# Extended Intervention

Source: https://3rdmil.com/extended_intervention/

Last updated: 2026-06-08T20:16:29+00:00

Extended Intervention - 3rdmil - Blog

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## Extended Intervention

If you want to learn how to play the piano, would you enroll in weekly one-hour lessons or a weekend intensive? Weekly lessons, right?

Dr. Scott Walters agrees, and provides the reasons why this approach has a similar effect when applied to alcohol interventions. You can listen to the full presentation [here](https://www.youtube.com/watch?v=MhYGpl-SBoc), but for those of you looking for the Cliffs Notes version, just scroll down.

In 2002, the **[Mesa Grande](https://www.ncbi.nlm.nih.gov/pubmed/11964100)** study suggested that brief and motivational alcohol interventions worked better than longer, more widely-used treatments. You might think a program that’s twice as long would get twice the result, but that’s not the case.

Basically: sheer length is not a good predictor of outcome.

Instead, beginning with a brief intervention and following it up with a series of short check-ins seems to be the most successful way to go about it. Why? Because the intervention becomes a part of everyday life, not just a one-time thing.

Dr. Walters also points out that technology can play a helpful role in this follow-up process. What does this look like in practice?

Let’s say that a student wanted to drink less. During their initial intervention, they could make a list of the times when they were most tempted to drink too much (Friday nights, for example). Then, each Friday morning for a month, they would receive a text with a tip. “Alternate one alcoholic drink with one glass of water” or “Skip the pre-gaming tonight,” for example.

This approach was twice as likely to help smokers stay cigarette-free after six months than those who did not receive follow-up texts, so applying it to the world of alcohol interventions certainly seems to be the next logical step.

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