Brief interventions for alcohol misuse

Moyer, Anne; Finney, John W.

doi:10.1503/cmaj.140254

Cited by 27 publications

(27 citation statements)

References 27 publications

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“…Brief interventions (BIs) are concise interventions taking place over a brief period of time (typically 15-30 min) and are mostly applied in general practitioners' (GP) practices or hospital emergency departments (ED) [23]. BIs are solution-focused; they target patients' motivation and include personalized advice.…”

Section: Brief Interventionsmentioning

confidence: 99%

Digital Mental Health for Alcohol and Substance Use Disorders

Boumparis

Schulte

Riper

2019

Curr Treat Options Psych

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Purpose Only about 20% of people suffering from substance use disorders access available treatments due to various obstacles; digital interventions could potentially overcome some of these. Meta-analyses suggest the strongest evidence for interventions targeting alcohol use reduction, followed by cannabis and illicit substances. However, most randomized controlled trials (RCTs) used unguided standalone interventions compared to non-active controls, with limited follow-up periods and disregarded comorbidity. This review examines the literature published over the last three years (2016-2019), with a focus on recent RCTs and whether they addressed some of these gaps. Recent findings Except for digital interventions targeting alcohol use, the number of RCTs in the last three years is limited. Although there is considerable heterogeneity between the studies, most of them applied unguided add-on interventions compared to active control groups, and a limited number investigated guided interventions. In addition, there is a need for longer follow-up periods, active rather than non-active control groups, outcome standardization, and increased focus on comorbidity. Summary Although the number of studies using guided add-on or blended interventions compared to active controls has increased, future studies should consider our identified gaps and suggestions to further strengthen the evidence of digital interventions for reducing the use of alcohol and other substances.

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Section: Brief Interventionsmentioning

confidence: 99%

Digital Mental Health for Alcohol and Substance Use Disorders

Boumparis

Schulte

Riper

2019

Curr Treat Options Psych

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“…After deciding which goal option to follow, users are led through exercises to develop a plan of change, and are provided with references to additional web links, self‐help groups and materials, and a list of therapists. Those who do not show a readiness to change get the option of receiving some basic information before ending the program (Moyer, 2004).…”

Section: Introductionmentioning

confidence: 99%

Effects of early, computerized brief interventions on risky alcohol use and risky cannabis use among young people

Smedslund

Wollscheid

Fang

et al. 2017

Campbell Systematic Reviews

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This Campbell systematic review examines research on the effectiveness of early, computerized brief interventions on alcohol and cannabis use by young people who are high or risky consumers of either one or both of these substances. The review summarises findings from 60 studies from 10 countries. The participants were young people between the ages of 15 and 25, defined as risky consumers of alcohol or cannabis or both. The review included 33,316 participants. The interventions significantly reduce alcohol consumption in the short‐term compared to no intervention, but the effect size is small, and there is no significant effect in the long‐term. There are also shortcomings in the quality of the evidence. Interventions which provide an assessment of alcohol use with feedback may have a larger effect that those which do not, but again, the evidence is weak. The few studies on cannabis did not show significant effects in the reduction of cannabis consumption. There was no evidence of adverse effects. Plain language summary Computerized brief interventions seem to reduce risky alcohol use among young people; no evidence of effect on cannabis consumptionYoung people who abuse alcohol or cannabis are at risk of immediate and long‐term health and legal consequences. There is some evidence of an impact on alcohol use. Findings are hampered by a lack of rigorous evidence, so further research is needed. What did the review study?Alcohol abuse and use of recreational drugs among young people are significant public health concerns. These should be addressed by effective interventions that provide assistance and counselling to drug and alcohol users.A computerized brief intervention is any preventive or therapeutic activity delivered through online or offline electronic devices, such as a mobile phone, and administered within an hour or less, even a few minutes, of the substance abuse. Such interventions aim to reduce alcohol abuse or drug abuse in general. This review assesses research on the effectiveness of early, computerized brief interventions on alcohol and cannabis use by young people who abuse either one or both of these substances. What studies are included?The included studies employed randomized controlled trials and reported on any computerized brief intervention used as a standalone treatment aimed at reducing alcohol and cannabis consumption. The secondary outcome measured was reported adverse outcomes.The studies were conducted in the United States, New Zealand, The Netherlands, Sweden, Australia, Germany, Switzerland and Brazil, with one study conducted in several countries (Sweden, Belgium, the Czech Republic and Germany).The participants were consumers of alcohol or cannabis or both, and aged 15 to 25 years. A total of 60 studies with a sample size of 33,316 participants were included in the review. What are the main findings of this review?The interventions significantly reduce alcohol consumption in the short‐term compared to no intervention, but the effect size is small, and there is no significant effec...

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“…Despite evidence that early brief advice by GPs and other primary health professionals can be effective in reducing alcohol consumption [34], these mothers found GPs unhelpful or unrealistic in terms of suggestions, and avoided GPs for fear of (or prior experience of) repercussions relating to child protection, fears evidenced in previous literature [16]. Women who had some experience of AA felt it depressing, unhelpful, inconvenient or overly religious, in keeping with other findings [14].…”

Section: Value and Utility Of Social Mediamentioning

confidence: 73%

Personal Accounts of Mothers’ Use of Social Media to Support Abstinence from Alcohol

McGarva¹,

Machin²

2017

JBM

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Alcohol consumption by professional educated women and mothers is rising. Drinking alcohol in the home is, for many, becoming a normalised and daily ritual. Previous research focuses on causality, risk factors and health related damage. Few studies focus on mothers of school age children specifically or why some mothers pursue and sustain alcohol free lives. The role of social media in enacting and sustaining abstinence is under researched, as are other factors important for this group in remaining abstinent. Aims: This qualitative study explored the reasons why mothers drank alcohol, and factors contributing to their decision to become alcohol free. It also explored the value and utility of social media in the form of a specific web-site aimed at providing support in abstinence. Methods: Six UK mothers with school age children who had become abstinent after previously drinking over official limits were recruited via a social network website and interviewed. Transcripts were analysed thematically and inductive themes emerged. Results: Participants used alcohol to self-medicate, as a reward/relaxation strategy and because it was a normal part of their professional and daily lives. Reported reasons for abstinence included the negative effects alcohol had upon lives, inability to moderate/drink within guidelines and "trigger" events. Participants reported that their use of social media was inspirational, giving them a platform to share stories and help others and was preferred to traditional support. The use of social media in this way represented a supportive community and assisted vigilance toward the danger of relapse. Positive parenting identity, alternatives to alcohol, abstinence rewards and support from abstinent others were all factors in sustaining abstinence. Conclusions: Health professionals should recognise this hidden and hard to reach group and the potential efficacy of social media in assisting recovery from alcohol related issues.

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Brief interventions for alcohol misuse

Cited by 27 publications

References 27 publications

Digital Mental Health for Alcohol and Substance Use Disorders

Digital Mental Health for Alcohol and Substance Use Disorders

Effects of early, computerized brief interventions on risky alcohol use and risky cannabis use among young people

Personal Accounts of Mothers’ Use of Social Media to Support Abstinence from Alcohol

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