• Jennifer R Mertens, Catherine L Ward, Graham F Bresick, Tina Broder, and Constance M Weisner.
• Kaiser Permanente Northern California, Oakland, CA, USA jennifer.mertens@kp.org.
• Alcohol Alcohol. 2014 Jul 1;49(4):430-8.

AimsTo assess the effectiveness of brief motivational intervention for alcohol and drug use in young adult primary care patients in a low-income population and country.MethodsA randomized controlled trial in a public-sector clinic in Delft, a township in the Western Cape, South Africa recruited 403 patients who were randomized to either single-session, nurse practitioner-delivered Brief Motivational Intervention plus referral list or usual care plus referral list, and followed up at 3 months.ResultsAlthough rates of at-risk alcohol use and drug use did not differ by treatment arm at follow-up, patients assigned to the Brief Motivational Intervention had significantly reduced scores on ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) for alcohol-the most prevalent substance.ConclusionBrief Motivational Intervention may be effective at reducing at-risk alcohol use in the short term among low-income young adult primary care patients; additional research is needed to examine long-term outcomes.© The Author 2014. Medical Council on Alcohol and Oxford University Press. All rights reserved.

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