Historique
Article de Périodique
The effectiveness of psychosocial interventions at reducing the frequency of alcohol and drug use in parents: Findings of a Cochrane Review and meta-analyses (2022)
Auteur(s) :
MCGOVERN, R. ;
NEWHAM, J. ;
ADDISON, M. ;
HICKMAN, M. ;
KANER, E.
Année
2022
Page(s) :
2571-2582
Sous-type de document :
Méta-analyse / Meta-analysis ; Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
65
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Thésaurus mots-clés
ALCOOL
;
PRODUIT ILLICITE
;
REDUCTION DE CONSOMMATION
;
PARENT
;
EFFICACITE
;
INTERVENTION
;
THERAPIE COMPORTEMENTALE
;
THERAPIE FAMILIALE
;
INTERVENTION PSYCHOSOCIALE
Résumé :
BACKGROUND AND AIM: Parental substance use is a major public health and safeguarding concern. There have been a number of trials examining interventions targeting this risk factor. We aimed to estimate the effectiveness of psychosocial interventions at reducing parental substance use.
DESIGN: We used systematic methods to identify trials; pooling data using a random-effects model. Moderator analyses examined influence of parent gender, presence of child in treatment and intervention type.
SETTING: No restrictions on setting.
PARTICIPANTS: Substance using parents of children below the age of 21 years.
INTERVENTIONS: Psychosocial interventions including those that targeted drug and alcohol use only, and drug and alcohol use in combination with associated issues.
MEASUREMENTS: Frequency of alcohol use and frequency of drug use.
FINDINGS: We included eight unique studies with a total of 703 participants. Psychosocial interventions were more effective at reducing the frequency of parental alcohol use than comparison conditions at 6-month [standardized mean difference (SMD) = - 0.32, 95% confidence interval (CI) = -0.51 to -0.13, P = 0.001] and 12-month follow-up (SMD = -0.25, 95% CI = -0.47 to -0.03, P = 0.02) and frequency of parental drug use at 12 months only (SMD = -0.21, 95% CI = -0.41 to -0.01, P = 0.04). Integrated interventions which combined both parenting and substance use targeted components were effective at reducing the frequency of alcohol use (6 months: SMD = -0.56, 95% CI = -0.96 to -0.016, P = 0.006; 12 months: SMD = -0.42, 95% CI = -0.82 to -0.03, P = 0.04) and drug use (6 months: SMD = -0.39, 95% CI = -0.75 to -0.03, P = 0.04; 12 months: SMD = -0.43, 95% CI = -0.80 to -0.07, P = 0.02). Interventions targeting only substance use or parenting skills were not effective at reducing frequency of alcohol or drug use at either time-point.
CONCLUSION: Psychosocial interventions should target both parenting and substance use in an integrated intervention.
DESIGN: We used systematic methods to identify trials; pooling data using a random-effects model. Moderator analyses examined influence of parent gender, presence of child in treatment and intervention type.
SETTING: No restrictions on setting.
PARTICIPANTS: Substance using parents of children below the age of 21 years.
INTERVENTIONS: Psychosocial interventions including those that targeted drug and alcohol use only, and drug and alcohol use in combination with associated issues.
MEASUREMENTS: Frequency of alcohol use and frequency of drug use.
FINDINGS: We included eight unique studies with a total of 703 participants. Psychosocial interventions were more effective at reducing the frequency of parental alcohol use than comparison conditions at 6-month [standardized mean difference (SMD) = - 0.32, 95% confidence interval (CI) = -0.51 to -0.13, P = 0.001] and 12-month follow-up (SMD = -0.25, 95% CI = -0.47 to -0.03, P = 0.02) and frequency of parental drug use at 12 months only (SMD = -0.21, 95% CI = -0.41 to -0.01, P = 0.04). Integrated interventions which combined both parenting and substance use targeted components were effective at reducing the frequency of alcohol use (6 months: SMD = -0.56, 95% CI = -0.96 to -0.016, P = 0.006; 12 months: SMD = -0.42, 95% CI = -0.82 to -0.03, P = 0.04) and drug use (6 months: SMD = -0.39, 95% CI = -0.75 to -0.03, P = 0.04; 12 months: SMD = -0.43, 95% CI = -0.80 to -0.07, P = 0.02). Interventions targeting only substance use or parenting skills were not effective at reducing frequency of alcohol or drug use at either time-point.
CONCLUSION: Psychosocial interventions should target both parenting and substance use in an integrated intervention.
Affiliation :
Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
Cote :
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