Abhijit Nadkarni|Richard Velleman|Hamid Dabholkar|Sachin Shinde|Bhargav Bhat|Jim McCambridge|Pratima Murthy|Terry Wilson|Benedict Weobong|Vikram Patel
The Systematic Development and Pilot Randomized Evaluation of Counselling for Alcohol Problems, a Lay Counselor?Delivered Psychological Treatment for Harmful Drinking in Primary Care in India: The <scp>PREMIUM</scp> Study
London School of Hygiene & Tropical Medicine|Sangath|Sangath|University of Bath|National Institution for Transforming India Aayog|Sangath|Sangath|London School of Hygiene & Tropical Medicine|National Institute of Mental Health and Neurosciences|Rutgers, The State University of New Jersey|London School of Hygiene & Tropical Medicine|Sangath|London School of Hygiene & Tropical Medicine|Sangath|Centre for Chronic Disease Control
despite harmful drinking causing significant burden global health large treatment gap especially low middleincome countries major barrier care lack adequately skilled human resources deliver contextually appropriate treatments paper describes systematic process used develop counselling alcohol problems cap brief psychological treatment pt delivery lay counselors routine primary care settings men harmful drinking indiacap developed using methodology involving 3 sequential steps identifying potential treatment strategies ii developing theoretical framework treatment iii evaluating acceptability feasibility treatmentcap 3phase treatment delivered 1 4 sessions based motivational interviewing mi stance involves following strategies assessment personalized feedback family engagement drink refusal skills skills address drinking urges problemsolving skills handling difficult emotions relapse prevention management data case series used inform several adaptations enhance acceptability cap recipients feasibility delivery lay counselors treatment example expansion target group include alcoholdependent patients extension delivery settings include homebased delivery preliminary evidence effectiveness capcap acceptable brief pt harmful drinking delivered lay counselors primary care whose effectiveness currently tested randomized controlled trial based primary care goa india