Brief interventions are effective in reducing alcohol consumption in opiate‐dependent methadone‐maintained patients: Results from an implementation study

Darker, Catherine; Sweeney, Brion; Hassan, Haytham O El; Smyth, Bobby P; Ivers, Jo-Hanna; Barry, Joe

doi:10.1111/j.1465-3362.2011.00349.x

Cited by 25 publications

(29 citation statements)

References 28 publications

(37 reference statements)

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“…It is likely that this complex population may need more substantial interventions to create significant, lasting effects on drinking behavior. These interventions will likely need to incorporate several of the "common ingredients" of brief interventions, including personalized feedback but also utilizing strategies such as direct advice, establishing a goal and corresponding change plan, and fostering self-efficacy through general support and encouragement (Bien et al, 1993; Darker et al, 2012; Pal et al, 2007; Shakeshaft, Bowman, Burrows, Doran, & Sanson-Fisher, 2002). …”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders Treatment

Worden

McCrady

2013

Alcoholism Treatment Quarterly

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Feedback brief interventions for alcohol use problems have been highly effective with undergraduate populations. However, there has been little research on the effectiveness of administering feedback alone to community treatment populations. The goal of the current study was to assess the effectiveness of a feedback brief intervention in a community treatment setting with patients characterized largely by dependence on alcohol and drugs, ethnic diversity, and low socioeconomic status. It was hypothesized that pre-treatment brief individualized feedback would reduce alcohol consumption and increase participation in subsequent treatment for a substance use disorder (SUD). Participants were recruited from a public hospital’s SUD clinic. After the intake but prior to entry into the treatment as usual, 121 participants were randomized to receive personalized feedback or a condition without feedback. Eighty-seven participants completed post-intervention follow-up interviews and were included in the final analyses. Repeated measures ANOVAs and MANCOVAs were used to examine variables obtained from the Addiction Severity Index (ASI; McLellan et al., 1992) of drinking quantity and frequency, and motivation for treatment. Results indicated that personalized feedback delivered no benefit beyond that of pre-treatment assessment procedures (phone screening and intake interview) alone. Intervention conditions did not differ on other outcomes at follow-up, including days of heavy drinking, motivation for treatment, or drug use frequency. Therefore, feedback-based brief interventions may be not helpful in reducing the drinking frequency and intensity of individuals presenting to community-based substance use treatment.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders Treatment

Worden

McCrady

2013

Alcoholism Treatment Quarterly

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“…While the effectiveness of such practices among general populations has shown mixed results [47–49], a significant reduction in alcohol consumption has been observed among methadone maintenance participants in several trials including part of a systematic review [50–54]. More specifically, these studies included participants of both community and designated methadone maintenance clinics in both a European [50, 53] and U.S. [51] setting with the intervention being delivered by either a clinician [50], nurse [51, 53] or trained therapist [51]. Despite this finding, implementation of these interventions among primary care providers of OAT has been slow [55] and remains variable with rates ranging between 2 and 93% [56, 57].…”

Section: Screeningmentioning

confidence: 99%

“…Psychosocial interventions for alcohol misuse among OAT participants have previously been described [50, 51, 53]. More specifically, clinician delivered brief intervention was shown to reduce alcohol consumption among OAT participants without alcohol use disorders (AUDIT score <20).…”

Section: Managementmentioning

confidence: 99%

Alcohol use in opioid agonist treatment

Nolan

Klimas

Wood

2016

Addict Sci Clin Pract

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Alcohol misuse among individuals receiving agonist treatment for an opioid use disorder is common and is associated with significant morbidity and mortality. At present, though substantial research highlights effective strategies for the screening, diagnosis and management of an alcohol or opioid use disorder individually, less is known about how best to care for those with a dual diagnosis especially since common treatments for opioid addiction may be contraindicated in a setting of alcohol use. This review summarizes existing research and characterizes the prevalence, clinical implications and management of alcohol misuse among individuals with opioid addiction. Furthermore, it highlights clinically relevant management strategies in need of future research to advance care for this unique, but important, patient population.

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“…A new and interesting study has been performed on this topic: Darker et al [111] studied the effectiveness of brief interventions to reduce hazardous and harmful alcohol consumption in opiate-dependent methadone-maintained patients and excluded alcohol-dependent patients. The study assessed the change in scores on the Alcohol Use Disorders Identification Test (AUDIT-C) from baseline to the 3-month follow-up in 160 patients (15 were lost to follow-up).…”

Section: Treatment Of Aud In Opioid-dependent Patientsmentioning

confidence: 99%

Alcohol Use Disorders in Opioid Maintenance Therapy: Prevalence, Clinical Correlates and Treatment

Soyka¹

2014

Eur Addict Res

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Maintenance therapy with methadone or buprenorphine is an established and first-line treatment for opioid dependence. Clinical studies indicate that about a third of patients in opioid maintenance therapy show increased alcohol consumption and alcohol use disorders. Comorbid alcohol use disorders have been identified as a risk factor for clinical outcome and can cause poor physical and mental health, including liver disorders, noncompliance, social deterioration and increased mortality risk. The effects of opioid maintenance therapy on alcohol consumption are controversial and no clear pattern has emerged. Most studies have not found a change in alcohol use after initiation of maintenance therapy. Methadone and buprenorphine appear to carry little risk of liver toxicity, but further research on this topic is required. Recent data indicate that brief intervention strategies may help reduce alcohol intake, but the existing evidence is still limited. This review discusses further clinical implications of alcohol use disorders in opioid dependence.

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Brief interventions are effective in reducing alcohol consumption in opiate‐dependent methadone‐maintained patients: Results from an implementation study

Abstract: It is feasible for a range of clinicians to screen for problem alcohol use and deliver BI within community methadone clinics. Opiate-dependent patients significantly reduced their alcohol consumption as a result of receiving a BI.

Cited by 25 publications

References 28 publications

Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders Treatment

Effectiveness of a Feedback-Based Brief Intervention to Reduce Alcohol Use in Community Substance Use Disorders Treatment

Alcohol use in opioid agonist treatment

Alcohol Use Disorders in Opioid Maintenance Therapy: Prevalence, Clinical Correlates and Treatment

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