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STUDY 2011 Cluster randomised trial of the effectiveness of motivational interviewing for universal prevention HTM file
Compared to basic drug education, it should at least have moderated current use, but this attempt to deploy motivational interviewing as an across-the-board prevention strategy among college students in London neither did that, nor did it prevent non-users starting to use, negative findings which raise interesting questions.
STUDY 2010 Alcohol screening, brief intervention, and referral to treatment conducted by emergency nurses: an impact evaluation HTM file
At over 50%, this US study's main achievement may have been to show that emergency department nurses can screen a high proportion of patients for risky drinking. After that point it suffered from a low intervention implementation rate, and no statistically significant benefits were found.
REVIEW 2011 A systematic and methodological review of interventions for young people experiencing alcohol-related harm HTM file
Though some studies may have been persuasive, this review of recent attempts to find which therapeutic approaches work best for young risky drinkers was unable to reach firm conclusions due to variability in the studies and methodological inadequacies. Still, the tentative conclusions accord with those in UK guidance.
STUDY 2011 Shared decision-making: increases autonomy in substance-dependent patients HTM file
An 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 file
The 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 file
Australian 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 file
A 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 file
At 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 file
Binge 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 file
The 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.
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