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• W4386886299 abstract "<h3>Background and Aims</h3> There is currently an epidemic of liver disease; now the second commonest cause of preventable death in the UK, largely driven by an increase in ARLD. Population-level data suggest increased alcohol consumption amongst heavy drinkers during lockdown. However, the specific effect of the pandemic and lockdown on alcohol behaviour in patients with ALRD remains unknown. This study aimed to conduct semi-structured interviews with ARLD patients recruited from a large teaching hospital in South-West UK to: 1) identify factors contributing to abstinence from alcohol during lockdown, and 2) attitudes towards drinking and care received. <h3>Methods</h3> The inclusion criterion was an established diagnosis of ARLD. Patients were screened and recruited from Hepatology outpatients, and subsequently underwent telephone interview using a topic guide. Participants were asked about: 1) drinking history prior to and during lockdown, 2) triggers to relapse 3) previous attempts to abstain, 4) physical and mental health issues. Interviews were recorded, transcribed, anonymised and coded using NVIVO software. Double coding was undertaken by 3 researchers on 4 early interviews. Framework analysis was used to organise thematically coded data. <h3>Results</h3> Fifteen (9 male/6 female) patients were interviewed (mean age 57.7yrs). Twelve participants were abstinent at the time of interview. Five of these were abstinent prior to lockdown and remained so. Three were still drinking. Seven acknowledged alcohol dependence (5 previously and 3 currently). The most common triggers for drinking were trauma, stress, and employment issues. All participants with a formal mental health diagnosis (6/6) said it was the main contributor to problematic drinking, whilst only 14% (1/7) of those with physical comorbidities said it was a trigger. The most common factor predicting abstinence was hospitalisation for acute decompensation (7/15) or being given a diagnosis of ARLD (2/15). Most interviewees (14/15) had previous alcohol-related hospitalisation. Eight participants out of 12 abstinent said that lockdown had not affected their ability to abstain, whilst 4 who abstained subsequently said the temptation to drink was higher. Of the 3 participants who continued to drink through lockdown and afterwards 2 said they were drinking more during the lockdown period and 1 that it made no difference. <h3>Discussion</h3> Whilst lockdown contributed to relapse in just under half of participants, a sentinel event such as new ARLD diagnosis or hospitalisation was the strongest predictor of abstinence. As pre-existing mental health problems also predicted ongoing alcohol use, abstinence may be improved with greater emphasis on mental health support in treatment plans." @default.
• W4386886299 created "2023-09-21" @default.
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• W4386886299 date "2023-09-01" @default.
• W4386886299 modified "2023-09-27" @default.
• W4386886299 title "P91 Factors affecting return to drinking in patients with alcohol-related liver disease (ARLD): a qualitative study exploring attitudes and behaviours towards alcohol during COVID-19 lockdown" @default.
• W4386886299 doi "https://doi.org/10.1136/gutjnl-2023-basl.106" @default.
• W4386886299 hasPublicationYear "2023" @default.
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