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STUDY 2010 HTM file
Improving lifestyle and risk perception through patient involvement in nurse-led cardiovascular risk management: a cluster-randomized controlled trial in primary care
Dutch general practice patients at risk of cardiovascular disease did not further reduce their risks (including drinking and smoking) in response to motivational counselling from the practice nurse. Why did a well worked out, multi-session intervention fail to better usual care? The probable answer is among the common factors which transcend therapies.
STUDY 2010 HTM file
Clinical outcomes of a brief motivational intervention for heavy drinking mandated college students: a pilot study
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.
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.
STUDY 2010 HTM file
Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study
Reanalysis of the largest US study of medication-based alcoholism treatment confirms that either naltrexone or psychological therapy improved outcomes more than medical care and placebos, while the two in combination or acamprosate added little. It also revealed previously invisible benefits when certain types of patients received certain treatments.
REVIEW 2010 HTM file
Treatment of cannabis use among people with psychotic or depressive disorders: a systematic review
A review of psychosocial and medication-based treatments for people with co-occurring cannabis use and mental health issues reveals some positive results, but a need for more research.
STUDY 2010 HTM file
A brief alcohol intervention for hazardously drinking incarcerated women
Could just two motivational interviewing sessions moderate the drinking of very heavy drinking US women prisoners? The surprise was not that there were few benefits, but that there were some, especially after the reinforcing session usually conducted after the prisoners' release.
STUDY 2010 HTM file
Brief alcohol intervention for college drinkers: How brief is?
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.
STUDY 2009 HTM file
The alliance in motivational enhancement therapy and counseling as usual for substance use problems
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.
STUDY 2009 HTM file
Dismantling motivational interviewing and feedback for college drinkers: a randomized clinical trial
Brief interventions based on motivational interviewing typically incorporate feedback on the individual's risk and use level compared to the norm, but does this really help? A US college study found it did, the combination leading to greater drinking reductions than either on its own.
STUDY 2009 HTM file
Results from two randomized clinical trials evaluating the impact of quarterly recovery management checkups with adult chronic substance users
In the USA two studies have shown that quarterly check-ups on former patients help identify the need for and motivate further treatment, but gains in substance use/problem reductions only became evident when improved procedures were introduced, and even then remained modest.
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