Titre : | A systematic review and meta-analysis of the efficacy of the long-term treatment and support of substance use disorders (2021) |
Auteurs : | M. BEAULIEU ; J. TREMBLAY ; C. BAUDRY ; J. PEARSON ; K. BERTRAND |
Type de document : | Article : Périodique |
Dans : | Social Science and Medicine (Vol.285, September 2021) |
Article en page(s) : | art. 114289 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés TRAITEMENT ; EFFICACITE ; EVALUATION ; MODELE ; DUREE |
Résumé : |
Rationale: The reconceptualization of substance use disorders (SUD) as a chronic phenomenon calls for a paradigm shift in service provision, particularly by way of long-term treatment and support. Studies that have evaluated the efficacy of long-term treatment models seem to indicate that they are an improvement on more standard short-term treatments, even though these studies do not take the durations into consideration.
Objective: Measure the efficacy of SUD treatments and support lasting 18 months or more regarding their ability to decrease substance use as compared to shorter treatments. Methods: A meta-analysis based on a systematic literature review was conducted. Eight databases were consulted for peer-reviewed studies. Certain variables were coded as moderators: intervention length, participant characteristics, and treatment characteristics. Results: The main results suggest that the people who received a planned long-term treatment or support had a 23.9% greater chance of abstaining or consuming moderately than did people who received a shorter standard treatment (OR = 1.347 [CI 95 % = 1.087-1.668], p < .006, adjusted OR = 1.460 [CI 95% = 1.145-1.861]). None of the moderation analyses revealed any variation in the efficacy of the long-term treatments and support. Conclusions: The reconceptualization of the SUD as a chronic disorder among people with this problem leads us to reconsider both the length of the services provided and the paradigms underlying their organization. Highlights: • Substance use disorder treatments are usually short-term in nature. • For some people, the substance use disorder may persist over time. • Length of service is generally associated with better results. • This meta-analysis evaluates the effectiveness of treatments of 18 months or more. • The results show that these models have better results in reducing substance use. |
Domaine : | Plusieurs produits / Several products |
Sous-type de document : | Méta-analyse / Meta-analysis ; Revue de la littérature / Literature review |
Affiliation : |
Université Du Québec à Trois-Rivières, Centre Universitaire de Québec, Québec, QC, Canada Université de Sherbrooke, Campus de Longueuil, Longueuil, Québec, Canada |
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