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  • Print publication year: 2008
  • Online publication date: May 2010

15 - Educational interventions for alcohol use disorders

from Part III - Specific treatments

Summary

Editor's note

Educational interventions are ubiquitous in psychiatry (see Part II: Chapter 6). They are readily available, inexpensive to deliver, and can be facilitated and disseminated by non-professionals. Educational interventions have long been a staple element of treatment for problems with alcohol. They accompany many of the self-help and complex interventions used in alcohol treatment. While these interventions may be efficient from an economical point of view, they are at best only modestly effective and appear to work best among people with mild to moderate abuse. They also appear to work most effectively when combined with some additional treatment delivered by people professionally trained to deliver services. Overall didactic lectures and educational films appear to have the least benefit.

Introduction

Education is inherent in most alcohol-related treatment interventions. Physician education about medication is one essential part of pharmacotherapy. Brief interventions provide educational feedback to patients about normative patterns of drinking. Twelve-step facilitation therapy involves educating patients about the disease model of alcoholism and what to expect in meetings of Alcoholics Anonymous (Nowinski et al., 1994). CBT teaches patients (1) to identify high-risk situations for relapse and (2) coping skills to prevent relapse (Kadden et al., 1995).

Educational interventions are designed to increase knowledge about alcohol in such a way as to change an individual's attitude and behaviour. Providing information about health risks and brief advice emphasizing strategies to reduce consumption are the only interventions that have been recommended for both hazardous and harmful consumption of alcohol.

