What are the key components of a brief intervention for patients with

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Key components of a brief intervention for patients with risky alcohol consumption include:

Use of a recognised, evidence-based resource based on FRAMES principles (Feedback, Responsibility, Advice, Menu, Empathy, Self-efficacy) to structure the intervention.
The intervention should take 5–15 minutes and cover the potential harm caused by the patient's level of drinking and reasons for changing behaviour, including health and wellbeing benefits.
Discuss barriers to change and outline practical strategies to help reduce alcohol consumption, addressing the 'menu' component of FRAMES.
Lead the patient to set specific goals for reducing alcohol intake.
Where there is an ongoing relationship, routinely monitor progress in reducing alcohol consumption to a low-risk level.
If needed, offer additional sessions of structured brief advice or an extended brief intervention.
Initial assessment should include a motivational intervention containing key elements of motivational interviewing: helping patients recognise problems related to drinking, resolving ambivalence, encouraging positive change, and adopting a supportive rather than confrontational approach.

These components aim to promote awareness, motivation, and practical steps towards reducing risky alcohol consumption in a brief, structured manner.

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What are the key components of a brief intervention for patients with risky alcohol consumption?