Effectiveness of Psychosocial Interventions Targeting Hazardous and Harmful Alcohol Use and Alcohol-Related Symptoms in Low- and Middle-Income Countries: A Systematic Review

Preuße, Melissa; Neuner, Frank; Ertl, Verena

doi:10.3389/fpsyt.2020.00768

Cited by 16 publications

(10 citation statements)

References 135 publications

(404 reference statements)

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“…Problem-solving helps individuals manage stressful situations and develop alternative coping strategies integral to relapse prevention (Demirbas et al, 2012), with problem-solving therapy being a widely used evidence-based SUD treatment (Preusse et al, 2020). Problem-solving and social support ( unspecified ) were also among the most frequently used promising BCTs identified by Brown et al (2019) for the prevention of postpartum smoking relapse.…”

Section: Discussionmentioning

confidence: 99%

Behavior change techniques in physical activity interventions for adults with substance use disorders: A systematic review.

Thal¹,

Maunz²,

Quested³

et al. 2023

Psychology of Addictive Behaviors

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Objective: Increasing regular physical activity (PA) behavior may be an effective adjunct intervention for substance use disorder (SUD) treatment. This systematic review aims to identify promising behavior change techniques (BCTs), namely, BCTs present in the design of interventions evidencing significant short-term and/or long-term (d ≥ 0.15 for objective measures and d ≥ 0.36 for self-report measures) increase in PA and/or reduction of substance use, secondary psychological measures, and retention in the PA intervention. Method: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, and the search was performed on March 11, 2021 across databases including MEDLINE, PsycINFO, SPORTDiscus, Cochrane Library, CINAHL, ProQuest, Web of Science Core Collection, Google Scholar, Open Grey, and ProQuest Dissertations & Theses. Studies were included if they measured PA, included participants aged ≥18 years, were randomized control trials, and if participants were diagnosed with SUDs. The Cochrane RoB 2.0 Tool was used to assess risk of bias. BCTs from eligible studies were extracted, coded, and ranked according to their proportional presence across studies. Results: The final synthesis included k = 61 studies with N = 12,887 participants. High heterogeneity across outcome measures, interventions, and control conditions was found. In total, 477 applications of BCTs were identified. Instruction on how to perform the behavior, social support (unspecified), behavioral practice/rehearsal, problem-solving, pharmacological support, goal setting (behavior), self-monitoring (behavior), and biofeedback were the eight most frequently used promising BCTs across studies. Conclusions: Incorporating the eight most promising BCTs identified in this review in future PA interventions in SUD populations may improve SUD outcomes.

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Section: Discussionmentioning

confidence: 99%

Behavior change techniques in physical activity interventions for adults with substance use disorders: A systematic review.

Thal¹,

Maunz²,

Quested³

et al. 2023

Psychology of Addictive Behaviors

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“…However, the effect of these treatments on concurrent AUD has not been evaluated. Similarly, while there is evidence that AUD treatments such as CBT, motivational interviewing and structured brief interventions are effective in reducing alcohol use and alcohol-related harm in LMIC settings (Preusse, Neuner and Ertl, 2020;Ghosh et al, 2022; https://doi.org/10.1017/gmh.2022.63 Published online by Cambridge University Press Staton et al, 2022), effects on concurrent PTSD have seldom been reported. It is also unclear whether PTSD+AUD acts as a moderator on treatment outcomes.…”

Section: Treatment Of Ptsd+aud In Lmicsmentioning

confidence: 99%

Comorbid posttraumatic stress disorder and alcohol use disorder in low- and middle-income countries: A narrative review

Kaysen

Stolk-Cooke

Kaminer

et al. 2022

Camb. prisms Glob. ment. health

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Much of the research on posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) has been conducted in high income countries. However, PTSD and AUD commonly co-occur (PTSD+AUD), are both associated with high global burden of disease, and disproportionately impact those in low-and middle-income countries (LMICs). This narrative review attempts to synthesize the research on prevalence, impact, etiological models, and treatment of PTSD+AUD drawing from research conducted in high income countries and discussing the research that has been conducted to date in LMICs. The review also discusses overall limitations in the field, including a lack of research on PTSD+AUD outside of high-income countries (HICs), issues with measurement of key constructs, and limitations in sampling strategies across comorbidity studies. Future directions are discussed, including a need for rigorous research studies conducted in LMICs that focus on both etiological mechanisms and on treatment approaches.

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“…Furthermore, the WHO broadened the view from a European to a global level when formulating a 'Global strategy to reduce the harmful use of alcohol' in 2010, now including low-and middle-income countries for the first time [6,8]. This in turn resulted in further research on alcohol-use prevention as, for example, shown in the review of Preusse et al [14] who specifically reviewed programs to prevent harmful alcohol-use in low-and middle-income countries. They were able to include 21 studies of which the vast majority (k = 18) were published after 2010.…”

Section: Introductionmentioning

confidence: 99%

“…This in turn resulted in further research on alcohol‐use prevention as, for example, shown in the review of Preusse et al . [14] who specifically reviewed programs to prevent harmful alcohol‐use in low‐ and middle‐income countries. They were able to include 21 studies of which the vast majority ( k = 18) were published after 2010.…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of workplace interventions for the prevention of alcohol use: A meta‐analysis

Fellbaum,

Mojzisch,

Bielefeld

et al. 2023

Addiction

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Background and AimsPrevious research has pointed to the potential of workplace interventions addressing alcohol consumption. However, there is still no systematic overview of the effects of these interventions. Therefore, we aimed to quantify the effectiveness of workplace interventions addressing alcohol use by conducting a meta‐analysis.MethodsA systematic literature search for randomized controlled trials of workplace alcohol interventions published between 1995 and 2020 was conducted in five databases. Studies were included if they were performed in the workplace and reported universal or selective interventions aiming for alcohol use reduction. Primary outcomes were any measures of alcohol use. Standardized mean effect sizes were used to calculate the meta‐analytic random‐effects‐model. Additional analyses were carried out to identify potential moderators and to examine the amount of heterogeneity and publication bias.ResultsTwenty studies with 4484 participants were integrated into the meta‐analysis. Results revealed a significant overall mean effect indicating a reduction of alcohol use in favor of the treatment group (d = −0.16, 95% CI = [−0.2715; −0.0511]). Heterogeneity within the data structure was found to be moderate to substantial (I2 = 75.9%, Q‐test P < 0.001, τ2 = 0.0375). Additional moderator analyses only showed a significant effect for length of measurement period (P = 0.049).ConclusionsAlcohol‐related prevention programs conducted in the workplace have a statistically significant and favorable effect on alcohol consumption. Although the overall mean effect is considered to be small, it underlines the effectiveness of workplace interventions targeting a reduction in alcohol use.

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Effectiveness of Psychosocial Interventions Targeting Hazardous and Harmful Alcohol Use and Alcohol-Related Symptoms in Low- and Middle-Income Countries: A Systematic Review

Cited by 16 publications

References 135 publications

Behavior change techniques in physical activity interventions for adults with substance use disorders: A systematic review.

Behavior change techniques in physical activity interventions for adults with substance use disorders: A systematic review.

Comorbid posttraumatic stress disorder and alcohol use disorder in low- and middle-income countries: A narrative review

The effectiveness of workplace interventions for the prevention of alcohol use: A meta‐analysis

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