title: A randomized controlled trial of a web-delivered brief alcohol intervention in Veterans Affairs primary care.
abstract: OBJECTIVE
  This study sought to examine whether a web-delivered brief alcohol intervention (BAI) is effective for reducing alcohol misuse in U.S. military veterans presenting to primary care.
  
  
  METHODS
  Veterans (N = 167) screening positive for alcohol misuse during a routine primary care visit were randomized to receive a BAI plus treatment as usual (TAU) or TAU alone. An assessment of alcohol-related outcomes was conducted at baseline and 3 and 6 months after treatment.
  
  
  RESULTS
  Veterans in both study conditions showed a significant reduction in alcohol quantity and frequency and alcohol-related problems at 6-month follow-up. No differential treatment effects on outcomes were observed between the two treatment groups.
  
  
  CONCLUSIONS
  This study is the first to explore whether a web-delivered BAI using normative feedback is effective for veterans with alcohol misuse. Our findings suggest that BAIs using normative feedback may not have any additional benefit beyond TAU for older veterans with high rates of comorbid mental health concerns.
authors.affiliation: Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA. michael.cucciare@va.gov
authors.forename: Michael A
authors.initials: MA
authors.lastname: Cucciare
authors.forename: Kenneth R
authors.initials: KR
authors.lastname: Weingardt
authors.forename: Sharfun
authors.initials: S
authors.lastname: Ghaus
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Boden
authors.forename: Susan M
authors.initials: SM
authors.lastname: Frayne
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000453:epidemiology / Q000534:rehabilitation*; D030141:Feedback, Psychological; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods; D011614:Psychotherapy, Brief / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans