About this trial
Background:
High prevalence of alcohol-consumption among conflict-affected population has been reported in some low-and-middle income countries. However, studies that assess the effectiveness of screening and brief-intervention (SBI) in the reduction of unhealthy alcohol consumptions among conflict-affected hospital outpatients in Tigray are insufficient.
Objective:
This study aims to test the effectiveness of Screening and Brief-Intervention (SBI) in the reduction of unhealthy alcohol consumptions among conflict-affected hospital outpatients in Tigray.
Method:
About 1260 outpatients will be screened for alcohol consumption using Alcohol Use Disorder Identification Test (AUDIT). Those who will have "8-19" scores in the AUDIT will be allocated to "Intervention" and "Control" groups using block randomization and they will be followed at 6 and 12 months of follow - up. The Intervention group will receive simple advice, brief-counseling and 6-and 12-months follow-up screening of alcohol consumptions. However, outpatients in control group will only receive 6- and 12-months follow-up screening of alcohol consumptions. Data will be entered to and will be analyzed using SPSS V 26. Means, standard deviations and percentages will be used for descriptive statistics. Bivariate and multivariate logistic regression, at 95% of confidence interval and p-value of \<0.05, will be used to identify correlates of alcohol consumption. Independent sample t-test and Mann-Whitney U test will be used to compare AUDIT mean scores of normally and none-normally distributed continuous variables between intervention and control groups respectively.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All gender (Female & Male patients)
Outpatients aged 18 years and above
Outpatients with no serious medical or mental illnesses
Outpatients who will be identified to have AUDIT score of 8-19
Disqualifiers
Age less than 18 years
Outpatients with serious medical or mental illnesses
Outpatients with AUDIT score of less than 7 and above 20
Trial design
Single group
Treatments tested in this trial
Simple advice, Brief-counseling and brochure
BehavioralParticipants assigned to the intervention group will receive "simple advice" plus "brief counseling" and "health broacher" and then they will be screened for alcohol consumption at 6 months and 12 months of follow-ups.
Treatment groups
Trial outcomes
Primary outcomes
Screening and brief-intervention of post-war Alcohol Use among hospital outpatpatients
Time one (T1) screening using Alcohol use disorders identification test (AUDIT) will identify 1. study subjects with 0-7 AUDIT score which is equivalent to "Low Risk Drink" and will be excluded from the intervention. 2. study subjects with 8-19 AUDIT score which is equivalent to "Hazardous/ Harmful Drink" and will enter to the brief-intervention. 3. study subjects with 20 or more AUDIT score is equivalent to "Posible Alcohol dependency" and will be excluded from the study but referred for diagnostic evaluation and treatment.
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