REFERENCES
Alcoholics Anonymous, 4th edn. (2001). Alcoholics Anonymous. World Services, Inc. New York, NY. Also available online at: http://www.aa.org/bigbookonline/.
Apodaca, T. R. & Miller, W. R. (2003). A meta-analysis of the effectiveness of bibliotherapy for alcohol problems. Journal of Clinical Psychology, 59(3), 289–304.
Babor, T. F. & Grant, M. (1992). Programme on substance abuse. Project on identification and management of alcohol related problems. Report on phase II: a randomised controlled trial of brief interventions in primary health care. Geneva: World Health Organisation.
Bien, T. H., Miller, W. R. & Tonigan, J. S. (1993). Brief interventions for alcohol problems: a review. Addiction, 88, 315–36.
Botvin, G. J., Baker, E., Dusenbury, L., Botvin, E. M. & Diaz, T. (1995). Long-term follow-up results of a randomized drug abuse prevention trial in a white middle-class population. Journal of American Medical Association, 273, 1106–12.
Collins, S. E., Carey, K. B. & Sliwinski, M. J. (2002). Mailed personalized normative feedback as a brief intervention for at-risk college drinkers. Journal of Studies on Alcohol, 63(5), 559–67.
Cunningham, J. A., Sdao-Jarvie, K., Koski-Jannes, A. & Breslin, Curtis F. (2001). Using self-help materials to motivate change at assessment for alcohol treatment. Journal of Substance Abuse Treatment, 20, 301–4.
Cunningham, J. A., Humphreys, K., Koski-Jannes, A. & Cordingley, J. (2005). Internet and paper self-help materials for problem drinking: is there an additive effect?Addictive Behaviors, 30(8), 1517–23.
Davis, W. T., Campbell, L., Tax, J. & Lieber, C. S. (2002). A trial of ‘standard’ outpatient alcoholism treatment vs. a minimal treatment control. Journal of Substance Abuse Treatment, 23(1), 9–19.
Dielman, T. E. (1995). School-based research on the prevention of adolescent alcohol use and misuse: methodological issues and advances. In Alcohol Problems Among Adolescents: Current Directions in Prevention Research, ed. Boyd, G., Howard, J. & Zucker, R. A.. Hillsdale, NJ: Lawrence Erlbaum Associates.
Dunn, C., Deroo, L. & Rivara, F. P. (2001). The use of brief interventions adapted from motivational interviewing across behavioral domains: a sytematic review. Addiction, 96, 1725–42.
Finfgeld, D. L. (2000a). Resolving alcohol problems using an online self-help approach: moderation management. Journal of Psychosocial Nursing and Mental Health Services, 38(2), 32–8.
Finfgeld, D. L. (2000b). Use of self-help manuals to treat problem drinkers. Journal of Psychosocial Nursing and Mental Health Services, 38(4), 20–7.
Foxcroft, D. R., Ireland, D., Lister-Sharp, D. J., Lowe, G., & Breen, R. (2003). Longer-term primary prevention for alcohol misuse in young people: a systematic review. Addiction, 98, 397–411.
Gates, S., McCambridge, J., Smith, L. A., & Foxcroft, D. R. (2006). Interventions for prevention of drug use by young people delivered in non-school settings. The Cochrane Database of Systematic Reviews, 2. Oxford: Update Software Ltd.
Hester, R. K. & Delaney, H. D. (1997). Behavioral self-control program for Windows: results of a controlled clinical trial. Journal of Consulting and Clinical Psychology, 65(4), 686–93.
Joinson, A. N., & Banyard, P. (2003). Seeking alcohol information on the internet. ASLIB Proceedings, 55, 313–19.
Kadden, R., Carroll, K., Donovan, D.et al. (1995). Cognitive-Behavioral Coping Skills Therapy Manual. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
Kaminer, Y., Burleson, J. A. & Goldberger, R. (2002). Cognitive-behavioral coping skills and psychoeducation therapies for adolescent substance abuse. Journal of Nervous and Mental Disease, 190(11), 737–45.
Kumpfer, K., Molgaard, V. & Spoth, R. (1996) The strengthening families programme for the prevention of delinquency and drug use. In Preventing Childhood Disorders, Substance Abuse and Delinquency, ed. Peters, R., & McMahon, R., pp. 241–67. Thousand Oaks, CA: Sage.
Kypri, K., Sitharthan, T., Cunningham, J. A., Kavanagh, D. J. & Dean, J. I. (2005). Innovative approaches to intervention for problem drinking. Current Opinions in Psychiatry, 18(3), 229–34.
Larimer, M. E. & Cronce, J. M. (2002). Identification, prevention and treatment: a review of individual-focused strategies to reduce problematic alcohol consumption by college students. Journal of Studies on Alcohol, Suppl. 14, 148–63.
Lindberg, C. S., Solorzano, R. M., Bear, D., Strickland, O., Galvis, C., & Pittman, K. (2002). Reducing substance use and risky sexual behaviour among low-income, Mexican-American women: comparison of two interventions. Applied Nursing Research, 16, 137–48.
Mains, J. A. & Scogin, F. R. (2003). The effectiveness of self-administered treatments: a practice-friendly review of the research. Journal of Clinical Psychology, 59(2), 237–46.
