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. 2023 Jul 26:6:e42532.
doi: 10.2196/42532.

Reducing Alcohol Use Before and After Surgery: Qualitative Study of Two Treatment Approaches

Lyndsay Chapman  1 , Tom Ren  2 , Jake Solka  1 , Angela R Bazzi  3   4 , Brian Borsari  5   6 , Michael J Mello  7   8 , Anne C Fernandez  1
Affiliations

Reducing Alcohol Use Before and After Surgery: Qualitative Study of Two Treatment Approaches

Lyndsay Chapman et al. JMIR Perioper Med. .

Abstract

Background: High-risk alcohol use is a common preventable risk factor for postoperative complications, admission to intensive care, and longer hospital stays. Short-term abstinence from alcohol use (2 to 4 weeks) prior to surgery is linked to a lower likelihood of postoperative complications.

Objective: The study aimed to explore the acceptability and feasibility of 2 brief counseling approaches to reduce alcohol use in elective surgical patients with high-risk alcohol use in the perioperative period.

Methods: A semistructured interview study was conducted with a group of "high responders" (who reduced alcohol use ≥50% postbaseline) and "low responders" (who reduced alcohol use by ≤25% postbaseline) after their completion of a pilot trial to explore the acceptability and perceived impacts on drinking behaviors of the 2 counseling interventions delivered remotely by phone or video call. Interview transcripts were analyzed using thematic analysis.

Results: In total, 19 participants (10 high responders and 9 low responders) from the parent trial took part in interviews. Three main themes were identified: (1) the intervention content was novel and impactful, (2) the choice of intervention modality enhanced participant engagement in the intervention, and (3) factors external to the interventions also influenced alcohol use.

Conclusions: The findings support the acceptability of both high- and low-intensity brief counseling approaches. Elective surgical patients are interested in receiving alcohol-focused education, and further research is needed to test the effectiveness of these interventions in reducing drinking before and after surgery.

Trial registration: ClinicalTrials.gov NCT03929562; https://clinicaltrials.gov/ct2/show/NCT03929562.

Keywords: alcohol; alcohol use; alcohol use disorder; brief intervention; counseling; perioperative; postoperative; preoperative; substance abuse; substance use; surgery; surgical.

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Conflict of interest statement

Conflicts of Interest: None declared.

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References

    1. US Office of Disease Prevention and Health Promotion. Appendix 9. Alcohol—2015-2020 dietary guidelines | health.gov. Dietary Guidelines 2015-2020. [2020-08-09]. https://health.gov/our-work/food-nutrition/2015-2020-dietary-guidelines/...
    1. Rubinsky AD, Bishop MJ, Maynard C, Henderson WG, Hawn MT, Harris AHS, Beste LA, Tønnesen H, Bradley KA. Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery. Drug Alcohol Depend. 2013;132(3):521–527. doi: 10.1016/j.drugalcdep.2013.03.022. https://www.sciencedirect.com/science/article/abs/pii/S0376871613001191?... S0376-8716(13)00119-1 - DOI - PubMed
    1. Bradley KA, Rubinsky AD, Sun H, Bryson CL, Bishop MJ, Blough DK, Henderson WG, Maynard C, Hawn MT, Tønnesen H, Hughes G, Beste LA, Harris AHS, Hawkins EJ, Houston TK, Kivlahan DR. Alcohol screening and risk of postoperative complications in male VA patients undergoing major non-cardiac surgery. J Gen Intern Med. 2011;26(2):162–169. doi: 10.1007/s11606-010-1475-x. https://europepmc.org/abstract/MED/20878363 - DOI - PMC - PubMed
    1. Harris AHS, Reeder R, Ellerbe L, Bradley KA, Rubinsky AD, Giori NJ. Preoperative alcohol screening scores: association with complications in men undergoing total joint arthroplasty. J Bone Joint Surg Am. 2011;93(4):321–327. doi: 10.2106/JBJS.I.01560.93/4/321 - DOI - PubMed
    1. Eliasen M, Grønkjær M, Skov-Ettrup LS, Mikkelsen SS, Becker U, Tolstrup JS, Flensborg-Madsen T. Preoperative alcohol consumption and postoperative complications: a systematic review and meta-analysis. Ann Surg. 2013;258(6):930–942. doi: 10.1097/SLA.0b013e3182988d59. - DOI - PubMed

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