A brief video intervention to promote understanding of the neurobiological base of hazardous alcohol use and treatments

Abstract

Purpose: To assess acceptability of, and change in knowledge following viewing of a professionally developed video, a DVD that provides evidence related to the neurobiological bases of alcohol abuse/dependence. Method(s): A single session from an established intervention (Finnell, 2012) was translated for production of a 20-minute DVD for individuals in primary care who are eligible for referral to alcohol treatment. The script was written to provide information about the brain structure and function, how the brain is impacted by alcohol, and behavioral and pharmacological treatments for alcohol abuse/ dependence.With the Flesh-Kinkaid at 10.3, a glossary of the scientific terms was developed to accompany the DVD. The DVD was shown to a sample of urban firefighters (n = 11) as part of a wellness program. A 10-item knowledge test was administered prior to and immediately after viewing the DVD. Result(s): Mean knowledge scores were significantly increased from pre- to post-test (43% to 84%). Acceptability of the video was affirmed from positive comments and interactive discussion following the viewing. Conclusion(s): The goal of the DVD is to encourage individuals who are eligible for referral to substance abuse treatment to accept referral, engage in, and complete that specialty care. This brief alcohol intervention provided in primary care may help shift the current paradigm of shame and blame to one that is consistent with other chronic health disorders (i.e., biologically-based) and otherwise help diminish the stigma that prevents patients from engaging in alcohol-specialty treatment.