Comparative effectiveness of psychosocial interventions in adults with harmful use of alcohol: a systematic review and network meta‐analysis

Chia Jie Tan; Taylor Shufelt; Emma Behan; Junpen Chantara; Chanchanok Koomsri; Adam J. Gordon; Nathorn Chaiyakunapruk; Teerapon Dhippayom

doi:10.1111/add.16187

journal article Apr 04, 2023

Comparative effectiveness of psychosocial interventions in adults with harmful use of alcohol: a systematic review and network meta‐analysis

Chia Jie Tan

Taylor Shufelt Emma Behan Junpen Chantara Chanchanok Koomsri Adam J. Gordon Nathorn Chaiyakunapruk

Teerapon Dhippayom

Addiction Vol. 118 No. 8 pp. 1414-1429 · Wiley

View at Publisher Save 10.1111/add.16187

Abstract

AbstractAimsPsychosocial approaches are the hallmark of treatment for harmful alcohol use. However, the most effective psychosocial intervention has not been identified. We aimed to compare the effectiveness of psychosocial therapy for harmful alcohol use using a network meta‐analysis approach.MethodsWe searched PubMed, Embase, CENTRAL, CINAHL and ProQuest Dissertations and Theses from inception to January 2022. Randomized controlled trials in adults aged > 18 years with harmful alcohol use were included. Psychosocial interventions were classified using the theme, intensity, and provider/platform (TIP) framework. The mean differences (MD) of the alcohol use disorder identification test (AUDIT) score were estimated in the primary analysis using a random‐effects model. Surface under the cumulative ranking curve (SUCRA) methods were used to rank different interventions. The certainty of evidence was evaluated using the confidence in network meta‐analysis (CINeMA) approach. This review was registered with PROSPERO (CRD42022328972).ResultsA total of 4225 records were retrieved from searches; 19 trials (n = 7149) met the inclusion criteria. The most common TIP combination was brief interventions delivered once via face‐to‐face sessions (six studies) and 11 TIP features were included in the network meta‐analysis. A significant difference in AUDIT score was evident among 16 of 55 treatment comparisons, with the highest effect size observed when motivational interviewing plus cognitive behavioral therapy in multiple sessions via face‐to‐face (MI–CBT/Mult/F2F) was compared with usual care [MD = −4.98; 95% confidence interval (CI) = −7.04, −2.91]. This finding was consistent with SUCRA, which suggested that MI–CBT/Mult/F2F is most likely to be better than other interventions (SUCRA = 91.3). MI–CBT/Mult/F2F remained the highest‐ranking intervention in our sensitivity analyses (SUCRA = 64.9, 80.8). However, the certainty of evidence for most treatment comparisons was low.ConclusionsCombined psychosocial intervention with a more intensive approach may provide greater effect in reducing harmful alcohol consumption behavior.

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Details

Published: Apr 04, 2023
Vol/Issue: 118(8)
Pages: 1414-1429
License: View

Authors

C

Chia Jie Tan

Department of Pharmacotherapy, College of Pharmacy University of Utah Salt Lake City UT USA

T

Taylor Shufelt

School of Pharmacy University of Wisconsin‐Madison Madison WI USA

E

Emma Behan

School of Pharmacy University of Wisconsin‐Madison Madison WI USA

J

Junpen Chantara

Faculty of Pharmaceutical Sciences Naresuan University Phitsanulok Thailand

C

Chanchanok Koomsri

Faculty of Pharmaceutical Sciences Naresuan University Phitsanulok Thailand

A

Adam J. Gordon

Program for Addiction Research, Clinical Care, Knowledge, and Advocacy (PARCKA), Department of Internal Medicine, Division of Epidemiology, School of Medicine University of Utah Salt Lake City UT USA; Vulnerable Veteran Innovative Patient‐Aligned‐Care‐Team (VIP); Informatics, Decision‐Enhancement, and Analytic Science Center of Innovation VA Salt Lake City Health Care System Salt Lake City UT USA

N

Nathorn Chaiyakunapruk

Department of Pharmacotherapy, College of Pharmacy University of Utah Salt Lake City UT USA; IDEAS Center, Veterans Affairs Salt Lake City Healthcare System Salt Lake City UT USA

T

Teerapon Dhippayom

The Research Unit of Evidence Synthesis (TRUES), Faculty of Pharmaceutical Sciences Naresuan University Phitsanulok Thailand

Cite This Article

Chia Jie Tan, Taylor Shufelt, Emma Behan, et al. (2023). Comparative effectiveness of psychosocial interventions in adults with harmful use of alcohol: a systematic review and network meta‐analysis. Addiction, 118(8), 1414-1429. https://doi.org/10.1111/add.16187

Comparative effectiveness of psychosocial interventions in adults with harmful use of alcohol: a systematic review and network meta‐analysis

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