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Specialty substance use disorder services following brief alcohol intervention: a meta‐analysis of randomized controlled trials
dc.contributor.authorGlass, Joseph E.en_US
dc.contributor.authorHamilton, Ashley M.en_US
dc.contributor.authorPowell, Byron J.en_US
dc.contributor.authorPerron, Brian E.en_US
dc.contributor.authorBrown, Randall T.en_US
dc.contributor.authorIlgen, Mark A.en_US
dc.date.accessioned2015-08-05T16:47:40Z
dc.date.available2016-10-10T14:50:23Zen
dc.date.issued2015-09en_US
dc.identifier.citationGlass, Joseph E.; Hamilton, Ashley M.; Powell, Byron J.; Perron, Brian E.; Brown, Randall T.; Ilgen, Mark A. (2015). "Specialty substance use disorder services following brief alcohol intervention: a meta‐analysis of randomized controlled trials." Addiction 110(9): 1404-1415.en_US
dc.identifier.issn0965-2140en_US
dc.identifier.issn1360-0443en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/112279
dc.description.abstractBackground and aimsBrief 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.MethodsA 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.ResultsThirteen 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.ConclusionsThere is a lack of evidence that brief alcohol interventions have any efficacy for increasing the receipt of alcohol‐related services.en_US
dc.publisherOxford University Pressen_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherAlcoholen_US
dc.subject.otherbrief interventionen_US
dc.subject.othertreatment utilizationen_US
dc.subject.othermeta‐analysisen_US
dc.subject.othertreatment initiationen_US
dc.subject.otherreferral to treatmenten_US
dc.titleSpecialty substance use disorder services following brief alcohol intervention: a meta‐analysis of randomized controlled trialsen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelPsychiatryen_US
dc.subject.hlbsecondlevelPublic Healthen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/112279/1/add12950.pdf
dc.identifier.doi10.1111/add.12950en_US
dc.identifier.sourceAddictionen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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