Final results from a meta-analysis of remedial interventions with drink/drive offenders

Wells‐Parker, Elisabeth; Bangert-Drowns, Robert L.; McMillen, Robert; Williams, Martha R.

doi:10.1111/j.1360-0443.1995.tb03500.x

Cited by 193 publications

(66 citation statements)

References 12 publications

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“…Our study shows a decrease in traffic problems among alcohol-dependent patients who complete one year's treatment, the percentage passing from 15.9% to 4.3%, which agrees with existing scientific evidence (Wells-Parker et al, 1995;Macdonald et al, 2004). In this sense, a recent report carried out on alcohol-related problems for patients in treatment (n = 117) shows that these patients have a higher traffic violation and collision rate than matched controls.…”

Section: Discussionsupporting

confidence: 78%

“…However, the main evidence comes from the meta-analysis carried out by Wells-Parker et al (1995) 10 years ago. The study was based on 215 studies carried out on convicted drink-driving offenders, and revealed that treatment (alcohol abuse treatment and rehabilitation interventions) reduces reoffending and alcohol-related collisions to a greater extent than conventional criminal justice measures (fines, licence suspensions, etc.…”

Section: Introductionmentioning

confidence: 99%

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Road traffic accidents among alcohol-dependent patients: The effect of treatment

Gomez-Talegon

Álvarez

2006

Accident Analysis & Prevention

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It is well known that driving under the influence of alcohol increases the risk of traffic accidents. Alcohol-dependent patients are responsible for two-thirds of motor vehicle crashes involving alcohol. Studies carried out on the general population have shown a relation between alcohol dependence and traffic accidents.The aim of the study is to analyse the effect on traffic accidents of treatment of patients with alcohol-related problems. To do so, the prevalence of traffic problems in a sample of patients with a diagnosed dependence on alcohol was assessed for three periods: during their lifetime, in the year preceding the start of treatment and over the year of treatment.A prospective study was carried out of 176 patients (147 males, 29 females; mean age 42.9 years) diagnosed as alcohol dependent according to the DSM-IV criteria in three alcoholic treatment centres in Castilla y León, Spain.36.9% of the alcohol-dependent patients had had some kind of traffic problem during their life and 8.5% in the year prior to starting treatment. The most frequent problem was positive breath tests, followed by accidents with damage to the vehicle. Sixty-nine of the 176 patients were still receiving treatment after a year. The prevalence of traffic problems among those patients who followed treatment for 1 year (4.3%) was lower than in the year before treatment (15.9%).The study showed that the treatment is also effective in reducing traffic problems.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Road traffic accidents among alcohol-dependent patients: The effect of treatment

Gomez-Talegon

Álvarez

2006

Accident Analysis & Prevention

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“…One way to increase the certainty and swiftness of punishment is through administrative license suspension, where, in the event of a police citation for driving while intoxicated, the driver's license is suspended administratively, without the need for a judicial process (25,26). In addition, evidence from some countries supports the effectiveness of comprehensive treatment, including counseling or therapy plus license suspension, in reducing recidivism (27). Successful programs are well-structured, go beyond information provision, address alcohol abuse, and have court-enforced rules of attendance at Alcoholics Anonymous Effective as a deterrent to driving while intoxicated because of the swiftness of the punishment.…”

Section: Measures To Prevent Driving While Intoxicatedmentioning

confidence: 99%

Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges

Babor¹,

Caetano²

2005

Rev Panam Salud Publica

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The objectives of this article are to describe the evidence base for alcohol policy in the Americas, to Policy efforts in the developing countries of Latin America should focus on improving countermeasures against driving while intoxicated, measures that alter the drinking context, and limits on physical availability. For the developed, high-income countries of North America the goal should be to prevent deterioration of current drinking patterns and to reduce the overall volume of drinking. Given the low to moderate cost of many of the policies reviewed in this article, it now seems possible for communities and nations to substantially reduce the alcohol-related burden of illness in the Americas.Alcohol drinking, alcoholic intoxication, evidence-based medicine, policy making, Americas. ABSTRACTAlcohol policy is broadly defined as any purposeful effort on the part of governments or nongovernment groups to minimize or prevent alcoholrelated consequences. Policies can involve the implementation of a specific strategy with regard to alcohol problems (e.g., age restrictions on alcohol sales) or the allocation of resources that reflect priorities with regard to prevention or treatment intervention efforts. Among the various strategies and interventions that have been used as a basis for alcohol policy are: taxation and pricing, regulating the physical availability of alcohol, Key wordsBabor TF, Caetano R. Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges. Rev Panam Salud Publica. 2005;18(4/5):327-37.

