Titre : | Practitioner and digitally delivered interventions for reducing hazardous and harmful alcohol consumption in people not seeking alcohol treatment: a systematic review and network meta-analysis (2023) |
Auteurs : | F. R. BEYER ; R. P. W. KENNY ; E. JOHNSON ; D. M. CALDWELL ; C. GARNETT ; S. RICE ; J. SIMPSON ; C. ANGUS ; D. CRAIG ; M. HICKMAN ; S. MICHIE ; E. F. S. KANER |
Type de document : | Article : Périodique |
Dans : | Addiction (Vol.118, n°1, January 2023) |
Article en page(s) : | 17-29 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés ALCOOL ; ABUS ; USAGE PROBLEMATIQUE ; REDUCTION DE CONSOMMATION ; INTERVENTION ; COMPARAISON ; MEDECIN ; TECHNOLOGIE ; EFFICACITE ; TRAITEMENT ; INTERVENTION BREVE ; INTERVENANT |
Résumé : |
AIM: To compare the effectiveness of practitioner versus digitally delivered interventions for reducing hazardous and harmful alcohol consumption.
DESIGN: Systematic review and network meta-analysis comprising comprehensive search for randomised controlled trials, robust screening and selection methods and appraisal with the Cochrane Risk of Bias tool. Network meta-analyses were conducted in Stata using random effects, frequentist models. The confidence in network meta-analysis (CINeMA) tool was used to assess confidence in effect sizes. SETTING: Online or community or health settings where the intervention was immediately accessible without referral. PARTICIPANTS: Non treatment-seeking hazardous or harmful drinkers. MEASUREMENTS: Primary outcome was mean difference in alcohol consumption (g/wk); secondary outcome was number of single high intensity drinking episodes. Baseline consumption was analysed as a covariate. FINDINGS: Of 201 included trials (94 753 participants), 152 reported a consumption outcome that could be converted to grams/week; 104 reported number of single high intensity drinking episodes. At 1 and 6 months, practitioner delivered interventions reduced consumption more than digitally delivered interventions (1 month: -23 g/wk (95% CI, -43 to -2); 6 months: -14 g/wk [95% CI, -25 to -3]). At 12 months there was no evidence of difference between practitioner and digitally delivered interventions (-6 g/wk [95% CI, -24 to 12]). There was no evidence of a difference in single high intensity drinking episodes between practitioner and digitally delivered interventions at any time point. Effect sizes were small, but could impact across a population with relatively high prevalence of hazardous and harmful drinking. Heterogeneity was a concern. Some inconsistency was indicated at 1 and 6 months, but little evidence was apparent at 12 months. CONCLUSION: Practitioner delivered interventions for reducing hazardous and harmful alcohol consumption are more effective than digitally delivered interventions up to 6 months; at 12 months there is no evidence of a difference. |
Domaine : | Alcool / Alcohol |
Sous-type de document : | Méta-analyse / Meta-analysis ; Revue de la littérature / Literature review |
Refs biblio. : | 35 |
Affiliation : | Evidence Synthesis Group, Population Health Sciences Institute, The Catalyst, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK |
Cote : | Abonnement |
Lien : | https://doi.org/10.1111/add.15999 |
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