Innovative approaches to intervention for problem drinking

Kypri, Kypros; Sitharthan, Thiagarajan; Cunningham, John A.; Kavanagh, David J.; Dean, Johanna

doi:10.1097/01.yco.0000165591.75681.ab

Cited by 29 publications

(18 citation statements)

References 35 publications

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“…Preliminary evidence also suggests that self-help participation is associated with better outcomes when patients join groups that focus on their particular issues, such as dual diagnoses (Laudet et al, 2000) or adolescent issues (Finch, 2005; Kelly and Myers, 1997; Kelly, Myers, and Brown 2002; White and Finch, 2006). Other recently tested recovery support approaches include telephone-based self-monitoring (Simpson et al, 2005) and Internet-based groups (Klaw, Huebsch, and Humphreys, 2000; Kypri et al, 2005; Toll et al, 2003). A meta-analysis of 24 studies involving 3,739 participants with chronic health conditions (other than SUDs) suggests that Internet-based interventions that allow interactions between patients and staff have a significantly higher impact than sites providing information only (Murray et al, 2004).…”

Section: Emerging Approaches To Recovery Managementmentioning

confidence: 99%

Managing Addiction as a Chronic Condition

Dennis

Scott²

2007

ascp

309

216

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This article reviews progress in adapting addiction treatment to respond more fully to the chronic nature of most patients’ problems. After reviewing evidence that the natural history of addiction involves recurrent cycles of relapse and recovery, we discuss emerging approaches to recovery management, including techniques for improving the continuity of care, monitoring during periods of abstinence, and early reintervention; recent developments in the field related to self-management, mutual aid, and other recovery supports; and system-level interventions. We also address the importance of adjusting treatment funding and organizational structures to better meet the needs of individuals with a chronic disease.

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Section: Emerging Approaches To Recovery Managementmentioning

confidence: 99%

Managing Addiction as a Chronic Condition

Dennis

Scott²

2007

ascp

309

216

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“…None of the alcohol‐related websites met all five guidelines 13 . In addition, many of the early publications on web‐based interventions were descriptive or reported on feasibility or on studies that were methodologically weak 14 , 15 . A recent review by Bewick and colleagues on web‐based interventions for alcohol consumption 16 found that only one intervention had used a randomised design that included a control of the highest standard according to their criteria 17 …”

mentioning

confidence: 99%

Internet‐based interventions for young people with problematic substance use: a systematic review

Tait

Christensen

2010

Medical Journal of Australia

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Objective: To conduct a systematic review of randomised trials of web‐based interventions for problematic substance use by adolescents and young adults. Data sources: An extensive search conducted in February 2009 of computer databases (MEDLINE, PsycINFO, Current Contents) and manual searches of key references. Study selection: Randomised comparisons of fully automated web‐based interventions specifically targeting adolescents and young adults (ie, typically school or tertiary students, ≤ 25 years old) versus other interventions. Data synthesis: 16 relevant studies were identified, and data were extracted from 13 of the 14 reporting on alcohol use by young adults. The alcohol interventions had a small effect overall (d = − 0.22) and for specific outcomes (level of alcohol consumption, d = − 0.12; binge or heavy drinking frequency, d = − 0.35; alcohol‐related social problems, d = − 0.57). The interventions were not effective (d = − 0.001) in preventing subsequent development of alcohol‐related problems among people who were non‐drinkers at baseline. Due to methodological differences, data from the two studies reporting on tobacco interventions among adolescents were not combined. Conclusions: Based on findings largely from tertiary students, web interventions targeting alcohol‐related problems have an effect about equivalent to brief in‐person interventions, but with the advantage that they can be delivered to a far larger proportion of the target population. Web‐based interventions to prevent the development of alcohol‐related problems in those who do not currently drink appear to have minimal impact. There are currently insufficient data to assess the effectiveness of web‐based interventions for tobacco use by adolescents.

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“…Many other current applications are employed in primary care settings, where the tremendous potential reach of computer-delivered approaches can be leveraged(e.g., Kypri et al, 2005). This is true of our own work, which has focused primarily on brief motivational interventions with low-income urban women who report use of drugs or alcohol in the post-partum period (Ondersma, et al, 2005; Ondersma, et al, 2007).…”

Section: Current Uses Of Intervention Technology In Substance Abusementioning

confidence: 99%

“…These advantages include greater ease of dissemination and replication, cost-effectiveness, anonymity, accessibility, and personalization (Copeland & Martin, 2004; Hester & Miller, 2006; Kypri, Sitharthan, Cunningham, Kavanagh, & Dean, 2005; Ondersma, Chase, Svikis, & Schuster, 2005). Interactive technology for promotion of behavior change has been supported by clinical trials of its use for alcohol abuse (Hester, Squires, & Delaney, 2005; Kypri, et al, 2004; Neighbors, Larimer, & Lewis, 2004), drug abuse (Gilbert, et al, 2008; Ondersma, Svikis, & Schuster, 2007), and sexual risk-taking (Kiene & Barta, 2006).…”

mentioning

confidence: 99%

The Potential for Technology in Brief Interventions for Substance Use, and During-Session Prediction of Computer-Delivered Brief Intervention Response

Ondersma¹,

Grekin²,

Svikis³

2010

Substance Use & Misuse

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This paper has two aims. First, we provide an overview of the potential of technology in the area of brief interventions for substance use, and describe recent projects from our lab that are illustrative of that potential. Second, we present data from a study of during-session predictors of brief intervention response. In a sample of post-partum women (N = 39), several variables showed promise as predictors of later drug use, and a brief index derived from them predicted abstinence with a sensitivity of .7 and a specificity of .89. This promising approach and initial study findings support the importance of future research in this area.

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Innovative approaches to intervention for problem drinking

Cited by 29 publications

References 35 publications

Managing Addiction as a Chronic Condition

Managing Addiction as a Chronic Condition

Internet‐based interventions for young people with problematic substance use: a systematic review

The Potential for Technology in Brief Interventions for Substance Use, and During-Session Prediction of Computer-Delivered Brief Intervention Response

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