Title: Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials
Abstract: AddictionVolume 110, Issue 9 p. 1404-1415 Review Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials Joseph E. Glass, Corresponding Author Joseph E. Glass School of Social Work, University of Wisconsin-Madison, Madison, WI, USACorrespondence to: Joseph E. Glass, School of Social Work, University of Wisconsin-Madison, 1350 University Avenue, Madison, WI 53706, USA. E-mail: [email protected]Search for more papers by this authorAshley M. Hamilton, Ashley M. Hamilton Chrysalis, Inc., Madison, WI, USASearch for more papers by this authorByron J. Powell, Byron J. Powell Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USASearch for more papers by this authorBrian E. Perron, Brian E. Perron School of Social Work, University of Michigan, Ann Arbor, MI, USASearch for more papers by this authorRandall T. Brown, Randall T. Brown Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USASearch for more papers by this authorMark A. Ilgen, Mark A. Ilgen VA Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USASearch for more papers by this author Joseph E. Glass, Corresponding Author Joseph E. Glass School of Social Work, University of Wisconsin-Madison, Madison, WI, USACorrespondence to: Joseph E. Glass, School of Social Work, University of Wisconsin-Madison, 1350 University Avenue, Madison, WI 53706, USA. E-mail: [email protected]Search for more papers by this authorAshley M. Hamilton, Ashley M. Hamilton Chrysalis, Inc., Madison, WI, USASearch for more papers by this authorByron J. Powell, Byron J. Powell Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USASearch for more papers by this authorBrian E. Perron, Brian E. Perron School of Social Work, University of Michigan, Ann Arbor, MI, USASearch for more papers by this authorRandall T. Brown, Randall T. Brown Department of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USASearch for more papers by this authorMark A. Ilgen, Mark A. Ilgen VA Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USASearch for more papers by this author First published: 24 April 2015 https://doi.org/10.1111/add.12950Citations: 107Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Background and aims Brief alcohol interventions in medical settings are efficacious in improving self-reported alcohol consumption among those with low-severity alcohol problems. Screening, Brief Intervention and Referral to Treatment initiatives presume that brief interventions are efficacious in linking patients to higher levels of care, but pertinent evidence has not been evaluated. We estimated main and subgroup effects of brief alcohol interventions, regardless of their inclusion of a referral-specific component, in increasing the utilization of alcohol-related care. Methods A systematic review of English language papers published in electronic databases to 2013. We included randomized controlled trials (RCTs) of brief alcohol interventions in general health-care settings with adult and adolescent samples. We excluded studies that lacked alcohol services utilization data. Extractions of study characteristics and outcomes were standardized and conducted independently. The primary outcome was post-treatment alcohol services utilization assessed by self-report or administrative data, which we compared across intervention and control groups. Results Thirteen RCTs met inclusion criteria and nine were meta-analyzed (n = 993 and n = 937 intervention and control group participants, respectively). In our main analyses the pooled risk ratio (RR) was = 1.08, 95% confidence interval (CI) = 0.92–1.28. Five studies compared referral-specific interventions with a control condition without such interventions (pooled RR = 1.08, 95% CI = 0.81–1.43). Other subgroup analyses of studies with common characteristics (e.g. age, setting, severity, risk of bias) yielded non-statistically significant results. Conclusions There is a lack of evidence that brief alcohol interventions have any efficacy for increasing the receipt of alcohol-related services. Supporting Information Appendix Table S1 Search keywords Appendix Table S2 Reasons for exclusion during full-text review Appendix Table S3 Components of the intervention and control groups of alcohol brief alcohol interventions assessing post-intervention treatment utilization (n=13) Appendix Table S4 Elements of risk of bias in the included studies Filename Description add12950-sup-0001-table.docxWord 2007 document , 135.5 KB Supporting info item Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. References 1Saitz R. Clinical practice. Unhealthy alcohol use. N Engl J Med 2005; 352: 596–607. 2Mokdad A. H., Marks J. S., Stroup D. F., Gerberding J. L. Actual causes of death in the United States, 2000. JAMA 2004; 291: 1238–45. 3 Center for Disease Control and Prevention. 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