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“…L'efficacité de ce type d'intervention, qui présente souvent une grande hétérogénéité dans la forme et le contenu, a été démontrée dans la prévention de la CCA, quoique les effets soient plutôt modestes (Wells-Parker & Bangert-Drowns, 1995). Depuis les 20 ou 30 dernières années, une grande attention est donnée aux interventions brèves de type motivationnel pour des problèmes liés à la surconsommation d'alcool.…”

Section: Les Interventions Pour Réduire La Conduite Avec Capacités Afunclassified

L’efficacité de l’entretien motivationnel dans la prévention secondaire et tertiaire de la conduite avec les capacités affaiblies par l’alcool : une revue systématique de la documentation

Ouimet

Averill

Brown

2015

dss

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La consommation d’alcool est liée à environ 30 % des collisions routières mortelles. Dans plusieurs juridictions, des programmes d’évaluation et de traitement de la consommation d’alcool chez les contrevenants sont mis en place afin de réduire leur consommation et leur récidive. De par sa forme brève, l’entretien motivationnel (EM) suscite l’intérêt du milieu clinique. Cette revue systématique de la documentation scientifique examine l’efficacité de l’EM dans la prévention secondaire et tertiaire de la conduite avec les capacités affaiblies par l’alcool (CCA) chez les contrevenants et chez les patients recrutés à la suite d’une collision routière, notamment chez les jeunes. La recherche de la documentation dans les banques de données CINAHL, MEDLINE, PsychINFO et PubMed a couvert la période de 1983 à 2014. Elle a permis d’identifier 11 essais contrôlés avec répartition aléatoire des participants dans les groupes expérimentaux ou témoins. Une évaluation des risques de biais a été effectuée à l’aide de la grille de la collaboration Cochrane. La disparité des résultats n’a pas permis le regroupement quantitatif des données. Bien que les études disponibles soient encore peu nombreuses (n = 6), les résultats sur l’efficacité de l’EM sont prometteurs chez les récidivistes et les patients recrutés en milieu hospitalier avec une consommation d’alcool problématique. De plus, quatre de ces études présentent des biais méthodologiques moyennement faibles ou faibles. Les résultats sont mixtes en ce qui a trait aux études (n = 5) portant sur les jeunes contrevenants et les contrevenants ayant commis une première infraction de CCA, sans consommation problématique d’alcool comme critère d’inclusion dans l’étude. Une seule de ces études présente des biais méthodologiques faibles. D’autres essais contrôlés avec répartition aléatoire, menés et rapportés selon les règles proposées par le Consolidated Standards of Reporting Trials (CONSORT) Statement, sont donc nécessaires afin de démontrer l’efficacité de l’EM dans la prévention secondaire et tertiaire de la CCA chez les jeunes contrevenants et les contrevenants à leur première infraction de CCA. Ils permettraient aussi de corroborer les résultats préliminaires obtenus auprès de récidivistes et de patients recrutés en milieu hospitalier.Alcohol use is linked to approximately 30 % of all fatal traffic crashes. In many jurisdictions, evaluation and treatment programs for offenders are in place to reduce alcohol misuse and recidivism. Due to its brevity, Motivational Interviewing (MI) has captured the attention of the clinical community. This systematic review of the scientific literature examines the effectiveness of MI for secondary and tertiary prevention of driving while impaired by alcohol (DWI) in offenders and in drivers recruited from hospital settings following a traffic crash – with a specific focus directed at young drivers. Search of CINAHL, MEDLINE, PsychINFO and PubMed databases covering the 1983−2014 period identified 11 studies that described randomization to experiment...

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Final results from a meta-analysis of remedial interventions with drink/drive offenders

Cited by 193 publications

References 12 publications

Road traffic accidents among alcohol-dependent patients: The effect of treatment

Road traffic accidents among alcohol-dependent patients: The effect of treatment

Evidence-based alcohol policy in the Americas: strengths, weaknesses, and future challenges

L’efficacité de l’entretien motivationnel dans la prévention secondaire et tertiaire de la conduite avec les capacités affaiblies par l’alcool : une revue systématique de la documentation

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