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A 2008 study of harmful and hazardous drinkers did not detect a difference between patients receiving a BNI and scripted discharge instructions [42], although a second study of harmful and hazardous drinkers, that included universal screening and interactive voice response methodology to reduce assessment reactivity found reduction in mean past 7-day alcohol use and past 28 day binge episodes at 6 and 12 month follow-up in the BNI group and BNI group with 30 day booster over standard care [17]