Latest alcohol analyses

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Latest alcohol analyses

Ten most recently added/updated alcohol-related Effectiveness Bank analyses compiled for our supporter Alcohol Change UK starting with the analyses most recently added or updated.

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MATRIX CELL 2020 HTM file
Alcohol Treatment Matrix cell C2: Management/supervision; Generic and cross-cutting issues

Ashton M.
Key studies on the role of management and supervision across psychosocial and medical treatments of problem drinking. Highlights that “Manners Matter”, focuses on staff recruitment, the critical missing link in much research, asks what use assessment is without a way to act on the results, queries the ubiquitous stages of change model, and details the fascinating history of the most controversial issue in alcohol treatment: whether services should insist dependent drinkers try for abstinence. See the rest of row 2 of the matrix for more on features common to psychosocial and medical treatments.

STUDY 2016 HTM file
Strategies in primary healthcare to implement early identification of risky alcohol consumption: why do they work or not? A qualitative evaluation of the ODHIN study

Keurhorst M., Heinen M., Colom J. et al.
BMC Family Practice: 2016, 17(70), p. 1–16.
[Consultation draft subject to amendment and correction.] Why, how, for whom, and under what circumstances do different strategies for increasing the delivery of screening and brief alcohol interventions work?

REVIEW 2018 HTM file
A review of brain stimulation methods to treat substance use disorders

Coles A.S., Kozak K., George T.P.
The American Journal on Addictions: 2018, 27(2), p. 71–91.
Already used to treat various neurological and psychiatric disorders, a review investigates the utility of brain stimulation techniques for drug and alcohol problems.

MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell B2: Practitioners; Generic and cross-cutting issues

Ashton M.
At the front line the practitioner is to the patient the face of treatment. They can matter enormously – not so much in their formal credentials, but their manner with patients. Tour seminal and key studies which probe the heart of addiction treatment: relationships.

REVIEW 2019 HTM file
The efficacy of spiritual/religious interventions for substance use problems: a systematic review and meta-analysis of randomized controlled trials

Hai A.H., Franklin C., Park S. et al.
Drug and Alcohol Dependence: 2019, 202, p. 134–148.
Around the world, programmes which take a spiritual or overtly religious route to overcoming substance use problems are extremely common and in some countries dominant – but do they work any better than the alternatives? This review systematically sifted the evidence from the past 30 years.

MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell A2: Interventions; Generic and cross-cutting issues

Ashton M.
Seminal and key studies shedding light on aspects of the treatment of problem drinking relevant both to psychosocial and medical approaches. The neglected ‘placebo effect’ and the ‘common factors’ studies usually try to eliminate from their analyses emerge as fundamental to the treatment of substance use problems.

STUDY 2019 HTM file
The conversation matters: a qualitative study exploring the implementation of alcohol screening and brief interventions in antenatal care in Scotland

Schölin L., Fitzgerald N.
Pregnancy and Childbirth: 2019, 19(316), p. 1–11.
A study spotlights antenatal care in Scotland – one of three priority settings in a national programme to deliver screening and brief interventions. Implementation leaders discussed midwives’ roles in facilitating disclosures about drinking in pregnancy, and what happens when their professional opinions deviate from guidance.

MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell E1: Treatment systems; Screening and brief intervention

Ashton M.
Key studies and reviews on local, regional and national systems for implementing alcohol screening and brief intervention. Context is that Britain’s National Institute for Health and Care Excellence insists commissioners and managers “must” provides the resources needed for brief intervention to become part of everyday work. Can these interventions be widely implemented, and even if they are, will they improve public health? See the rest of row 1 of the matrix for more on screening and brief interventions.

MATRIX CELL 2019 HTM file
Alcohol Treatment Matrix cell C1: Management/supervision; Screening and brief intervention

Ashton M.
Seminal and key studies on management and supervision in screening and brief interventions for risky drinking. Highlights UK guidance which insists health service managers “must” support this work and the quandary over whether to insist on these procedures (taking time which could have been used in other ways) or to let practitioners and patients decide their priorities. See the rest of row 1 of the matrix for more on screening and brief interventions.

STUDY 2019 HTM file
Impact of the introduction and withdrawal of financial incentives on the delivery of alcohol screening and brief advice in English primary health care: an interrupted time-series analysis

O’Donnell A., Angus C., Hanratty B. et al.
Addiction: 2019, early view online.
The clearest impact of financial incentives to screen primary care patients in England was the plummeting screening rate after the incentives were withdrawn. If these results are applicable to England as a whole, over the following 21 months withdrawing the payments resulted in 603,719 fewer patients being screened for risky drinking and 27,439 fewer receiving brief advice.