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Abhijit Nadkarni Associate Professor, London School of Hygiene & Tropical Medicine Co-Director, Addictions Research Group, Sangath, India Cheers to Challenges Counselling for harmful drinking in Goa, India

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Page 1: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Abhijit NadkarniAssociate Professor, London School of Hygiene & Tropical Medicine

Co-Director, Addictions Research Group, Sangath, India

Cheers to Challenges

Counselling for harmful drinking in Goa, India

Page 2: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 3: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 4: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 5: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 6: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 7: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 8: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 9: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 10: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 11: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Pic Credits: Sonia Fillinto

Page 12: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 13: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 14: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 15: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 16: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 17: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
Page 18: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Effect of CAP+EUC

05

1015202530354045

CAP+EUC EUC

% n

on-d

rinke

rs

Daily standard ethanol @ 3 months

18

CAP+EUC EUC

Daily standard ethanol @ 12 months

3.0 (1.8, 5.1); p<0.0001 1.9 (1.2 , 3.1); p=0.008

Page 19: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Remission Rates (AUDIT < 8)

0.2

.4.6

AUD

IT R

emis

sion

%

0 3 6 9 12Time since enrolment (in months)

EUC arm CAP arm95% CI

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Page 20: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%

Key conclusions

Brief psychological treatment for harmful drinking, is acceptable, feasible, and cost-effective, when delivered by the non-specialist health workers in routine health care settings in treatment naïve populations

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Page 28: Cheers to Challenges - INEBRIAinebria.net/wp-content/uploads/2018/10/2_5_PS5_1... · Remission Rates (AUDIT < 8) 0.2.4.6 % 036912 Time since enrolment (in months) EUC armCAP arm 95%
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Thank You

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