A systematic review of interventions for reducing heavy episodic drinking in sub-Saharan African settings.
A systematic review of interventions for reducing heavy episodic drinking in sub-Saharan African settings.
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DOI：
10.1371/journal.pone.0242678
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Kiene SM
中科院分区：
文献类型：
--
作者：
Sileo KM;Miller AP;Huynh TA;Kiene SM
评估非药物酒精干预措施对减少撒哈拉以南非洲重度发作性饮酒（HED）结果的影响。对截至2020年8月19日的现有文献进行了系统综述。在撒哈拉以南非洲测试酒精消费非药物干预措施的随机和非随机对照试验符合纳入条件。符合条件的结果包括HED/狂饮的测量，以及表明这种饮酒模式的测量，如高血液酒精浓度或中毒频率。三位作者提取并整理相关数据，评估偏倚风险。审查方案可在PROSPERO（注册号：CRD42019094509）上获得。《Cochrane手册》对干预措施评价的建议和系统评价和荟萃分析的首选报告项目（PRISMA）指南指导了所有的方法。13项干预试验符合我们的纳入标准，并测量了HED的变化。研究被判定为中等质量。6项研究报告了非药物干预对HED的有益影响，其中3项被综述作者认为具有临床意义；在其他七项研究中没有发现统计学上显著的影响。具有统计学和/或临床意义的干预措施的干预剂量为两小时或更长时间，使用一系列社会心理方法，包括简短干预中的动机性访谈、认知行为疗法和综合风险降低干预，并以个人和团体方式进行。在撒哈拉以南非洲地区，非药物干预措施有效减少HED的证据有限，这表明需要进行更多的研究。为了加强文献，未来的研究应该采用更严格的研究设计，提高HED测量的一致性，测试专门针对HED开发的干预措施，并探索减少HED的结构性方法。
Assess the effect of non-pharmacological alcohol interventions on reducing heavy episodic drinking (HED) outcomes in sub-Saharan Africa. A systematic review of the available literature through August 19, 2020 was conducted. Randomized and non-randomized controlled trials testing non-pharmacological interventions on alcohol consumption in sub-Saharan Africa were eligible for inclusion. Eligible outcomes included measures of HED/binge drinking, and measures indicative of this pattern of drinking, such as high blood alcohol concentration or frequency of intoxication. Three authors extracted and reconciled relevant data and assessed risk of bias. The review protocol is available on PROSPERO (registration number: CRD42019094509). The Cochrane Handbook recommendations for the review of interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines guided all methodology. Thirteen intervention trials were identified that met our inclusion criteria and measured change in HED. Studies were judged of moderate quality. A beneficial effect of non-pharmacological interventions on HED was reported in six studies, three of which were deemed clinically significant by the review authors; no statistically significant effects were identified in the other seven studies. Interventions achieving statistical and/or clinical significance had an intervention dose of two hours or greater, used an array of psychosocial approaches, including Motivational Interviewing integrated in Brief Intervention, cognitive behavioral therapy and integrated risk reduction interventions, and were delivered both individually and in groups. Evidence for the effectiveness of non-pharmacological interventions to reduce HED in sub-Saharan African settings was limited, demonstrating the need for more research. To strengthen the literature, future research should employ more rigorous study designs, improve consistency of HED measurement, test interventions developed specifically to address HED, and explore structural approaches to HED reduction.
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影响因子：
3.8
作者：
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4.8
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通讯作者：
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