McBride, N., Farringdon, F., Midford, R., Meuleners, L. & Phillips, M. (2004). Harm minimization in school drug education: final results of the School Health and Alcohol Harm Reduction Project (SHAHRP). Addiction, 99, 278–91.
Miller, R. W. (1978). Behavioral treatment of problem drinkers: A comparative outcome study of three controlled drinking therapies. Journal of Consulting and Clinical Psychology, 46, 74–86.
Miller, W. R. & Wilbourne, P. L. (2002). Mesa Grande: a methodological analysis of clinical trials of treatments for alcohol use disorders. Addiction, 97, 265–77.
Miller, W. R., Andrews, N. R., Wilbourne, P. & Bennett, M. E. (1998). A wealth of alternatives: effective treatments for alcohol problems. In Treating Addictive Behaviours: Process of Change, ed. Miller, R. W. & Heather, N., 2nd edn, pp. 203–216. New York: Plenum Press.
Moyer, A., Finney, J. W., Swearingen, C. E. & Vergun, P. (2002). Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treament-seeking and non-treatment-seeking populations. Addiction, 97, 279–92.
Mullen, P. D., Simons-Morton, D. G., Ramirez, G., Frankowski, R. F., Green, L. W. & Mains, D. A. (1997). A meta-analysis of trials evaluating patient edcuation and counselling for three groups of preventive health behaviors. Patient Educational Counselling, 32, 157–73.
Neighbors, C., Larimer, M. E. & Lewis, M. A. (2004). Targeting misperceptions of descriptive drinking norms: efficacy of a computer-delivered personalized normative feedback intervention. Journal of Consulting and Clinical Psychology, 72(3), 434–47.
Nordqvist, C., Wilhelm, E., Lindqvist, K. & Bendtsen, P. (2005). Can screening and simple written advice reduce excessive alcohol consumption among emergency care patients?Alcohol Alcohol, 40(5), 401–8.
Nowinski, J., Baker, S. & Carroll, K. (1994). Twelve Step Facilitation Therapy Manual. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.
Palinkas, L. A., Atkins, C. J., Miller, C. & Ferreira, D. (1996). Social skills training for drug prevention in high-risk female adolescents. Preventative Medicine, 25, 692–701.
Polacsek, M., Rogers, E. M., Woodall, W. G., Delaney, H., Wheeler, D. & Rao, N. (2001). MADD victim impact panels and stages-of-change in drunk-driving prevention. Journal of Studies on Alcohol, 62(3), 344–50.
Raistrick, D., Hodgson, R. & Ritson, B. (1999). Tackling Alcohol Together. London: Free Association Books.
Reis, J., Riley, W. & Baer, J. (2000). Interactive multimedia preventative alcohol education: an evaluation of effectiveness with college students. Journal of Educational Computing Research, 23, 41–65.
Sanchez-Craig, M. (1993). Saying When: How to Quit Drinking or Cut Down. Toronto: Addiction Research Foundation.
Scottish Intercollegiate Guidelines Network (2003). The management of harmful drinking and alcohol dependence in primary care, a national clinical guideline. Edinburgh: Royal College of Physicians.
Sobell, L. C., Sobell, M. B., Leo, G. I., Agrawal, S., Johnson-Young, L. & Cunningham, J. A. (2002). Promoting self-change with alcohol abusers: a community-level mail intervention based on natural recovery studies. Alcoholism: Clinical and Experimental Research, 26(6), 936–48.
Sobell, M. B. & Sobell, L. C. (2000). Stepped care as a heuristic approach to the treatment of alcohol problems. Journal of Consulting and Clinical Psychology, 68(4), 573–9.
Spivak, K., Sanchez-Craig, M. & Davila, R. (1994). Assisting problem drinkers to change on their own: effect of specific and non-specific advice. Addiction, 89(9), 1135–42.
UK Alcohol Forum (2001). Guidelines for the Management of Alcohol Problems in Primary Care and General Psychiatry. High Wycombe, Bucks: Tangent Medical Education.
Walitzer, K. S. & Connors, G. J. (1999). Treating problem drinking. Alcohol Research and Health, 23(2), 138–43.
Wallace, P., Cutler, S. & Haines, A. (1988). Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption. British Medical Journal, 297, 663–8.
Walters, S. T., Hester, R. K., Chiauzzi, E. & Miller, E. (2005). Demon rum: high-tech solutions to an age-old problem. Alcoholism Clinical and Experimental Research, 29(2), 270–7.
Walters, S. T. & Neighbors, C. (2005). Feedback interventions for college alcohol misuse: what, why and for whom?Addictive Behavior, 30(6), 1168–82.
Wells-Parker, E., Bangert-Drowns, R., McMillen, R. & Williams, M. (1995). Final results from a meta-analysis of remedial interventions with drink/drive offenders. Addiction, 90(7), 907–26.
White, D. & Pitts, M. (1998). Educating young people about drugs: a systematic review. Addiction, 93, 1475–87.
WHO Brief Intervention Study Group (1996). A cross-national trial of brief interventions with heavy drinkers. American Journal of Public Health, 86, 948–55.
WHO Collaborating Centre for Research and Training for Mental Health. (2004). WHO Guide to Mental and Neurological Health in Primary Care. London: RSM Press.