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Brief intervention, three decades on

Brief intervention, three decades on

Brief intervention, three decades

Per NilseN eileeN KaNer Thomas F. BaBor ong>Briefong> ong>interventionong>, ong>threeong> ong>decadesong> on An overview of research findings and strategies for more widespread implementation Introduction The last ong>threeong> ong>decadesong> have seen a paradigm shift with regard to alcohol treatment and prevention, as the disease model of alcohol- ism has been expanded with the concept of a continuum of use that encompasses a much greater proportion of the population. It has been recognised that the majority of alcohol- related harm on a population level is attrib- utable to the large group of hazardous and harmful drinkers rather than individuals with severe alcohol-related problems or alcohol dependence. The result has been a shift in at- tention from treating solely dependent drink- ers at one end of the continuum to secondary prevention efforts targeting individuals at risk of alcohol-related harm (Botelho & Richmond 1996; Babor & Higgins-Biddle 2000). This study was supported by grants from the Swedish National Rescue Services Agency. Dr. Babor’s contributions to this article were supported in part by a grant from the US National Institute on Alcohol Abuse and Alcoholism (P60 AA003510). Sincere thanks to Preben Bendtsen, Cheryl Cherpitel, and Kaija Seppä for feedback and comments on earlier drafts of this paper. A B S T R A C T P. Nilsen & E. Kaner & T. F. Babor: ong>Briefong> ong>interventionong>, ong>threeong> ong>decadesong> on. An overview of research findings and strategies for more widespread implementation This paper provides an overview of brief ong>interventionong> (BI) research to date and discusses future research needs as well as strategies for more widespread use of BI. Research has firmly established that significant reductions in drinking can be achieved by BI in a variety of health care settings. Despite convincing evidence, however, diffusion of BI in routine health care has been slow. Alcohol is a complex subject since it is often used moderately, without side- effects, and in a socially acceptable way. Although research on BI has accumulated rapidly during the last ong>threeong> ong>decadesong>, many important research challenges and development work remain before BI is widely implemented in routine health care. KEywORDS BI, ong>Briefong> ong>interventionong>, alcohol, history, implementation, overview NORDIC STUDIES ON ALCOHOL AND DRUGS V O L . 25. 2008 . 6 Overview 453

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