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Dagens #fsvoversigt:
Electronic Interventions for Alcohol Misuse and Alcohol Use Disorders: A
Systematic Review.
Ann Intern Med. 2015 Aug 4;163(3):205-14
Authors: Dedert EA, McDuffie JR, Stein R, McNiel JM, Kosinski AS, Freiermuth
CE, Hemminger A, Williams JW
Abstract
BACKGROUND: The use of electronic interventions (e-interventions) may improve
treatment of alcohol misuse.
PURPOSE: To characterize treatment intensity and systematically review the
evidence for efficacy of e-interventions, relative to controls, for reducing
alcohol consumption and alcohol-related impairment in adults and college
students.
DATA SOURCES: MEDLINE (via PubMed) from January 2000 to March 2015 and the
Cochrane Library, EMBASE, and PsycINFO from January 2000 to August 2014.
STUDY SELECTION: English-language, randomized, controlled trials that involved
at least 50 adults who misused alcohol; compared an e-intervention group with a
control group; and reported outcomes at 6 months or longer.
DATA EXTRACTION: Two reviewers abstracted data and independently rated trial
quality and strength of evidence.
DATA SYNTHESIS: In 28 unique trials, the modal e-intervention was brief
feedback on alcohol consumption. Available data suggested a small reduction in
consumption (approximately 1 drink per week) in adults and college students at
6 months but not at 12 months. There was no statistically significant effect on
meeting drinking limit guidelines in adults or on binge-drinking episodes or
social consequences of alcohol in college students.
LIMITATIONS: E-interventions that ranged in intensity were combined in
analyses. Quantitative results do not apply to short-term outcomes or alcohol
use disorders.
CONCLUSION: Evidence suggests that low-intensity e-inter ventions produce small
reductions in alcohol consumption at 6 months, but there is little evidence for
longer-term, clinically significant effects, such as meeting drinking limits.
Future e-interventions could provide more intensive treatment and possibly
human support to assist persons in meeting recommended drinking limits.
PRIMARY FUNDING SOURCE: U.S. Department of Veterans Affairs.
PMID: 26237752 [PubMed - indexed for MEDLINE]
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Dette abstract er hentet via PubMed fra National Library of Medicine, USA
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Se abstractet i PubMed: http://evidens.link/1PIyxhI
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