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Brief intervention has been defined as having six essential elements summarised by the acronym FRAMES (Miller and Sanchez, 1993).

  • Feedback: provide feedback on the patient's risk for alcohol problems
  • Responsibility: highlight that the individual is responsible for change
  • Advice: advise reduction or give explicit direction to change
  • Menu: provide a variety of options for change
  • Empathy: emphasise a warm, reflective and understanding approach
  • Self-efficacy: encourage optimism about changing behaviour

W3C accessible version: IBA pathway (.pdf document opens in a new window).

Diagram showing initial simple screening, full identification test and Brief Advice
Image: IBA pathway
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