All Effectiveness Bank analyses to date of documents related to alcohol compiled for our partner Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 791 documents.
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HOT TOPIC 2016 HTM file
Is it futile to match alcohol treatments to the patient?
‘Hot topics’ offer background and analysis on important issues which sometimes generate heated debate. Even if overall one type of therapy for problem drinking is no better than another, surely this is just because certain therapies worked best with certain patients? Expectations that ‘matching’ would lead to improved outcomes were dashed in what was intended to be the definitive test, but it would be premature entirely to dismiss the idea.
Spelman T., Morris M.D., Zang G. et al.
Journal of Epidemiology and Community Health: 2015, 69, p. 745–752
Using data pooled from studies in three countries, researchers examined the impact of hepatitis C testing and counselling – and of testing positive versus negative – on whether people who inject drugs become more or less likely to risk infection.
Gaume J., Magill M., Longabaugh R. et al.
Alcoholism: Clinical and Experimental Research: 2014, 38(7), p. 2138–2147.
Swiss study of brief alcohol interventions with a representative sample of heavy drinking young men exposed the determining influence on later drinking of the practitioner’s competence in motivational interviewing and how they behave in the session.
Postel M.G, ter Huurne E.D., Haan H.A. et al.
American Journal of Drug and Alcohol Abuse: 2015, 41(4), p. 309–316.
In the Netherlands an intensive cognitive-behavioural treatment programme for problem drinkers based on messages sent via a web site between therapist and patient achieved substantial remission in drinking and improvements in health – promising results undermined somewhat by how few patients were followed up.
STUDY 2010 HTM file
Brief alcohol intervention for college drinkers: How brief is?
Kulesza M., Apperson M., Larimer M.E. et al.
Addictive Behaviors: 2010, 35(7), 730–733.
This US study found that in the short term, 50 minutes of motivational counselling with student drinkers was no more effective in reducing alcohol consumption than 10 minutes of motivational counselling.
Lea H.S., Zerai A.
Substance Use and Misuse: 2010, 45(14), p. 1–17.
A study exploring the challenges of defining and measuring ‘outcomes’ and ‘success’ in substance use treatment environments, from the perspective of staff and participants in two different US harm-reduction counselling programmes.
Williams E.C., Rubinsky A.D., Chavez L.J. et al.
Addiction: 2014, 109(9), p. 1472–1481.
Evaluated across an entire region, a determined effort to implement alcohol screening and brief intervention in the US health system for ex-military personnel led to no significant reductions in drinking – results seen as a prime example of the disappointing impacts of alcohol brief interventions in real-world conditions.
REVIEW 2015 HTM file
Prevention of addictive behaviours
Bühler A., Thrul J.
European Monitoring Centre for Drugs and Drug Addiction, 2015.
Based largely on existing reviews, this report for the German Federal Centre for Health Education comprehensively assesses substance use prevention approaches. Among its many conclusions are that approaches based solely on information provision are ineffective, in contrast to the more positive evidence for lifeskills and multi-component community programmes.
Cruvinel E., Richter K.P., Bastos R.R. et al.
Addiction Science and Clinical Practice: 2013 8(4).
From Brazilian primary care clinics a rare confirmation that a positive organisational climate featuring commitment to staff professional development and good links with the local community is associated with overcoming barriers to widely implementing screening and brief intervention programmes.
Williams E.C., Lapham G., Achtmeyer C.E. et al.
Journal of General Internal Medicine: 2010, 25(suppl. 1), p. 11–17.
When a patient has screened positive for risky drinking, up pops a computerised prompt to remind the clinician to consider counselling. In one service for US ex-military personnel, this resulted in nearly three quarters of patients being counselled and a hint of consequentially reduced drinking; at another, findings were negative. Why the difference?
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