Social Behaviour and Network Therapy for Alcohol Problems

Copello, Alex; Orford, Jim; Hodgson, Ray; Tober, Gillian

doi:10.4324/9780203872888

Cited by 53 publications

(30 citation statements)

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“…The central aims of this pragmatic randomized controlled trial were to compare the effectiveness and cost-effectiveness of two modalities of treatment for alcohol problems, ‘Motivational Enhancement Therapy’ (MET) (Miller et al ., 1992) and ‘Social Behaviour and Network Therapy’ (SBNT) (Copello et al ., 2009), delivered over a course of 12 weeks. A measure of client readiness to change, and the resulting stage of change designation, was available at three time-points during the trial—pre-treatment, 3-month follow-up and 12-month follow-up.…”

Section: Introductionmentioning

confidence: 99%

Post-treatment Stage of Change Predicts 12-month Outcome of Treatment for Alcohol Problems

Heather

McCambridge

2013

Alcohol and Alcoholism

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Aims: To evaluate relationships between clients' self-reported ‘stage of change’ and outcomes after treatment for alcohol problems. Methods: Using data from the ‘United Kingdom Alcohol Treatment Trial’, clients who had received at least one session of treatment and who had complete data (n = 392) entered the analysis. Two continuous measures of drinking behaviour (% days abstinent (PDA) and drinks per drinking day (DDD)) and categorical outcomes at the 12-month follow-up were compared between clients in Pre-action and Action stages of change at either pre- or post-treatment assessment. Multiple and logistic regression analyses examined the relationships between stage of change and treatment outcomes, evaluating the strength of these relationships by controlling for likely confounders. Results: Pre-treatment stage of change did not predict outcome but post-treatment stage of change predicted PDA and DDD at the 12-month follow-up. In unadjusted and adjusted analyses, clients in Action at post-treatment were two to three times more likely to show a favourable categorical outcome, variously defined, than those in Pre-action. There were no differences between clients who had received Motivational Enhancement Therapy and those who had received Social Behaviour and Network Therapy in proportions maintaining or moving towards Action from before to after treatment. Conclusions: These findings confirm previous reports that motivational variables predict outcome of treatment but add that such a relationship is seen for post-treatment stage of change. For therapists, it would seem important to monitor the client's stage of change—which in good clinical practice often occurs in informal ways—and have strategies to deal with low motivation to change whenever it occurs throughout treatment. The findings are also consistent with a ‘common factors’ perspective on effective treatment for alcohol problems.

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Section: Introductionmentioning

confidence: 99%

Post-treatment Stage of Change Predicts 12-month Outcome of Treatment for Alcohol Problems

Heather

McCambridge

2013

Alcohol and Alcoholism

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“…Social behavioural network therapy, a systemic intervention developed in the UK, was found to be as effective and cost‐effective as individually based motivational enhancement therapy in the largest ever UK alcohol abuse treatment trial (UKATT Research Team, , ). Social behaviour network therapy helps clients address their alcohol problems by building supportive social networks (usually involving partners and family members) and developing coping skills (Copello et al ., ).…”

Section: Alcohol Problemsmentioning

confidence: 97%

Couple therapy, family therapy and systemic interventions for adult‐focused problems: the current evidence base

Carr

2018

Journal of Family Therapy

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This paper updates previous similar reviews published in JFT in 2000, 2009 and 2014. It presents evidence from meta‐analyses, systematic literature reviews and controlled trials for the effectiveness of couple therapy, family therapy, and systemic interventions for adults with a range or relationship and mental health problems. The evidence supports the effectiveness of systemic interventions, either alone or as part of multimodal programmes, for relationship distress, psychosexual problems, intimate partner violence, anxiety disorders, mood disorders, alcohol problems, psychosis and adjustment to chronic physical illness.

