Improvements in Readiness to Change and Drinking in Primary Care Patients with Unhealthy Alcohol Use: A Prospective Study


Show simple item record Bertholet, Nicolas en_US Horton, Nicholas J en_US Saitz, Richard en_US 2012-01-09T20:53:55Z 2012-01-09T20:53:55Z 2009 en_US 2009-4-9 en_US
dc.identifier.citation Bertholet, Nicolas, Nicholas J Horton, Richard Saitz. "Improvements in readiness to change and drinking in primary care patients with unhealthy alcohol use: a prospective study" BMC Public Health 9:101. (2009) en_US
dc.identifier.issn 1471-2458 en_US
dc.description.abstract BACKGROUND. The course of alcohol consumption and cognitive dimensions of behavior change (readiness to change, importance of changing and confidence in ability to change) in primary care patients are not well described. The objective of the study was to determine changes in readiness, importance and confidence after a primary care visit, and 6-month improvements in both drinking and cognitive dimensions of behavior change, in patients with unhealthy alcohol use. METHODS. Prospective cohort study of patients with unhealthy alcohol use visiting primary care physicians, with repeated assessments of readiness, importance, and confidence (visual analogue scale (VAS), score range 1–10 points). Improvements 6 months later were defined as no unhealthy alcohol use or any increase in readiness, importance, or confidence. Regression models accounted for clustering by physician and adjusted for demographics, alcohol consumption and related problems, and discussion with the physician about alcohol. RESULTS. From before to immediately after the primary care physician visit, patients (n = 173) had increases in readiness (mean +1.0 point), importance (+0.2), and confidence (+0.5) (all p < 0.002). In adjusted models, discussion with the physician about alcohol was associated with increased readiness (+0.8, p = 0.04). At 6 months, many participants had improvements in drinking or readiness (62%), drinking or importance (58%), or drinking or confidence (56%). CONCLUSION. Readiness, importance and confidence improve in many patients with unhealthy alcohol use immediately after a primary care visit. Six months after a visit, most patients have improvements in either drinking or these cognitive dimensions of behavior change. en_US
dc.description.sponsorship Swiss National Science Foundation; Fondation Suisse de Recherche sur I'Alcool; Robert Wood Johnson Foundation (Generalist Faculty Physician Scholar Award) en_US
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.rights Copyright 2009 Bertholet et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.rights.uri en_US
dc.title Improvements in Readiness to Change and Drinking in Primary Care Patients with Unhealthy Alcohol Use: A Prospective Study en_US
dc.type article en_US
dc.identifier.doi 10.1186/1471-2458-9-101 en_US
dc.identifier.pubmedid 19358730 en_US
dc.identifier.pmcid 2679737 en_US

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