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Effect of “Tailored Goal Oriented Community Brief Intervention Model” on AUDIT Reduction in Thai Communities

Chitlada Areesantichai PhD*, Sompoch Iamsupasit PhD**, John Marsden PhD***, Usaneya Perngparn PhD*, Surasak Taneepanichskul MD, MPH*

Affiliation : * Drug Dependence Research Center (WHOCC) College of Public Health Sciences, Chulalongkorn University, Bangkok, Thailand ** Faculty of Psychology Chulalongkorn University, Bangkok, Thailand *** National Addiction Centre, Division of Psychological Medicine and Psychiatry, Institute of Psychiatry, King’s College London, London, United Kingdom

Objective : The present study aimed to test the result of Tailored Goal oriented Community Brief Intervention Model (TGCBI) the change of Alcohol Use Disorder Identification Test (AUDIT) scores. Material and Method: A quasi-experimental research comparing between two high drinking prevalence communities in Lop Buri Province, Thailand, an intervention group with TGCBI Model, and a control group without TGCBI. The TGCBI is a treatment that lies on three components. Firstly, the TGCBI based on FRAMES consisting of Feedback, Responsibility, Advice, Menu of Option, Empathy, and Self-Efficacy. Secondly, drinkers must voluntarily set-up their goal and drinking reduction design suitable for them and their community. Lastly, key informants such as monks, health personnel, family, and friends can be a source to complete the FRAMES. Measurement: Measurements are done using AUDIT scores.
Results : Fifty subjects in control and forty-seven in intervention drinkers completing 1, 3, and 6 monthly intervals were followed-up. The follow-up of the change of AUDIT score after 1,3, and 6 months of TGCBI in the two communities showed that intervention community, with TGCBI had a decrease in AUDIT score when compared within its community and with a controlled community.
Conclusion : The results proved TGCBI model is effective in AUDIT reduction.

Keywords : Effect, Intervention, Model, Community, TGCBI, AUDIT, Thai


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JMed Assoc Thai
MEDICAL ASSOCIATION OF THAILAND
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