All Effectiveness Bank analyses to date of documents related to alcohol compiled for our supporter Alcohol Change UK, starting with the analyses most recently added or updated, totalling today 767 documents.
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STUDY 2010 HTM file
Combining motivational interviewing with compliance enhancement therapy (MI-CET): development and preliminary evaluation of a new, manual-guided psychosocial adjunct to alcohol-dependence pharmacotherapy
Heffner J.L., Tran G.Q., Johnson C.S. et al.
Journal of Studies on Alcohol and Drugs: 2010, 71, p. 61–70.
Getting patients to take their medication is a major issue across medicine. This US alcohol treatment study enhanced compliance with treatment through a novel and manageable approach combining brief motivational interviewing with structured clinical counselling involving feedback on the patient's real-time pill-taking record.
Terlecki M.A., Larimer M.E., Copeland A.L.
Journal of Studies on Alcohol and Drugs: 2010, 71(1), p. 54–60.
Is being caught and disciplined all it takes to get heavy drinkers who violate university drinking rules to cut back? According to this US study, the discipline process does work, but adding brief motivational-style advice makes a worthwhile extra impact.
REVIEW 2007 HTM file
A review of the effectiveness and cost-effectiveness of interventions delivered in primary and secondary schools to prevent and/or reduce alcohol use by young people under 18 years old
Jones L., James M., Jefferson T. et al.
Liverpool: Centre for Public Health, Liverpool John Moores University, 2007.
The review which underpinned official UK guidance on alcohol education and advice in schools finds most programmes unsupported by adequate evidence and a dearth of analyses which would enable an assessment of whether the more successful programmes represent value for money.
National Institute for Health and Clinical Excellence.
[UK] National Institute for Health and Clinical Excellence, 2007.
Official guidance for England says alcohol education should be integral to national science and personal, social and health education curricula, but schools should go beyond this to develop a 'whole school' approach and partner with relevant non-education services and authorities.
Fleming, M.F., Balousek S., Grossberg P.M. et al.
Journal of Studies on Alcohol and Drugs: 2010, 71, p. 23–31.
Can college health clinics do widespread screening and brief alcohol advice? Yes they can, is one conclusion of this first large-scale test conducted at five North American universities. The other main conclusion – that by doing so they make worthwhile reductions in drinking and related harm – is weakened by the small size of the impacts.
Crits-Christoph P., Gallop R., Temes C.M. et al.
Journal of Consulting and Clinical Psychology: 2009, 77(6), p. 1125–1135.
Rarely has counselling been so deeply analysed as in this US study of mainly alcohol and cocaine dependent patients. The far-reaching implications are that some counsellors generate relationships with clients which feed through to better outcomes – but also that the 'best' relationship builders are not on average the most effective.
Bonnet U., Hamzavi-Abedi R., Specka M. et al.
Alcohol and Alcoholism: 2010, 45(2), p. 143–145.
Drawbacks of the favoured benzodiazepine drugs used to ameliorate alcohol withdrawal have led to trials of anticonvulsants, but this German trial found one promising anticonvulsant effective only among less severe cases, and even then some seemingly doing well later developed epileptic seizures, one of the most severe consequences of alcohol withdrawal.
STUDY 2012 HTM file
Innovation adoption as facilitated by a change-oriented workplace
Becan J.E., Knight D.K., Flynn P.M.
Journal of Substance Abuse Treatment: 2012, 42, p. 179–190.
Message from this large US study is that 'bottom-up' practice improvements in treatment services initiated by counsellors are still strongly influenced by the climate-setting and support offered by an organisation's leadership and ethos, especially how far they foster professional development.
Manuel J.K., Hagedorn H.J., Finney J.W.
Psychology of Addictive Behaviors: 2011, 25(2), p. 225–237.
Does implementing evidence-based psychosocial therapies actually lead to the intended practice changes and do these make things better for the clients? From this review, most clearly when the whole organisation is enrolled in the effort and training is bolstered by systematic and expert continuing supervision.
DOCUMENT 2013 HTM file
Sometimes best to break the rules
Druglink: May/June 2013.
Motivational interviewing’s ‘Do not dos’ like avoiding confrontation were intended to sidestep the traps which provoke clients to dig in their heels or disengage. Imagine then the upset of discovering that in certain circumstances, the opposite is the case; the explanation appeared to lie in coming across as ‘genuine’.
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