Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Reviewa

Hdl Handle:
http://hdl.handle.net/10147/570789
Title:
Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Reviewa
Authors:
Klimas, Jan; Field, Catherine-Anne; Cullen, Walter; O’Gorman, Clodagh S; Glynn, Liam G; Keenan, Eamon; Saunders, Jean; Bury, Gerard; Dunne, Colum
Citation:
Systematic Reviews. 2013 Jan 12;2(1):3
Issue Date:
12-Jan-2013
URI:
http://dx.doi.org/10.1186/2046-4053-2-3; http://hdl.handle.net/10147/570789
Abstract:
Abstract Background Problem alcohol use is common among illicit drug users and is associated with adverse health outcomes. It is also an important factor in poor prognosis among drug users with hepatitis C virus (HCV) as it impacts progression to hepatic cirrhosis or opiate overdose in opioid users. The aim of this systematic review was to assess the effects of psychosocial interventions for problem alcohol use in adult illicit drug users with concurrent problem alcohol use (principally, problem drug users of opiates and stimulants). Methods We searched the following databases (November 2011): Cochrane Library, PUBMED, EMBASE, CINAHL, PsycINFO and reference list of articles. We also searched conference proceedings and online registers of clinical trials. Two reviewers independently assessed risk of bias and extracted data from included randomized controlled trials. Results Four studies (594 participants) were included in this review. Half of the trials were rated as having a high or unclear risk of bias. The four studies considered six different psychosocial interventions grouped into four comparisons: 1) cognitive-behavioral coping skills training versus 12-step facilitation (N = 41), 2) brief intervention versus treatment as usual (N = 110), 3) hepatitis health promotion versus motivational interviewing (N = 256), and 4) brief motivational intervention versus assessment-only group (N = 187). Differences between studies precluded any pooling of data. Findings are described for each trial individually. Most findings were not statistically significant except for comparison 2: decreased alcohol use at three months (risk ratio (RR) 0.32; 95% confidence interval (CI) 0.19 to 0.54) and nine months (RR 0.16; 95% CI 0.08 to 0.33) in the treatment-as-usual group and comparison 4: reduced alcohol use in the brief motivational intervention (RR 1.67; 95% CI 1.08 to 2.60). Conclusions No conclusion can be made because of the paucity of the data and the low quality of the retrieved studies.
Language:
en
Keywords:
ALCOHOL MISUSE; DRUGS MISUSE

Full metadata record

DC FieldValue Language
dc.contributor.authorKlimas, Janen
dc.contributor.authorField, Catherine-Anneen
dc.contributor.authorCullen, Walteren
dc.contributor.authorO’Gorman, Clodagh Sen
dc.contributor.authorGlynn, Liam Gen
dc.contributor.authorKeenan, Eamonen
dc.contributor.authorSaunders, Jeanen
dc.contributor.authorBury, Gerarden
dc.contributor.authorDunne, Columen
dc.date.accessioned2015-08-17T11:32:42Zen
dc.date.available2015-08-17T11:32:42Zen
dc.date.issued2013-01-12en
dc.identifier.citationSystematic Reviews. 2013 Jan 12;2(1):3en
dc.identifier.urihttp://dx.doi.org/10.1186/2046-4053-2-3en
dc.identifier.urihttp://hdl.handle.net/10147/570789en
dc.description.abstractAbstract Background Problem alcohol use is common among illicit drug users and is associated with adverse health outcomes. It is also an important factor in poor prognosis among drug users with hepatitis C virus (HCV) as it impacts progression to hepatic cirrhosis or opiate overdose in opioid users. The aim of this systematic review was to assess the effects of psychosocial interventions for problem alcohol use in adult illicit drug users with concurrent problem alcohol use (principally, problem drug users of opiates and stimulants). Methods We searched the following databases (November 2011): Cochrane Library, PUBMED, EMBASE, CINAHL, PsycINFO and reference list of articles. We also searched conference proceedings and online registers of clinical trials. Two reviewers independently assessed risk of bias and extracted data from included randomized controlled trials. Results Four studies (594 participants) were included in this review. Half of the trials were rated as having a high or unclear risk of bias. The four studies considered six different psychosocial interventions grouped into four comparisons: 1) cognitive-behavioral coping skills training versus 12-step facilitation (N = 41), 2) brief intervention versus treatment as usual (N = 110), 3) hepatitis health promotion versus motivational interviewing (N = 256), and 4) brief motivational intervention versus assessment-only group (N = 187). Differences between studies precluded any pooling of data. Findings are described for each trial individually. Most findings were not statistically significant except for comparison 2: decreased alcohol use at three months (risk ratio (RR) 0.32; 95% confidence interval (CI) 0.19 to 0.54) and nine months (RR 0.16; 95% CI 0.08 to 0.33) in the treatment-as-usual group and comparison 4: reduced alcohol use in the brief motivational intervention (RR 1.67; 95% CI 1.08 to 2.60). Conclusions No conclusion can be made because of the paucity of the data and the low quality of the retrieved studies.en
dc.language.isoenen
dc.subjectALCOHOL MISUSEen
dc.subjectDRUGS MISUSEen
dc.titlePsychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users: Cochrane Reviewaen
dc.language.rfc3066enen
dc.rights.holderKlimas et al.; licensee BioMed Central Ltd.en
dc.date.updated2015-08-14T13:24:32Zen
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