Journal article
Nurse practitioner alcohol intervention for people with viral hepatitis: Randomised controlled trial
Collegian, Vol.26(5), pp.541-549
2019
Abstract
Background: In Australia, alcohol use is accountable for 5.1% of the total burden of disease and injury along with being responsible for 24% of the burden as a result of chronic liver disease. There is a paucity of quality evidence-based programmes for alcohol use management and the chronic viral hepatitis population. Aims: To evaluate the effectiveness of an alcohol brief intervention for ambulatory patients with chronic viral hepatitis C attending a hepatology clinic. Methods: A randomised controlled trial determined the effectiveness of: a brief intervention and routine care (Group 1) compared to routine care only (no formalised intervention) (Group 2). Alcohol reduction is the primary outcome measure. Reduction in risky drinking and quality of life were also measured. Data was collected at three-time points, baseline prior to randomisation, four weeks and eight weeks. Findings: Alcohol intake reduced in both groups at 4 weeks, with 57% (intervention) and 41% (control) having a 50% reduction in alcohol (p = 0.295). This reduction was maintained by both groups at 8 weeks with 53% (intervention) and 43% (control) (p = 0.536). The intervention group showed a greater reduction over time, but this was not statistically significant. Discussion: Increasing nurse led models of care, such as nurse practitioners specialising in hepatology, could provide an effective response for managing people with chronic viral hepatitis C and alcohol misuse. Conclusion: Assessing for alcohol use using the AUDIT C and TLFB_A and providing a brief intervention with routine care by the Nurse Practitioner, Hepatology is an acceptable and useful intervention to reduce alcohol consumption in this population.
Details
- Title
- Nurse practitioner alcohol intervention for people with viral hepatitis: Randomised controlled trial
- Authors
- Carol L Reid (Author) - Griffith UniversityM Fenech (Author) - Better Access Medical ClinicLee Jones (Author) - Queensland University of TechnologyA Saleh (Author) - Southern Cross University
- Publication details
- Collegian, Vol.26(5), pp.541-549
- Publisher
- Elsevier BV
- Date published
- 2019
- DOI
- 10.1016/j.colegn.2019.02.003
- ISSN
- 1322-7696; 1322-7696
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99451408302621
- Output Type
- Journal article
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401 Record Views
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- Domestic collaboration
- Web Of Science research areas
- Nursing
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