University-College of Health Sciences, Norfolk, VA
Heather Bolen, MS , Department of Psychology, Old Dominion University, Norfolk, VA
Gabrielle D'Lima, MS , Department of Psychology, Old Dominion University, Norfolk, VA
Purpose: Screening, Brief Intervention, Referral, and Treatment (SBIRT) protocols for heavy drinkers, effective in medical settings, have not been examined in dental settings. This paper presents RCT effectiveness results for a new dental hygienist-delivered SBI incorporating motivational interviewing techniques and personalized normative feedback for heavy drinkers in dental settings. Methods: A RCT was conducted using N = 103 adult (age 21 – 55) patients from randomized Intervention (7) and Control (6) dental practices, meeting criteria of 1+ binge drinking episodes in the past 30 days. Data were gathered via telephone interviews at baseline, 3- and 6-months on alcohol outcomes (Total Drinks/Week) as well as Individual- and Practice-level covariates. Data from 40 Intervention (78% follow-up) and 42 Control (79% follow-up) subjects with complete data were analyzed with normal mixed models using SAS PROC MIXED, adjusting for individual and practice-level covariates. Results: A-priori contrasts compared total weekly consumption means across waves (baseline vs. 3-month; baseline vs. 6-month) within Intervention and Control groups. Analyses showed significant (p< .05) declines in weekly consumption at 3 months among heavier drinkers (13+ drinks/wk) in both groups. However, declines continued among Intervention subjects by 6 months (42.6% decline from baseline; ~ 8.5 drinks/week; d=1.33); whereas Control group drinking leveled off (20.8% decline from baseline; ~4.4 drinks/week; d= .52). Conclusions: Results provide preliminary support for the intervention. Declines in total drinks/week by 6 months were twice as large for heavy drinkers in Intervention than Control groups, reflecting a 4 drink per week greater decline among heavy-drinking Intervention subjects.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe results of an RCT examining effectiveness of a new brief screening and intervention protocol for heavy drinkers in dental practice setting

Keywords: Alcohol Problems, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Principal Investigator on the NIDCR grant on which the presentation is based. I designed the study and wrote the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.