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C39. Readiness to change in men with risk and harmful alcohol use: Effect of Brief Group Intervention

C39. Readiness to change in men with risk and harmful alcohol use: Effect of Brief Group Intervention

Learner category:

  • Expert Level

Learning objectives:

  • Participants will be able to understand and assess the effect of IBG on readiness for change and its relationship with the pattern of alcohol use in men.


The prevalence of problematic alcohol use in men is higher when compared to women. In the region of the Americas, this type of use changed between 2013 and 2015, evidenced by an increase of 4.6% to 13% in women and 17.9% to 29.4% in men. Brief group intervention can be an effective strategy in the change process in people who have risk or harmful alcohol use, so this study aims to assess the effect of IBG on readiness for change and its relationship with alcohol use in men. Methods: Randomized clinical trial, conducted in a primary health care unit in São Paulo (Brazil). 112 men were randomized in the experimental group (n = 55) and in the control group (n = 57). The Readiness to Change Ruler (RTC) and the Alcohol Use Disorders Identification Test (AUDIT) were used to assess the RTC and alcohol use. The experimental group received a brief group intervention, the control group was instructed to continue with the unit’s standard care. The data were analyzed using the Generalized Equations Estimating method. Results: A significant difference was observed between the experimental (GE) and control (CG) groups overtime. The correlation between readiness for change and pattern of use over time was reasonable. Conclusion: IBG was shown to be effective in increasing readiness for change when compared to the control group. There was a correlation between readiness for change and a decrease in the pattern of alcohol use after participating in the brief group intervention.


Erika Gisseth León Ramírez
Dr, University of SãO Paulo

Erika Gisseth León Ramírez has a degree in nursing by the National University of Colombia (2011), Ph.D. and master’s degree in Psychiatric Nursing by the University of São Paulo (2015). Currently, she is a member of the Research group of Centre of Studies and Researches in Nursing Addictions of the University of São Paulo. With her team of studies, she has been conducted randomized controlled trials to evaluate the efficacy of Brief Intervention and she has experience in the area of Mental Health in Nursing, with an emphasis on Addiction. She has focused, mainly, in the subjects: Brief intervention, Attitude toward alcohol and alcoholism and development, adaptation and validation of scales.

Divane de Vargas
Dr, University of São Paulo

Dr. Vargas’ interest is in contributing to the advancement of nursing in additions, through the improvement and the training of researchers in the area of nursing in additions, in conducting research and studies aimed at producing and disseminating knowledge to foster the practice of nursing and the nurse in the prevention, identification, treatment, and care for individuals with related disorders the additions in different situations and scenarios that involve the care to this population. Dr. Vargas has clinical experience in the nursing care of the client with addictions and psychiatric mental health disorders. His research interests are nursing an addiction: alcohol other drugs with a concentration in the following subjects: attitudes, education, and knowledge of nurses and undergraduate nurses towards alcohol, alcoholism, and alcoholic patient, Substance Use Disorders vulnerable populations and Co-Occurring Mental and Substance Use Disorders. He is a member of the International Nurses Society on Addiction and International Institute Nursing Leadership Alliance in Nursing Education for Substance Use Disorders. He has mentored several master and pre-doctoral candidates with addiction research interests in Brazil and has published widely in Latin American journals.

Comments (13)

  1. Joycelyn Iheanacho

    Thank you for your presentation. Can you please discuss more on how the BGI was conducted? What are the topics discussed and how long the intervention lasted? Thank you!

    1. Rachel Shuster, BSN, RN, CARN, CAAP

      I am also curious about this.
      Thank you for the presentation and information!

      1. erika.leon3

        Rachel, Thank you for your feedback!!!

    2. erika.leon3

      Thank you Joycelyn, it is a great question! Participants who received a Brief Group Intervention session were organized into small groups, the session lasted from 30 to 60 minutes. The intervention was conducted under the guideline of the manual of brief interventions in PHC prepared by the World Health Organization , additionally, using the assumptions of group dynamics, content on harm reduction and gender issues linked to the use of alcohol. We can discuss more about it in a Round Up Live Webinar Panel !!

  2. Cheryl Rush

    I really enjoyed this presentation. I had not thought of using a group setting to conduct brief interventions before now, but I will definitely be investigating how to add this format to our clinic. .
    Thank you !

    1. erika.leon3

      Hi Cheryl! Thank you for your comments! Really, Brief intervention in group is a interesting setting to investigate!

  3. Dennis Hagarty

    Thank you for your presentation. I once created a Brief intervention Group from primary care clinics. I created a 60 minute presentation and it in the primary clinic area. The few patients I encountered benefited from it. My problem was getting primary care providers to refer to the group. It had to stop because lack of referrals. How do you plan to obtain referrals to your group after the study is concluded?

    1. erika.leon3

      Hi Dennis, Thank you for your feedback! Get a referrals in PHC services is a challenge, we created a supported group with the care providers and it works !

  4. Diane Snow

    Hi Erika, So good to “see” you again> I will always remember meeting you for the first time in Sao Paolo! I enjoyed your presentation!

    1. erika.leon3

      Dear Diane! Thank you for the feedback! I remember these moments all the time!! I hope see you again soon!

  5. Oluremi Adejumo

    I enjoyed your presentation. Indeed, this is a great approach to reducing the lethal use of alcohol use among men.

  6. Rita Hanuschock

    Good job, Erika; we need studies like yours to prove what we already know about treating alcoholism: the energy of the group is clearly more effective.

  7. Virginia Singer

    Thank you

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