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STUDY 2011 Shared decision-making: increases autonomy in substance-dependent patients HTM fileAn innovative Dutch study tested a way of involving substance users as equals in decisions over issues addressed in their treatment. The effect was to give these typically submissive personalities a greater sense of control over their lives. Just as influential was the lead offered by the clinician's personality.
REVIEW 2011 A meta-analysis of interventions to reduce adolescent cannabis use HTM fileThe first synthesis of research on therapeutic interventions for adolescent cannabis users highlighted the relative success of family and multi-component approaches, but the evidence base was too narrow to securely determine what works best.
STUDY 2009 Randomized controlled trial of cognitive-behavioural therapy for coexisting depression and alcohol problems: short-term outcome HTM fileAustralian study provides the first evidence that integrated treatment may be superior to alcohol- or depression-focused treatment for depressed heavy drinkers, but the lack of extra benefit in respect of depression and gender differences suggests a more complicated picture.
STUDY 2010 The impact of screening, brief intervention and referral for treatment in emergency department patients' alcohol use: a 3-, 6- and 12-month follow-up HTM fileA few minutes with specially hired interventionists can curb the intake of heavy-drinking emergency patients, but in routine practice hospital staff will usually have to do this work. A US study tested this real-world scenario and found the modest drinking reductions were short-lived.
STUDY 2010 Reducing sex under the influence of drugs or alcohol for patients in substance abuse treatment HTM fileAt issue was whether among men in treatment for substance use problems the standard one session of HIV education could be improved on by five sessions including motivational exercises and skills training. In the short term there were greater reductions in sex under the influence but these did not last.
STUDY 2011 Efficacy of brief motivational intervention in reducing binge drinking in young men: a randomized controlled trial HTM fileBinge drinkers among young Swiss men being conscripted in to the army responded to around 16 minutes of alcohol advice by on average cutting their intake 20% more than recruits whose drinking was simply assessed, a rare demonstration of the impact of a brief intervention in an unselected population.
STUDY 2010 What process research tells us about brief intervention efficacy HTM fileThe disappointing finding of no impact in a Swiss study of a brief alcohol intervention with risky drinking A&E patients prompted painstaking analyses of why some patients did respond, and why some counsellors had far better results than others.
STUDY 2010 The effectiveness of brief intervention among injured patients with alcohol dependence: who benefits from brief interventions? HTM fileAt a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm curbed drinking among alcohol-dependent patients; non-dependent patients tended to do better with assessment and usual care only.
STUDY 2010 Ethnic differences in drinking outcomes following a brief alcohol intervention in the trauma care setting HTM fileAt a US emergency department, a brief conversation about the pros and cons of their drinking and offers of support for any efforts to reduce harm led (compared to assessment and usual care) to extra reductions in the drinking of injured Hispanic patients but not white or black patients.
STUDY 2010 The role of ethnic matching between patient and provider on the effectiveness of brief alcohol interventions with Hispanics HTM fileAt a US emergency department, a brief conversation about the pros and cons of their risky drinking and offers of support for any efforts to reduce harm led to extra reductions in the drinking of Hispanic patients which were greatest when they were matched to a Hispanic and Spanish-speaking counsellor.