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.
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 meth...
| Publicado en: | Addiction Vol. 118; no. 1; pp. 17 - 30 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jan2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160570422&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160570422 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Jan2023 vid: 118 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160570422 158377863 160570422 160570422 10.1111/add.15999 160570422 ppf: 17 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: 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. aug: au: Beyer, Fiona R. Kenny, Ryan P. W. Johnson, Eugenie Caldwell, Deborah M. Garnett, Claire Rice, Stephen Simpson, Julija Angus, Colin Craig, Dawn Hickman, Matt Michie, Susan Kaner, Eileen F. S. affil: Evidence Synthesis Group, Population Health Sciences Institute, The Catalyst, 3 Science Square, Faculty of Medical Sciences, Newcastle University, Newcastle Upon Tyne, UK sug: subj: Alcohol Abuse Therapy Telemedicine Health Care Delivery Methods Treatment Outcomes Human Systematic Review Meta Analysis Drinking Behavior Descriptive Statistics Confidence Intervals ab: 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. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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