Brief interventions for hazardous drinkers delivered in primary care are equally effective in men and women

Ballesteros, Javier; González-Pinto, A.; Querejeta, I.; Ariño, J.

doi:10.1111/j.1360-0443.2004.00499.x

Cited by 82 publications

(66 citation statements)

References 24 publications

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“…3 In this way, both genders manifest the same expectations for improvement and must be targeted for intervention. 27 Our findings agree with previous studies that show that alcohol use is associated with other forms of drug abuse. 28 The relationship between cigarette smoking and alcohol use is well documented.…”

Section: Signor Et Alsupporting

confidence: 93%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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Background: The Brief Motivational Intervention (BMI) is an effective treatment for alcohol misuse but has not been adequately tested for use in helplines for alcoholics. The main objective of this study was to evaluate the efficacy of a telephone-based BMI for Brazilians seeking help with alcohol use cessation. Methods: A randomized, controlled trial was performed with Brazilian subjects. Participants were randomly assigned to either the minimal intervention group (i.e., given reference materials) or the BMI group. Alcohol abstinence was evaluated in a 6-month follow-up telephone counseling session. The analysis was based on the intention to treat (ITT). Results: Of the 5,896 drug users who called the helpline, 700 (12%) used alcohol, 637 of whom enrolled in this study. At 6-month follow-up, 70% of the BMI group had stopped consuming alcohol compared to 41% in the control group (odds ratio = 1.5; 95% confidence interval = 1.2-1.9; p = 0.001). Conclusions: A helpline-based BMI helps alcohol users achieve abstinence.

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Section: Signor Et Alsupporting

confidence: 93%

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Signor

Pierozan

Ferigolo

et al. 2013

Rev. Bras. Psiquiatr.

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“…While concerns have been raised about the effectiveness of substance abuse treatment for women (Ferrence et al, 1994;Floyd et al, 1996;Hodgins et al, 1997;Schmidt and Weisner, 1995;Schober and Annis, 1996), many studies have found few or no gender differences in treatment outcome across various populations (e.g., Acharyya and Zhang, 2003;Alterman et al, 2000;Ballesteros et al, 2004;Benishek et al, 1992;Foster et al, 2000;Green et al, 2004;Greenfield et al, 1998;Hser et al, 2003;Jerrell and Ridgely, 1995;Marsh et al, 2004;McCance et al, 1999;McLellan et al, 1994;Rohsenow et al, 2000;Sterling et al, 2004;Toneatto et al, 1992;Wong et al, 2002). For example, one recent report (Acharyya and Zhang, 2003) found treatment-related improvements, but only minimal differences in outcomes between men and women in four substance abuse treatment modalities (methadone, non-methadone outpatient, short-term inpatient, and longterm residential).…”

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

“…However, gender did not predict 12-week outcome measures, including relapse. A recent meta-analysis of seven studies of brief interventions for hazardous alcohol consumption delivered in primary care outpatient settings demonstrated no gender difference in improved treatment outcomes (Ballesteros et al, 2004). A secondary analysis of data from the prospective U.S. National Treatment Improvement Evaluation Study including 1,123 women and 2,019 men in 59 treatment facilities (Marsh et al, 2004) found that receipt of comprehensive services, including educational, housing, and income support, were related to post-treatment outcomes for both men and women.…”

Section: Substance Abuse Outcomes Versus Predictors Of Outcomesmentioning

confidence: 99%

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

880

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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“…The authors noted that the benefits for women receiving brief intervention for problem drinking were not consistent across the studies reviewed. Other reviews with meta-analyses have found brief interventions effective across gender for heavy drinking and hazardous drinking [Wilk et al, 1997;Ballesteros et al, 2004], and extended brief interventions effective in women but not men [Poikolanen, 1999].…”

Section: Efficacy Of Brief Interventions For Reducing Problem Drinkinmentioning

confidence: 99%

“…As the Task Force reviewed the evidence, the science to date pointed to brief alcohol intervention as an effective approach to reducing alcohol use and AEPs. As previously outlined, research indicates that alcohol screening and brief interventions have been found to be effective in multiple settings, including primary care [Bien et al, 1993;Wilk et al, 1997;Poikolanen, 1999;Ballesteros et al, 2004;Whitlock et al, 2004], emergency room [D'Onofrio andDegutis, 2002], community [O'Connor andWhaley, 2007], and college settings [Larimer and Cronce, 2002]. The Task Force recommended promoting the use of evidencebased strategies in these types of settings for women of childbearing age at risk for an AEP.…”

Section: Selective and Indicated Prevention Strategiesmentioning

confidence: 99%

Prevention of fetal alcohol spectrum disorders

Floyd

Weber

Denny

et al. 2009

Dev Disabil Res Revs

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Alcohol use among women of childbearing age is a leading, preventable cause of birth defects and developmental disabilities in the United States. Although most women reduce their alcohol use upon pregnancy recognition, some women report drinking during pregnancy and others may continue to drink prior to realizing they are pregnant. These findings emphasize the need for effective prevention strategies for both pregnant and nonpregnant women who might be at risk for an alcohol-exposed pregnancy (AEP). This report reviews evidence supporting alcohol screening and brief intervention as an effective approach to reducing problem drinking and AEPs that can lead to fetal alcohol spectrum disorders. In addition, this article highlights a recent report of the National Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effect that describes effective interventions to reduce alcohol use and AEPs, and outlines recommendations on promoting and improving these strategies. Utilizing evidence-based alcohol screening tools and brief counseling for women at risk for an AEP and other effective population-based strategies can help achieve future alcohol-free pregnancies. Wiley-Liss, Inc. Dev Disabil Res Rev 200915:193-199.

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Brief interventions for hazardous drinkers delivered in primary care are equally effective in men and women

Abstract: Our results support the equality of outcomes among men and women achieved by brief interventions for hazardous alcohol consumption in primary care settings.

Cited by 82 publications

References 24 publications

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Prevention of fetal alcohol spectrum disorders

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