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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Modifying Alcohol Consumption to Reduce Obesity: A Randomized Controlled Feasibility Study of a Complex Community-based Intervention for Men
Author(s): Irvine, Linda
Crombie, Iain K
Cunningham, Kathryn B
Williams, Brian
Sniehotta, Falko F
Norrie, John
Melson, Ambrose
Jones, Claire
Rice, Peter M
Slane, Peter W
Achison, Marcus
McKenzie, Andrew
Dimova, Elena
Allan, Sheila
Keywords: ethanol
body mass index
liver diseases
weight reduction
alcohol drinking
behavioral change
text messaging
Issue Date: Nov-2017
Citation: Irvine L, Crombie IK, Cunningham KB, Williams B, Sniehotta FF, Norrie J, Melson A, Jones C, Rice PM, Slane PW, Achison M, McKenzie A, Dimova E & Allan S (2017) Modifying Alcohol Consumption to Reduce Obesity: A Randomized Controlled Feasibility Study of a Complex Community-based Intervention for Men, Alcohol and Alcoholism, 52 (6), pp. 677-684.
Abstract: Objectives  Being obese and drinking more than 14 units of alcohol per week places men at very high risk of developing liver disease. This study assessed the feasibility of a trial to reduce alcohol consumption. It tested the recruitment strategy, engagement with the intervention, retention and study acceptability.  Methods  Men aged 35–64 years who drank >21 units of alcohol per week and had a BMI > 30 were recruited by two methods: from GP patient registers and by community outreach. The intervention was delivered by a face to face session followed by a series of text messages. Trained lay people (Study Coordinators) delivered the face to face session. Participants were followed up for 5 months from baseline to measure weekly alcohol consumption and BMI.  Results  The recruitment target of 60 was exceeded, with 69 men recruited and randomized. At baseline, almost all the participants (95%) exceeded the threshold for a 19-fold increase in the risk of dying from liver disease. The intervention was delivered with high fidelity. A very high follow-up rate was achieved (98%) and the outcomes for the full trial were measured. Process evaluation showed that participants responded as intended to key steps in the behaviour change strategy. The acceptability of the study methods was high: e.g. 80% of men would recommend the study to others.  Conclusions  This feasibility study identified a group at high risk of liver disease. It showed that a full trial could be conducted to test the effectiveness and cost-effectiveness of the intervention.  Trial registration  Current controlled trials: ISRCTN55309164.  Trial funding  National Institute for Health Research Health Technology Assessment (NIHR HTA).  Short summary  This feasibility study recruited 69 men at high risk of developing liver disease. The novel intervention, to reduce alcohol consumption through the motivation of weight loss, was well received. A very high follow-up rate was achieved. Process evaluation showed that participants engaged with key components of the behaviour change strategy.
DOI Link:
Rights: © The Author 2017. Medical Council on Alcohol and Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

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