A meta-analysis of the effectiveness of bibliotherapy for alcohol problems
A meta-analysis of the effectiveness of bibliotherapy for alcohol problems
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DOI：
10.1002/jclp.10130
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发表时间：
2003-03-01
影响因子：
3
通讯作者：
Miller, WR
中科院分区：
文献类型：
--
作者：
Apodaca, TR;Miller, WR
人们越来越感兴趣的是使用简短的干预措施，并通过非专科医疗保健机构提供酒精治疗服务。一个可能的资源，以达到未经治疗的个人是“阅读疗法”，提供自助材料，以激励和指导改变饮酒行为的过程。关于问题饮酒者自助材料的有效性的研究已经进行了三十年。本报告总结了对22项评估此类自助材料有效性的研究的荟萃分析综述。每项研究都根据12个方法学标准进行评分，并计算阅读疗法的效应量。相对于其他治疗结果研究，研究的方法学质量通常较高。适度的支持被发现的自助材料在减少危险和有害的饮酒的功效。阅读疗法的加权平均前/后效应大小为0.80，自我推荐的个人寻求饮酒问题的帮助，通过健康筛查确定的个人为0.65。生物生物疗法与无干预对照组的组间比较似乎具有小到中等的效果，自我参考饮酒者的加权平均效应量为0.31：基于健康筛查的机会性干预的效应量变化更大。最后，阅读疗法与更广泛的干预措施对饮酒影响的组间比较产生了接近零的效应值。这些研究结果提供了支持，具有成本效益的使用问题饮酒者寻求这种帮助，以减少他们的消费，并在较小程度上与饮酒者谁是通过筛选确定为风险阅读疗法。(C)2003 Wiley Periodicals，Inc.
There has been increased interest in the use of brief interventions and the delivery of alcohol treatment services through nonspecialist health care settings. One possible resource for reaching untreated individuals is "bibliotherapy," the provision of self-help materials to motivate and guide the process of changing drinking behavior. Research on the effectiveness of self-help materials for problem drinkers has been done for three decades. This report summarizes a meta-analytic review of 22 studies evaluating the effectiveness of such self-help materials. Each study was rated on 12 methodological criteria, and effect sizes of bibliotherapy were computed. The methodological quality of studies was generally high relative to other treatment-outcome studies. Modest support was found for the efficacy of self-help materials in decreasing at-risk and harmful drinking. The weighted mean pre/post-effect size for bibliotherapy was .80 with self-referred individuals seeking help for drinking problems, and .65 for individuals identified through health screening. Between-group comparisons of bibiotherapy with no-intervention controls appear to have a small to medium effect, with a weighted mean effect size of .31 with self-referred drinkers: effect size was more variable in opportunistic interventions based on health screening. Finally, between-group comparisons of effects on drinking of bibliotherapy versus more extensive interventions yielded effect size values near zero. These findings provide support for the cost-effective use of bibliotherapy with problem drinkers seeking such help to reduce their consumption, and to a lesser extent with drinkers who are identified through screening as at risk. (C) 2003 Wiley Periodicals, Inc.