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“…the original published SBNT manual 54 2. the Y-SBNT brief companion manual, including a summary of the evidence on family interventions with young people with substance misuse problems, the intervention aims and philosophy and the revised/ adapted materials.…”

Section: Therapistsmentioning

confidence: 99%

“…To achieve the aim and tasks, the published manual for SBNT in adults, 54 which was tested in the UKATT and subsequent studies with drug users (e.g. Copello et al 71 and Day et al 72 ), provided a platform for the adaptation work.…”

Section: Feasibility Randomised Controlled Trial Phasementioning

confidence: 99%

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Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

Watson

Toner

Day

et al. 2017

Health Technol Assess

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BackgroundFamily interventions appear to be effective at treating young people’s substance misuse. However, implementation of family approaches in UK services is low. This study aimed to demonstrate the feasibility of recruiting young people to an intervention based on an adaptation of adult social behaviour and network therapy. It also sought to involve young people with experience of using substance misuse services in the research process.ObjectivesTo demonstrate the feasibility of recruiting young people to family and social network therapy and to explore ways in which young people with experience of using substance misuse services could be involved in a study of this nature.DesignA pragmatic, two-armed, randomised controlled open feasibility trial.SettingTwo UK-based treatment services for young people with substance use problems, with recruitment taking place from May to November 2014.ParticipantsYoung people aged 12–18 years, newly referred and accepted for structured interventions for drug and/or alcohol problems.InterventionsA remote, web-based computer randomisation system allocated young people to adapted youth social behaviour and network therapy (Y-SBNT) or treatment as usual (TAU). Y-SBNT participants were intended to receive up to six 50-minute sessions over a maximum of 12 weeks. TAU participants continued to receive usual care delivered by their service.Main outcome measuresFeasibility was measured by recruitment rates, retention in treatment and follow-up completion rates. The main clinical outcome was the proportion of days on which the main problem substance was used in the preceding 90-day period as captured by the Timeline Follow-Back interview at 3 and 12 months.ResultsIn total, 53 young people were randomised (Y-SBNT,n = 26; TAU,n = 27) against a target of 60 (88.3%). Forty-two young people attended at least one treatment session [Y-SBNT 22/26 (84.6%); TAU 20/27 (74.1%)]; follow-up rates were 77.4% at month 3 and 73.6% at month 12. Data for nine young people were missing at both months 3 and 12, so the main clinical outcome analysis was based on 24 young people (92.3%) in the Y-SBNT group and 20 young people (74.1%) in the TAU group. At month 12, the average proportion of days that the main problem substance was used in the preceding 90 days was higher in the Y-SBNT group than in the TAU group (0.54 vs. 0.41; adjusted mean difference 0.13, 95% confidence interval –0.12 to 0.39;p = 0.30). No adverse events were reported. Seventeen young people with experience of substance misuse services were actively involved throughout the study. They informed key elements of the intervention and research process, ensuring that the intervention was acceptable and relevant to our target groups; contributing to the design of key trial documents, ideas for a new model of public involvement and this report. Two parents were also involved.ConclusionsThe adapted intervention could be delivered in young people’s services, and qualitative interviews found that Y-SBNT was acceptable to young people, family members and staff. Engagement of family and network members proved difficult within the intervention and research aspects. The study proved the feasibility of this work in routine services but outcome measurement based on narrow substance use variables may be limited and may fail to capture other important changes in wider areas of functioning for young people. Validation of the EuroQol-5 Dimensions for young people aged 12–18 years should be considered and flexible models for involvement of young people in research are required to achieve inclusive representation throughout all aspects of the research process. Although recommendation of a full trial of the Y-SBNT intervention compared with TAU is not supported, this study can inform future intervention development and UK research within routine addiction services.Trial registrationCurrent Controlled Trials ISRCTN93446265.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full inHealth Technology Assessment; Vol. 21, No. 15. See the NIHR Journals Library website for further project information.

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Social Behaviour and Network Therapy for Alcohol Problems

Cited by 53 publications

References 0 publications

Post-treatment Stage of Change Predicts 12-month Outcome of Treatment for Alcohol Problems

Post-treatment Stage of Change Predicts 12-month Outcome of Treatment for Alcohol Problems

Couple therapy, family therapy and systemic interventions for adult‐focused problems: the current evidence base

Youth social behaviour and network therapy (Y-SBNT): adaptation of a family and social network intervention for young people who misuse alcohol and drugs – a randomised controlled feasibility trial

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