Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial.
Identifieur interne : 001C61 ( PubMed/Corpus ); précédent : 001C60; suivant : 001C62Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial.
Auteurs : Karl Peltzer ; Pamela Naidoo ; Julia Louw ; Gladys Matseke ; Khangelani Zuma ; Gugu Mchunu ; Bomkazi Tutshana ; Musawenkosi MabasoSource :
- BMC public health [ 1471-2458 ] ; 2013.
English descriptors
- KwdEn :
- Adult, Alcoholism (diagnosis), Alcoholism (epidemiology), Cluster Analysis, Comorbidity, Female, Health Promotion (methods), Humans, Male, Mass Screening, Patient Education as Topic, Primary Health Care (utilization), Psychotherapy, Brief, Risk Reduction Behavior, Socioeconomic Factors, South Africa, Treatment Outcome, Tuberculosis (drug therapy), Tuberculosis (epidemiology).
- MESH :
- geographic : South Africa.
- diagnosis : Alcoholism.
- drug therapy : Tuberculosis.
- epidemiology : Alcoholism, Tuberculosis.
- methods : Health Promotion.
- utilization : Primary Health Care.
- Adult, Cluster Analysis, Comorbidity, Female, Humans, Male, Mass Screening, Patient Education as Topic, Psychotherapy, Brief, Risk Reduction Behavior, Socioeconomic Factors, Treatment Outcome.
Abstract
In 2008 the World Health Organization (WHO) reported that South Africa had the highest tuberculosis (TB) incidence in the world. This high incidence rate is linked to a number of factors, including HIV co-infection and alcohol use disorders. The diagnosis and treatment package for TB and HIV co-infection is relatively well established in South Africa. However, because alcohol use disorders may present more insidiously, making it difficult to diagnose, those patients with active TB and misusing alcohol are not easily cured from TB. With this in mind, the primary purpose of this cluster randomized controlled trial was to provide screening for alcohol misuse and to test the effectiveness of brief interventions in reducing alcohol intake in those patients with active TB found to be misusing alcohol in primary public health care clinics in three districts in South Africa.
DOI: 10.1186/1471-2458-13-699
PubMed: 23902931
Links to Exploration step
pubmed:23902931Le document en format XML
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Matseke</name></author><author><name sortKey="Zuma, Khangelani" sort="Zuma, Khangelani" uniqKey="Zuma K" first="Khangelani" last="Zuma">Khangelani Zuma</name></author><author><name sortKey="Mchunu, Gugu" sort="Mchunu, Gugu" uniqKey="Mchunu G" first="Gugu" last="Mchunu">Gugu Mchunu</name></author><author><name sortKey="Tutshana, Bomkazi" sort="Tutshana, Bomkazi" uniqKey="Tutshana B" first="Bomkazi" last="Tutshana">Bomkazi Tutshana</name></author><author><name sortKey="Mabaso, Musawenkosi" sort="Mabaso, Musawenkosi" uniqKey="Mabaso M" first="Musawenkosi" last="Mabaso">Musawenkosi Mabaso</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23902931</idno><idno type="pmid">23902931</idno><idno type="doi">10.1186/1471-2458-13-699</idno><idno type="wicri:Area/PubMed/Corpus">001C61</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C61</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial.</title><author><name sortKey="Peltzer, Karl" sort="Peltzer, Karl" uniqKey="Peltzer K" first="Karl" last="Peltzer">Karl Peltzer</name><affiliation><nlm:affiliation>HIV, AIDS, TB, and STIs, Human Sciences Research Council, Pretoria, Cape Town, South Africa. kpeltzer@hsrc.ac.za</nlm:affiliation></affiliation></author><author><name sortKey="Naidoo, Pamela" sort="Naidoo, Pamela" uniqKey="Naidoo P" first="Pamela" last="Naidoo">Pamela Naidoo</name></author><author><name sortKey="Louw, Julia" sort="Louw, Julia" uniqKey="Louw J" first="Julia" last="Louw">Julia Louw</name></author><author><name sortKey="Matseke, Gladys" sort="Matseke, Gladys" uniqKey="Matseke G" first="Gladys" last="Matseke">Gladys Matseke</name></author><author><name sortKey="Zuma, Khangelani" sort="Zuma, Khangelani" uniqKey="Zuma K" first="Khangelani" last="Zuma">Khangelani Zuma</name></author><author><name sortKey="Mchunu, Gugu" sort="Mchunu, Gugu" uniqKey="Mchunu G" first="Gugu" last="Mchunu">Gugu Mchunu</name></author><author><name sortKey="Tutshana, Bomkazi" sort="Tutshana, Bomkazi" uniqKey="Tutshana B" first="Bomkazi" last="Tutshana">Bomkazi Tutshana</name></author><author><name sortKey="Mabaso, Musawenkosi" sort="Mabaso, Musawenkosi" uniqKey="Mabaso M" first="Musawenkosi" last="Mabaso">Musawenkosi Mabaso</name></author></analytic><series><title level="j">BMC public health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Alcoholism (diagnosis)</term><term>Alcoholism (epidemiology)</term><term>Cluster Analysis</term><term>Comorbidity</term><term>Female</term><term>Health Promotion (methods)</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Patient Education as Topic</term><term>Primary Health Care (utilization)</term><term>Psychotherapy, Brief</term><term>Risk Reduction Behavior</term><term>Socioeconomic Factors</term><term>South Africa</term><term>Treatment Outcome</term><term>Tuberculosis (drug therapy)</term><term>Tuberculosis (epidemiology)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Alcoholism</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Tuberculosis</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Alcoholism</term><term>Tuberculosis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Health Promotion</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Primary Health Care</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cluster Analysis</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Male</term><term>Mass Screening</term><term>Patient Education as Topic</term><term>Psychotherapy, Brief</term><term>Risk Reduction Behavior</term><term>Socioeconomic Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 2008 the World Health Organization (WHO) reported that South Africa had the highest tuberculosis (TB) incidence in the world. This high incidence rate is linked to a number of factors, including HIV co-infection and alcohol use disorders. The diagnosis and treatment package for TB and HIV co-infection is relatively well established in South Africa. However, because alcohol use disorders may present more insidiously, making it difficult to diagnose, those patients with active TB and misusing alcohol are not easily cured from TB. With this in mind, the primary purpose of this cluster randomized controlled trial was to provide screening for alcohol misuse and to test the effectiveness of brief interventions in reducing alcohol intake in those patients with active TB found to be misusing alcohol in primary public health care clinics in three districts in South Africa.