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Home Visits in the Outpatient Treatment of Individuals Dependent on Alcohol: Randomized Clinical Trial

Moraes, Edilaine PhD*; de Campos, Geraldo Mendes PhD*; Figlie, Neliana Buzie PhD*; Ferraz, Marcos Bosi PhD; Laranjeira, Ronaldo PhD*

Addictive Disorders & Their Treatment: March 2010 - Volume 9 - Issue 1 - p 18-31
doi: 10.1097/ADT.0b013e318196d4e5
Original Articles

Aim To compare the efficacy and effectiveness of conventional outpatient treatment for alcoholic patients [conventional treatment (CT)] with this same CT plus home visit (HV).

Design Randomized clinical trial evaluated alongside a 12-week.

Setting An outpatient clinic for alcohol dependents.

Participants One hundred twenty alcohol-dependent patients, randomized to CT or HV groups, with homogeneous clinic and sociodemographic characteristics (P>0.1). Ninety percent were male, the mean age was 43 years (SD=8.6), 41.7% were married, and 32.5% had a low educational level.

Measurements The main outcome measures were adherence, abstinence, and days of consumption. Other outcomes measured were quality of life (Short Form Health Survey-36), motivation for treatment (Stages of Change Readiness and Treatment Eagerness Scale and University of Rhode Island Change Assessment Scale), severity of problems in areas of life (Addiction Severity Index), and cognitive impairments (Frontal Assessment Battery).

Findings Adherence—85.5% for HV and 62.1% for CT (P=0.003); quality of life mental area—51.2% for HV and 48.6% for CT (P=0.006). Outcomes, such as abstinence cases and decreased problems in areas of life, showed statistically significant improvements favoring HV.

Conclusions The HV treatment provided better results than CT in many important outcomes, not only regarding the success of the treatment, but also for the improvement of the quality of life of the patients and their relatives.

*Alcohol and Drugs Research Unit

São Paulo Center for Health Economics, Federal University of Sao Paulo, Brazil

Reprints: Edilaine Moraes, PhD, Alcohol and Drugs Research Unit, Federal University of Sao Paulo (UNIAD/UNIFESP), Rua Botucatu, 591 conj 173, São Paulo 04023-062, Brazil (e-mail:

Supported by the Sao Paulo State Research Foundation-FAPESP (Grant no 04/15062-2).

No conflict of interest.

© 2010 Lippincott Williams & Wilkins, Inc.