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REVIEW 2014 HTM file
Interventions to reduce substance misuse among vulnerable young people
In this evidence update, the National Institute for Health and Care Excellence assess new evidence relevant to its earlier public health guidance on interventions to reduce substance misuse among vulnerable young people.
Findings from this multi-university study in New Zealand seem an example of trials of brief alcohol interventions as they would be implemented in routine practice failing to match more promising findings from trials conducted in less ‘real world’ circumstances.
‘Do just the minimum’ seems the message of the emergency department arm of the largest alcohol screening and brief intervention study yet conducted in Britain; the proportion of risky drinkers fell no less after a brief warning than after more sophisticated and longer interventions.
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.
A rare ‘real world’ trial of whether a routine and feasible brief alcohol intervention can have population-wide public health benefits found that among university students in Sweden, web-based screening had very minor impacts which were not enhanced by feeding back the results.
Positive and significant effects observed on a range of drinking outcomes suggest that high-risk pupils may have benefited from the psychosocial intervention over standard drug education. But unclear whether the personality matching strategy was the effective component.
The primary care arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
REVIEW 2012 HTM file
Computer based alcohol interventions
Worth trying but unproven for the UK and the general population and need evaluating, was the message of this review for the health service in Scotland of computer-based alcohol interventions as possible ways to extend the reach of treatment and of the national brief intervention programme.
STUDY 2012 HTM file
Screening for alcohol use in criminal justice settings: an exploratory study
At English prisons, police stations and probation offices, offenders and arrestees in this study usually scored as at least hazardous drinkers and over half as problematic on a drink problem survey; nearly all would have been identified by a much briefer screening method usually requiring just a single question.
STUDY 2012 HTM file
Alcohol screening and brief intervention in primary health care
The primary health arm of the largest alcohol screening and brief intervention study yet conducted in Britain found that the proportion of risky drinkers fell just as much after the most minimal of screening and intervention methods as after more sophisticated and longer (but still brief) alternatives.
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