Alcohol Screening and Pre-Operative Intervention Research Study (ASPIRE)

Aktiv komparator: Brief advice

One brief advice session, resource brochure, standard of care, and an infographic about alcohol and surgical health at patient's pre-existing pre-operative clinical visit.

Atferdsmessig: Brief advice

One 10-minute brief advice session

Eksperimentell: Health coaching

Two health coaching sessions, resource brochure, standard of care

Atferdsmessig: Health coaching

Two 45-minute health coaching sessions will use a non-confrontation motivational interviewing (MI) style. Intervention delivery will include expressing concern about unhealthy drinking, providing feedback linking alcohol use and health (related to surgery and general health), advising the patient regarding abstinence or alcohol use reduction, and working with the patient to set a drinking goal if he/she is ready to change. We will also include a personalized feedback component to address the links between pre-operative alcohol use and postoperative morbidity/mortality.

Mean Alcohol Weekly Use

Average (i.e. mean) weekly alcohol use was assessed using the timeline followback measure. The timeline followback assesses alcohol use using a calendar format on which participants report the number of standard drinks they consumed each day during the assessment period. In the United States, one standard drink (or one alcoholic drink equivalent), is defined as any beverage containing 0.6 oz or 14 grams of pure alcohol.

Acceptability of Intervention as Measured by the Post-intervention Evaluation.

Interventions will be considered 'acceptable' if the average acceptability rating reaches a threshold of 3 or more on a 4-point Likert scale where a score of 4 is most acceptable.

Satisfaction

1. Quite dissatisfied
2. Mildly dissatisfied
3. Mostly satisfied
4. Very satisfied