Sairat Noknoy|Ram Rangsin|Pichai Saengcharnchai|Usa Tantibhaedhyangkul|Jim McCambridge
RCT of Effectiveness of Motivational Enhancement Therapy Delivered by Nurses for Hazardous Drinkers in Primary Care Units in Thailand
Chonburi Hospital|Phramongkutklao Hospital|Phramongkutklao Hospital|Phramongkutklao Hospital|London School of Hygiene & Tropical Medicine
determine effectiveness motivational enhancement therapy met hazardous drinkers primary care unit pcu settings rural thailanda randomized controlled trial conducted eight pcus ubonratchatanee chachoengsao provinces thailand hazardous drinkers identified using world health organizationrecommended alcohol use disorder identification test 117 eligible participants 91 male 59 randomized intervention group receive met three individual appointments trained nurse 58 assessmentonly control group outcome evaluations carried 6 weeks 3 months 6 monthsfollowup data available 84 94 91 subjects respectively three intervals selfreported drinks per drinking day frequency hazardous drinking assessed either daily weekly basis binge drinking sessions reduced intervention group control group p 005 3 6 months groups generally differ 6 weeks however although selfreported consumption groups fell baseline 6month followup serum gammaglutamyl transferase increased groups raises doubts validity marker sample andor validity selfreported data studymet delivered nurses pcus thailand appears effective intervention male hazardous drinkers uncertainties validity selfreported data jeopardize safety conclusion