The Effect of Brief Interventions for Alcohol Among People with Comorbid Mental Health Conditions: A Systematic Review of Randomized Trials and Narrative Synthesis

Abstract

Overall, the evidence is mixed regarding the effects of alcohol BI in participants with comorbid mental health conditions. Future well-designed research is required to answer this question more definitively.

Effectiveness of Motivational Interviewing on adult behaviour change in health and social care settings: A systematic review of reviews

“…Domain 1. Stopping or preventing an unhealthy behaviour including smoking cessation (n = 11) [ 11 , 12 , 19 – 43 ], substance misuse for general population (alcohol and drugs) (n = 23) [ 28 , 29 , 38 – 58 ], substance misuse for people with mental health problems (n = 8) [ 31 , 33 , 35 – 37 , 59 – 61 ] and people with gambling addiction (n = 3)[ 7 , 62 , 63 ] (Total = 45).…”

“…Further details of the interventions using the ‘Template for Intervention Description and Replication (TIDieR) [ 14 ] are reported in S1 Table . Of the 104 reviews 40 were judged by two authors (PC and HF) as overall low risk of bias [ 7 , 11 , 12 , 20 , 21 , 25 – 27 , 30 , 35 , 38 , 41 , 44 , 47 – 49 , 51 , 53 , 54 , 56 , 57 , 59 , 65 , 71 , 81 , 83 , 84 , 89 , 91 – 94 , 97 , 98 , 100 , 102 , 111 , 113 – 115 ]. Fig 3 summaries the risk of bias across all reviews.…”

“…In total 20 narrative reviews were judged as low risk of bias graded using the ROBIS tool [ 15 ] [ 11 , 20 , 25 , 35 , 42 , 44 , 47 , 51 , 53 , 54 , 59 , 65 , 83 , 89 , 92 , 97 , 98 , 113 – 115 ]. Five of these reviews report positive effects of Motivational Interviewing.…”

“…Chatters et al (2016) report short term benefits for reducing cannabis use in younger adults [ 47 ]. However, most were unable to make firm conclusions about effectiveness of Motivational Interviewing [ 20 , 44 , 59 , 89 ]. In a review of brief non face-to-face Motivational Interviewing interventions Jiang et al (2017) found promising evidence for telephone delivery in the treatment of substance abuse, but the results were not consistent for other alternative modalities such as text messages in groups or internet-based interventions.…”

Gaps and challenges: WHO treatment recommendations for tobacco cessation and management of substance use disorders in people with severe mental illness

“…For substance use disorders and severe mental disorders, assessment of evidence using the GRADE approach included a review of evidence relating to psychological interventions such as CBT plus motivation interviewing (MI) versus care-as-usual, CBT versus care-as-usual, MI versus care-as-usual and contingency management versus care-as-usual for people with SMD and substance use disorders [34]. Brief interventions, specifically delivered in four or fewer sessions [35], were also assessed. Although these types of interventions may have a basis simply in providing education and advice [35], the brief interventions which were identified and assessed according to GRADE for these guidelines all compared motivational interviewing with CBT approaches, delivered over shorter time frames [35].…”