Lessons from a controlled evaluation of a general practice minimal intervention for problem drinking

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Abstract
A controlled evaluation of the Scottish Health Education Group's DRAMS Scheme in general practice failed to provide good evidence of the effectiveness of DRAMS compared with advice‐only and non‐intervention control groups, but also failed to provide an adequate test of DRAMS. Reasons for this are discussed and three kinds of lessons are drawn from the experience: lessons for future research into GP minimal interventions; lessons for the design of the interventions themselves; and, finally, lessons for strategies to be employed in the effort to engage the full interest and co‐operation of general practitioners in working with problem drinkers.