Ready2Change - Alcohol Trial
A randomised controlled trial of a telephone-delivered cognitive and behavioural intervention to reduce problem alcohol use.
Alcohol use and related harm is a significant issue for many Australians. However, few people seek help from traditional alcohol and other drug treatment services due to concerns about privacy, experiences of shame and stigma, time constraints (e.g. due to work or child care responsibilities), or thinking their drinking isn’t serious enough to warrant conventional treatment. Many barriers to seeking help for alcohol use problems can be overcome through treatment programs that are delivered by telephone. These programs provide confidential support, at times convenient to the individual, and can be accessed from anywhere in Australia. Yet, until now, they have been underused and understudied in substance use populations (other than ‘quitlines’ for smoking cessation).
This aim of this study was to determine the effectiveness of a telephone-delivered cognitive and behavioural intervention, Ready2Change, in reducing problem alcohol use among individuals with alcohol use problems from the general population. The Ready2Change intervention involved 4 to 6 telephone sessions with a psychologist, which were tailored to the individual’s needs and treatment goals.
In this randomised controlled trial of 344 participants with problem alcohol use, reductions in the primary outcome – alcohol problem severity – were not significantly different between intervention and control groups 3 months later. However, the intervention was associated with a significantly greater reduction in hazardous alcohol use (i.e. alcohol use frequency, quantity, and heavy drinking frequency) 3 months later. Further, the Ready2Change intervention was effective in reducing hazardous alcohol use and reduced alcohol problem severity, risky drinking patterns, and total consumption when 2 or more sessions were delivered.
Findings demonstrate the potential benefits of this highly scalable telehealth model of alcohol treatment, with potential to reduce the treatment gap for problem alcohol use.
Turning Point team
Professor Amanda Baker (University of Newcastle), Associate Professor Petra Staiger (Deakin University), Dr Kate Hall (Deakin University), Associate Professor John Reynolds (Monash University), and Professor Anthony Harris (Monash University), Professor David Best (Sheffield Hallam University).
Learn more about this project
- Lubman, D. I., Grigg, J., Reynolds, J., Hall, K., Baker, A. L., Staiger, P. K., Tyler, J., Volpe, I., Stragalinos, P., Harris, A., Best, D., & Manning, V. (2022). Effectiveness of a Stand-alone Telephone-Delivered Intervention for Reducing Problem Alcohol Use: A Randomized Clinical Trial. JAMA Psychiatry, 79(11), 1055-1064.
- Lubman, D. I., Grigg, J., Manning, V., Hall, K., Volpe, I., Dias, S., Baker, A., K Staiger, P., Reynolds, J., Harris, A., Tyler, J., & Best, D. (2019). A structured telephone-delivered intervention to reduce problem alcohol use (Ready2Change): study protocol for a parallel group randomised controlled trial. Trials, 20(1), 515.
- Bernard, C., Grigg, J., Volpe, I., Lubman, D. I., & Manning, V. (2022, 2022/02/01). Client Experiences of a Telephone-Delivered Intervention for Alcohol Use: a Qualitative Study. International Journal of Mental Health and Addiction, 20(1), 522-540.
- Grigg, J., Manning, V., Cheetham, A., Youssef, G., Hall, K., Baker, A. L., Staiger, P. K., Volpe, I., Stragalinos, P., & Lubman, D. I. (2023). A Latent Class Analysis of Perceived Barriers to Help-seeking Among People with Alcohol Use Problems Presenting for Telephone-delivered Treatment. Alcohol and Alcoholism, 58(1), 68–75.