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Optimizing internet-delivered cognitive behaviour therapy for alcohol misuse-a randomized factorial trial examining effects of a pre-treatment assessment interview and guidance.
Addict Sci Clin Pract
July 2022
Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada.
Background: Internet-delivered cognitive behavioral therapy (ICBT) for alcohol misuse has potential to radically improve access to evidence-based care, and there is a need to investigate ways to optimize its delivery in clinical settings. Guidance from a clinician has previously been shown to improve drinking outcomes in ICBT, and some studies suggest that pre-treatment assessments may contribute in initiating early change. The objective of this study was to investigate the added and combined effects of a pre-treatment assessment interview and guidance on the outcomes of ICBT for alcohol misuse delivered in an online therapy clinic.
View Article and Find Full Text PDFAlcohol misuse-a national pandemic: an investigation to identify whether implementing an alcohol brief intervention service would benefit patients attending an oral and maxillofacial (OMFS) department.
Public Health
April 2017
Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TE, UK.
Screening and brief intervention for drug use in primary care: the ASPIRE randomized clinical trial.
JAMA
August 2014
Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts2Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston.
Importance: The United States has invested substantially in screening and brief intervention for illicit drug use and prescription drug misuse, based in part on evidence of efficacy for unhealthy alcohol use. However, it is not a recommended universal preventive service in primary care because of lack of evidence of efficacy.
Objective: To test the efficacy of 2 brief counseling interventions for unhealthy drug use (any illicit drug use or prescription drug misuse)-a brief negotiated interview (BNI) and an adaptation of motivational interviewing (MOTIV)-compared with no brief intervention.
Objective: Valid quality indicators are needed to monitor and encourage identification and management of mental health and substance use conditions (behavioral conditions). Because behavioral conditions are frequently underidentified, quality indicators often evaluate the proportion of patients who screen positive for a condition who also have appropriate follow-up care documented. However, these "positive-screen-based" quality indicators of follow-up for behavioral conditions could be biased by differences in the denominator due to differential screening quality ("denominator bias") and could reward identification of fewer patients with the behavioral conditions of interest.
View Article and Find Full Text PDFReview of the forensic psychiatry service at Zomba Mental Hospital and a comparison of forensic psychiatry services in Malawi and Scotland.
Med Sci Law
April 2010
Murray Royal Hospital, Perth, Scotland PH2 7BH, UK.
This retrospective case-note study describes the demographic details, offences and diagnostic characteristics of 283 patients admitted to Zomba Mental Hospital, Malawi, after early diversion from the Criminal Justice System between May 1997 and February 2007. Given the historical links between Malawi and Scotland and the ongoing involvement of Scottish psychiatrists in the development of psychiatry in Malawi, a comparison is drawn between the provision of secure psychiatric treatment in these low- and high-income countries. Consistent with Scottish prison mental health team referrals and Scottish high secure psychiatric patients, the Malawian patients were predominantly men, poorly educated and drug misusing, but alcohol was less often a problem.
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