TY - JOUR

T1 - Common strategies in empirically supported psychological interventions for alcohol use disorders

T2 - A meta-review

AU - Nadkarni, Abhijit

AU - Massazza, Alessandro

AU - Guda, Rahul

AU - Fernandes, Luanna T.

AU - Garg, Ankur

AU - Jolly, Mehak

AU - Andersen, Lena S.

AU - Bhatia, Urvita

AU - Bogdanov, Sergiy

AU - Roberts, Bayard

AU - Tol, Wietse A.

AU - Velleman, Richard

AU - Moore, Quincy

AU - Fuhr, Daniela

PY - 2023

Y1 - 2023

N2 - Issues Despite the large number of effective psychological interventions for alcohol use disorders (AUD), there is still a lack of clarity concerning the strategies that make these interventions effective. Approach The overall goal of this review was to identify, examine and synthesise the information about common strategies from evidence-based psychological interventions for AUDs by conducting a review of systematic reviews, that is, a meta-review. We isolated the relevant primary studies from eligible systematic reviews and extracted information about the interventions from these studies to understand the strategies used. Analysis was restricted to narrative summaries. Key Findings Thirteen reviews were eligible for inclusion in our meta-review. Of these, eight demonstrated the effectiveness of a range of psychological interventions-behavioural couples therapy, cognitive behaviour therapy combined with motivational interviewing, brief interventions, contingency management, psychotherapy plus brief interventions, Alcoholics Anonymous and 12-step treatment programs, family-therapy or family-involved treatment, and community reinforcement approach. The most commonly used component strategies in effective interventions for AUDs included assessment, personalised feedback, motivational interviewing, goal setting, setting and review of homework, problem solving skills and relapse prevention/management. Implications Evidence about commonly used strategies in evidence-based psychological interventions for AUDs offer the possibility of creating menu-driven interventions that can be tailored to respond to individual client needs and preferences in different contexts.

AB - Issues Despite the large number of effective psychological interventions for alcohol use disorders (AUD), there is still a lack of clarity concerning the strategies that make these interventions effective. Approach The overall goal of this review was to identify, examine and synthesise the information about common strategies from evidence-based psychological interventions for AUDs by conducting a review of systematic reviews, that is, a meta-review. We isolated the relevant primary studies from eligible systematic reviews and extracted information about the interventions from these studies to understand the strategies used. Analysis was restricted to narrative summaries. Key Findings Thirteen reviews were eligible for inclusion in our meta-review. Of these, eight demonstrated the effectiveness of a range of psychological interventions-behavioural couples therapy, cognitive behaviour therapy combined with motivational interviewing, brief interventions, contingency management, psychotherapy plus brief interventions, Alcoholics Anonymous and 12-step treatment programs, family-therapy or family-involved treatment, and community reinforcement approach. The most commonly used component strategies in effective interventions for AUDs included assessment, personalised feedback, motivational interviewing, goal setting, setting and review of homework, problem solving skills and relapse prevention/management. Implications Evidence about commonly used strategies in evidence-based psychological interventions for AUDs offer the possibility of creating menu-driven interventions that can be tailored to respond to individual client needs and preferences in different contexts.

KW - alcohol use disorders

KW - meta-review

KW - psychological treatments

KW - METAANALYSIS

KW - EFFICACY

KW - THERAPY

KW - NALTREXONE

KW - ANXIETY

U2 - 10.1111/dar.13550

DO - 10.1111/dar.13550

M3 - Review

C2 - 36134481

VL - 42

SP - 94

EP - 104

JO - Drug and Alcohol Review

JF - Drug and Alcohol Review

SN - 0959-5236

IS - 1

ER -