Motivation to reduce alcohol consumption and subsequent attempts at reduction and changes in consumption in increasing and higher-risk drinkers in England: a prospective population survey

Frank De Vocht, Jamie Brown, Emma Beard, Robert West, Susan Michie, Rona Campbell, Matthew Hickman

Research output: Contribution to journalArticle (Academic Journal)

6 Citations (Scopus)
265 Downloads (Pure)

Abstract

Aims: To assess how far motivation to reduce alcohol consumption in increasing and higher-risk drinkers predicts self-reported attempts to reduce alcohol consumption and changes in alcohol intake in the following 6 months.
Methods: This study used self-reported data from 2,928 higher-risk drinkers in the Alcohol Toolkit Study (ATS): a series of monthly cross-sectional household surveys of adults aged 16+ years of age in England. Alcohol consumption was measured in an initial survey and in a 6-month telephone followup
interview using the AUDIT-C questionnaire. Motivation was measured in the initial survey using the Motivation to Reduce Alcohol Consumption (MRAC) scale. Attempts to reduce alcohol consumption in the past 6 months were recorded at follow-up. Data were analysed using repeated measures difference-in-differences and logistic regression models.
Results: Participants with higher initial motivation to reduce alcohol consumption were more likely to report they had made an attempt to reduce consumption at follow-up (ORadj=2.39, 95%CI [1.75-3.29]).
There was an overall reduction in alcohol consumption between initial survey and follow-up (ORadj=0.72 [0.65-0.79]), but there was insufficient evidence of an additional effect of motivation to reduce consumption on subsequent changes in alcohol consumption, with the difference-in-differences
effect instead suggesting average increase (ORadj =1.37 [0.99-1.88]).
Conclusions: Increasing and higher-risk drinkers in England who report greater motivation to reduce their consumption are more likely to report making an attempt to reduce in the next 6 months but this may not be associated with a reduction in alcohol consumption.
Original languageEnglish
Pages (from-to)817-827
Number of pages11
JournalAddiction
Volume113
Issue number5
DOIs
Publication statusPublished - 25 Jan 2018

Structured keywords

  • NIHR SPHR

Keywords

  • Alcohol
  • Alcohol Toolkit Study
  • ATS
  • Audit
  • Behaviour
  • Consumption
  • Motivation

Fingerprint Dive into the research topics of 'Motivation to reduce alcohol consumption and subsequent attempts at reduction and changes in consumption in increasing and higher-risk drinkers in England: a prospective population survey'. Together they form a unique fingerprint.

  • Cite this