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STUDY 2009 HTM file
Patient reactance as a moderator of the effect of therapist structure on posttreatment alcohol use
Confirmation from the US Project MATCH alcohol treatment trial that too explicitly imposing structure on therapy risks relatively poor outcomes among patients reluctant to relinquish control and who react against direction – and a further indication that this pattern is not universal, but depends on the context.
It worked as well as somewhat longer and more elaborate experimental therapies, but how would a basic US programme for cannabis using youngsters fare when compared to much more extensive real-world therapies? On average at least as well if not better was the answer.
STUDY 2011 HTM file
Delivering the Alcohol Treatment Requirement: assessing the outcomes and impact of coercive treatment for alcohol misuse
In one English district, most of the problem-drinking offenders who agreed to be ordered in to alcohol treatment by the courts stopped drinking or successfully cut back.
STUDY 2011 HTM file
Fidelity to motivational interviewing and subsequent cannabis cessation among adolescents
Offering valuable clues to how best to do motivational interviewing, this London study of cannabis-using students found they were most likely to stop using after brief interventions which embodied the spirit of the approach and featured responses from the counsellor reflecting back and elaborating on the student's comments.
STUDY 2011 HTM file
Long-term effects of a personality-targeted intervention to reduce alcohol use in adolescents
Addressing the substance use promoting tendencies of the personality traits of London secondary school pupils at particular risk of substance misuse led to less intensive drinking six months later, and there was some support for the psychological mechanisms thought to underpin the intervention.
STUDY 2011 HTM file
Cluster randomised trial of the effectiveness of motivational interviewing for universal prevention
Compared to basic drug education, it should at least have moderated current use, but this attempt to deploy motivational interviewing as an across-the-board prevention strategy among college students in London neither did that, nor did it prevent non-users starting to use, negative findings which raise interesting questions.
STUDY 2010 HTM file
Alcohol screening, brief intervention, and referral to treatment conducted by emergency nurses: an impact evaluation
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.
REVIEW 2011 HTM file
A systematic and methodological review of interventions for young people experiencing alcohol-related harm
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 2011 HTM file
Shared decision-making: increases autonomy in substance-dependent patients
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 2011 HTM file
A meta-analysis of interventions to reduce adolescent cannabis use
The first synthesis of research on therapeutic interventions for adolescent cannabis users highlighted the relative success of family and multi-component approaches, but the evidence base was too narrow to securely determine what works best.
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