Alcohol: the complete collection

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Alcohol: the complete collection

All Effectiveness Bank analyses to date of documents related to alcohol compiled for our partner Alcohol Research UK, starting with the analyses most recently added or updated, totalling today 728 documents.

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HOT TOPIC 2018 HTM file
Measuring alcohol-related harm; politics and science

Ashton M., Davies N.
One of our selection of hot topics – important issues which sometimes generate heated debate. At a national level, alcohol-related harm and especially the net cost of harm versus benefits are slippery concepts. Malleability and policy salience combine to make the estimates contested territory.

STUDY 2012 HTM file
Does active referral by a doctor or 12-step peer improve 12-step meeting attendance? Results from a pilot randomised control trial

Manning V., Best D., Faulkner N. et al.
Drug and Alcohol Dependence: 2012, 126(1–2), p. 131–137.
In the context of current UK policy, this is a key study, testing the ambition to extend recovery beyond formal treatment by systematically linking patients to mutual aid groups, the main way it is being suggested commissioners can square the circle of doing more (recovery is seen as a whole-life transformation) with less.

STUDY 2017 HTM file
Preventing alcohol and tobacco exposed pregnancies: CHOICES Plus in primary care

Velasquez M.M., von Sternberg K.L., Floyd R.L. et al.
American Journal of Preventive Medicine: 2017, 53(1), p. 85–95.
Compared to brief advice, the CHOICES Plus intervention significantly lowered the risk of alcohol- and tobacco-exposed pregnancies among women in a low-income primary care population. This US-based trial illustrates the efficacy of a bundle of ‘pre-conception’ services for risky drinking, smoking, and ineffective contraception.

REVIEW 2018 HTM file
Interventions to reduce the negative effects of alcohol consumption in older adults: a systematic review

Armstrong-Moore R., Haighton C., Davinson N. et al.
BMC Public Health: 2018, 18(302), p. 1–13.
The first review to focus on alcohol interventions for older people found some evidence that psychosocial interventions such as counselling and brief advice were effective, but the studies lacked the detail to determine which elements of the interventions might be having an effect.

REVIEW 2016 HTM file
Review article: Effectiveness of ultra-brief interventions in the emergency department to reduce alcohol consumption: A systematic review

McGinnes R.A., Hutton J.E., Weiland T.J. et al.
Emergency Medicine Australasia: 2016, 28, p. 629–640.
With the large number of people vulnerable to the harms of risky drinking attending emergency departments, an effective ultra-brief intervention would have the potential to make a measurable population impact. However, as this review suggests, no such ultra-brief intervention has yet been found.

Alcohol Matrix cell D4: Organisational functioning; Psychosocial therapies

Ashton M.
The most important studies on how treatment organisations affect the implementation and effectiveness of psychosocial therapies. One of 25 cells in the alcohol matrix. Also highlights the most useful reviews and practice guidelines and offers a customised one-click search for more on the Effectiveness Bank database.

Alcohol Matrix cell C4: Management/supervision; Psychosocial therapies

Ashton M.
Seminal and key studies on management and supervision in psychosocial therapies. Focus is on evidence of the need for post-training ‘coaching’ and for letting therapists know how their clients are doing – especially when they are doing badly.

STUDY 2014 HTM file
Primary care-based buprenorphine taper vs maintenance therapy for prescription opioid dependence: a randomized clinical trial

Fiellin D.A., Schottenfeld R.S., Cutter C.J. et al.
JAMA Internal Medicine: 2014, 174(12), p. 1947–1954.
Among patients dependent on prescription opioids, ongoing maintenance therapy using a legal opiate substitute (buprenorphine–naloxone) produced better outcomes than tapered withdrawal, with patients less likely to have used illicit opioids and considerably more likely to have remained in their allocated treatment.

STUDY 2015 HTM file
High-dose baclofen for the treatment of alcohol dependence (BACLAD study): A randomized, placebo-controlled trial

Müller C.A, Geisel O., Pelz P. et al.
European Neuropsychopharmacology: 2015, 25, p. 1167–1177.
From Germany the first trial to rigorously test high doses of the muscle-relaxant baclofen for the treatment of dependent drinking found post-detoxification drinking reductions of a magnitude rarely seen. Other trials have been less positive, and serious safety concerns may limit the drug’s use.

HOT TOPIC 2018 HTM file
Cycle of Change: change promoter or benevolent fiction?

Ashton M., Davies N.
One of our hot topics – essays on important issues which sometimes generate heated debate over the facts or their interpretation. Its simplicity is beguiling, but does the ubiquitous cycle of change model simply describe the change process, or help predict and accelerate it?

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