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23902931</PMID><DateCreated><Year>2013</Year><Month>08</Month><Day>06</Day></DateCreated><DateCompleted><Year>2014</Year><Month>09</Month><Day>21</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>23</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1471-2458</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><PubDate><Year>2013</Year><Month>Jul</Month><Day>31</Day></PubDate></JournalIssue><Title>BMC public health</Title><ISOAbbreviation>BMC Public Health</ISOAbbreviation></Journal><ArticleTitle>Screening and brief interventions for hazardous and harmful alcohol use among patients with active tuberculosis attending primary public care clinics in South Africa: results from a cluster randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>699</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-13-699</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In 2008 the World Health Organization (WHO) reported that South Africa had the highest tuberculosis (TB) incidence in the world. This high incidence rate is linked to a number of factors, including HIV co-infection and alcohol use disorders. The diagnosis and treatment package for TB and HIV co-infection is relatively well established in South Africa. However, because alcohol use disorders may present more insidiously, making it difficult to diagnose, those patients with active TB and misusing alcohol are not easily cured from TB. With this in mind, the primary purpose of this cluster randomized controlled trial was to provide screening for alcohol misuse and to test the effectiveness of brief interventions in reducing alcohol intake in those patients with active TB found to be misusing alcohol in primary public health care clinics in three districts in South Africa.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Within each of the three provinces targeted, one district with the highest TB burden was selected. Furthermore, 14 primary health care facilities with the highest TB caseload in each district were selected. In each district, 7 of the 14 (50%) clinics were randomly assigned to a control arm and another 7 of the 14 (50%) clinics assigned to intervention arm. At the clinic level systematic sampling was used to recruit newly diagnosed and retreatment TB patients. Those consenting were screened for alcohol misuse using the Alcohol Use Disorder Identification Test (AUDIT). Patients who screened positive for alcohol misuse over a 6-month period were given either a brief intervention based on the Information-Motivation-Behavioural Skills (IMB) Model or an alcohol use health education leaflet.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 4882 tuberculosis patients screened for alcohol and agreed to participate in the trial, 1196 (24.6%) tested positive for the AUDIT. Among the 853 (71%) patients who also attended the 6-month follow-up session, the frequency of positive screening results at baseline/follow-up were 100/21.2% for the AUDIT (P < 0.001) for the control group and 100/16.8% (P < 0.001) for the intervention group. The intervention effect on the AUDIT score was statistically not significant. The intervention effect was also not significant for hazardous or harmful drinkers and alcohol dependent drinkers (</AbstractText><AbstractText Label="AUDIT" NlmCategory="UNASSIGNED">7-40), alcohol dependent drinkers and heavy episodic drinking, while the control group effect was significant for hazardous drinkers (</AbstractText><AbstractText Label="AUDIT" NlmCategory="UNASSIGNED">7-19) (P = 0.035).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The results suggest that alcohol screening and the provision of a health education leaflet on sensible drinking performed at the beginning of anti-tuberculosis treatment in public primary care settings may be effective in reducing alcohol consumption.</AbstractText><AbstractText Label="TRIAL REGISTRATIONS" NlmCategory="BACKGROUND">PACTR201105000297151.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Peltzer</LastName><ForeName>Karl</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>HIV, AIDS, TB, and STIs, Human Sciences Research Council, Pretoria, Cape Town, South Africa. kpeltzer@hsrc.ac.za</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naidoo</LastName><ForeName>Pamela</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Louw</LastName><ForeName>Julia</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Matseke</LastName><ForeName>Gladys</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Zuma</LastName><ForeName>Khangelani</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>McHunu</LastName><ForeName>Gugu</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Tutshana</LastName><ForeName>Bomkazi</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Mabaso</LastName><ForeName>Musawenkosi</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>07</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Public Health</MedlineTA><NlmUniqueID>100968562</NlmUniqueID><ISSNLinking>1471-2458</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Alcohol Clin Exp Res. 2000 May;24(5):659-65</RefSource><PMID Version="1">10832907</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int J Environ Res Public Health. 2012 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Nov;27(4):446-53</RefSource><PMID Version="1">11070638</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000437" MajorTopicYN="N">Alcoholism</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016000" MajorTopicYN="N">Cluster Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015897" MajorTopicYN="N">Comorbidity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006293" MajorTopicYN="N">Health Promotion</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008403" MajorTopicYN="Y">Mass Screening</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011320" MajorTopicYN="N">Primary Health Care</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011614" MajorTopicYN="N">Psychotherapy, Brief</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040242" MajorTopicYN="N">Risk Reduction Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013019" MajorTopicYN="N" Type="Geographic">South Africa</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014376" MajorTopicYN="N">Tuberculosis</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="NLM">PMC3733870</OtherID></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>11</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>07</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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