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 775 documents.
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REVIEW 2010 HTM file
Computer-delivered interventions for alcohol and tobacco use: a meta-analysis
Rooke S., Thorsteinsson E., Karpin A. et al.
Addiction: 2010, 105, p. 1381–1390.
Computer-based and in particular internet-based therapies open doors to treatment for drinkers who cannot get or do not want face-to-face-help. This review finds they do curb drinking, but its sub-finding that they are as effective as alternative therapies should not be taken to mean computers can replace therapists.
Hester R.K., Delaney H.D., Campbell W.
Journal of Consulting and Clinical Psychology: 2011, 79(2), p. 215–224.
Does it help to add a structured internet-based therapeutic programme to web access to a mutual aid network also geared to moderate drinking? Sustained extra moderation in the form of fewer days drinking was the clearest positive effect; less clear was whether it led to greater reductions in drink-related problems.
Toche-Manley L., Grissom G., Dietzen L. et al.
Addictive Behaviors: 2011, 36, p. 601–607.
Experience in California of developing and implementing a system for assessing patients' needs and matching to appropriate services offers an unusually fully developed model for promoting recovery and judging the outcomes achieved by a service in the light of its patient profile.
REVIEW 2010 HTM file
Opioid antagonists for alcohol dependence
Rösner S., Hackl-Herrwerth A., Leucht S. et al.
Cochrane Database of Systematic Reviews: 2010, 12, Art. No.: CD001867.
Comprehensive synthesis of results from 50 trials finds that the opiate-blocking drug naltrexone does on average help more detoxified alcohol dependent patients avoid relapse, but effects are generally small and inconsistent. Useful, but not a magic bullet is the verdict.
DOCUMENT 2010 HTM file
Alcohol in our lives: curbing the harm
New Zealand Law Commission.
New Zealand Law Commission, 2010.
Extensive policy report from New Zealand accepts evidence that alcohol-related harm is best reduced by population level measures, including raising prices, licensing reform with harm reduction as its prime objective, and restricting the availability of alcohol through reduced opening hours, age limits and curbs on promotion.
Désy P.M., Kunz Howard P., Perhats C. et al.
Journal of Emergency Nursing: 2010, 36(6), p. 538–545.
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.
Calabria B., Shakeshaft A.P., Havard A.
Addiction: 2011, 106, awaiting print publication.
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 2009 HTM file
Developing and validating process measures of health care quality
Harris A.H.S., Kivlahan D.R., Bowe T. et al.
Medical Care: 2009, 47(12), p. 1244–1250.
Finding that a retention benchmark like that used for years in Britain was only loosely related to patient improvement led a US health service to start a comprehensive search for better indicators. Intensity of contact in the first month best predicted which services most benefited their patients.
STUDY 2011 HTM file
Shared decision-making: increases autonomy in substance-dependent patients
Joosten E.A.G., De Jong C.A.J., de Weert-van Oene G.H. et al.
Substance Use and Misuse: 2011, 46(8), p. 1037–1038
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 2010 HTM file
Cost-effectiveness of family-based substance abuse treatment
Morgan T.B., Crane D.R.
Journal of Marital and Family Therapy: 2010, 36(4), p. 486–498.
For suitable patients, family-based therapies are among the most effective – but are they the most cost-effective? Not always finds this US-focused review, which argues that to compete in today's financially sensitive health care system, treatments must deliver the most clinical outcomes per unit of cost.
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