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Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review
BACKGROUND: The purpose of this systematic review is to assess the effectiveness of brief interventions (BIs) as part of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances. METHODS: Bibliographic databases (including...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042132/ https://www.ncbi.nlm.nih.gov/pubmed/24887418 http://dx.doi.org/10.1186/2046-4053-3-50 |
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author | Young, Matthew M Stevens, Adrienne Galipeau, James Pirie, Tyler Garritty, Chantelle Singh, Kavita Yazdi, Fatemeh Golfam, Mohammed Pratt, Misty Turner, Lucy Porath-Waller, Amy Arratoon, Cheryl Haley, Nancy Leslie, Karen Reardon, Rhoda Sproule, Beth Grimshaw, Jeremy Moher, David |
author_facet | Young, Matthew M Stevens, Adrienne Galipeau, James Pirie, Tyler Garritty, Chantelle Singh, Kavita Yazdi, Fatemeh Golfam, Mohammed Pratt, Misty Turner, Lucy Porath-Waller, Amy Arratoon, Cheryl Haley, Nancy Leslie, Karen Reardon, Rhoda Sproule, Beth Grimshaw, Jeremy Moher, David |
author_sort | Young, Matthew M |
collection | PubMed |
description | BACKGROUND: The purpose of this systematic review is to assess the effectiveness of brief interventions (BIs) as part of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances. METHODS: Bibliographic databases (including MEDLINE, Embase, The Cochrane Library, CINAHL, and PsycINFO to April 2012) and gray literature sources were searched. We included randomized controlled trials that opportunistically screened adolescents or adults and then provided a one-to-one, verbal BI to those at risk of substance-use harm. Of interest was the nonmedical use of psychoactive substances (for example, drugs prohibited by international law), excluding alcohol, nicotine, and caffeine. Interventions comprised four or fewer sessions and were compared with no/delayed intervention or provision of information only. Studies were assessed for bias using the Cochrane risk of bias tool. Results were synthesized narratively. Evidence was interpreted according to the GRADE framework. RESULTS: We identified 8,836 records. Of these, five studies met our inclusion criteria. Two studies compared BI with no BI, and three studies compared BI with information only. Studies varied in characteristics such as substances targeted, screening procedures, and BI administered. Outcomes were mostly reported by a single study, leading to limited or uncertain confidence in effect estimates. CONCLUSIONS: Insufficient evidence exists as to whether BIs, as part of SBIRT, are effective or ineffective for reducing the use of, or harms associated with nonmedical use of, psychoactive substances when these interventions are administered to nontreatment-seeking, screen-detected populations. Updating this review with emerging evidence will be important. TRIAL REGISTRATION: CRD42012002414 |
format | Online Article Text |
id | pubmed-4042132 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40421322014-06-04 Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review Young, Matthew M Stevens, Adrienne Galipeau, James Pirie, Tyler Garritty, Chantelle Singh, Kavita Yazdi, Fatemeh Golfam, Mohammed Pratt, Misty Turner, Lucy Porath-Waller, Amy Arratoon, Cheryl Haley, Nancy Leslie, Karen Reardon, Rhoda Sproule, Beth Grimshaw, Jeremy Moher, David Syst Rev Research BACKGROUND: The purpose of this systematic review is to assess the effectiveness of brief interventions (BIs) as part of the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances. METHODS: Bibliographic databases (including MEDLINE, Embase, The Cochrane Library, CINAHL, and PsycINFO to April 2012) and gray literature sources were searched. We included randomized controlled trials that opportunistically screened adolescents or adults and then provided a one-to-one, verbal BI to those at risk of substance-use harm. Of interest was the nonmedical use of psychoactive substances (for example, drugs prohibited by international law), excluding alcohol, nicotine, and caffeine. Interventions comprised four or fewer sessions and were compared with no/delayed intervention or provision of information only. Studies were assessed for bias using the Cochrane risk of bias tool. Results were synthesized narratively. Evidence was interpreted according to the GRADE framework. RESULTS: We identified 8,836 records. Of these, five studies met our inclusion criteria. Two studies compared BI with no BI, and three studies compared BI with information only. Studies varied in characteristics such as substances targeted, screening procedures, and BI administered. Outcomes were mostly reported by a single study, leading to limited or uncertain confidence in effect estimates. CONCLUSIONS: Insufficient evidence exists as to whether BIs, as part of SBIRT, are effective or ineffective for reducing the use of, or harms associated with nonmedical use of, psychoactive substances when these interventions are administered to nontreatment-seeking, screen-detected populations. Updating this review with emerging evidence will be important. TRIAL REGISTRATION: CRD42012002414 BioMed Central 2014-05-24 /pmc/articles/PMC4042132/ /pubmed/24887418 http://dx.doi.org/10.1186/2046-4053-3-50 Text en Copyright © 2014 Young et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Young, Matthew M Stevens, Adrienne Galipeau, James Pirie, Tyler Garritty, Chantelle Singh, Kavita Yazdi, Fatemeh Golfam, Mohammed Pratt, Misty Turner, Lucy Porath-Waller, Amy Arratoon, Cheryl Haley, Nancy Leslie, Karen Reardon, Rhoda Sproule, Beth Grimshaw, Jeremy Moher, David Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title | Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title_full | Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title_fullStr | Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title_full_unstemmed | Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title_short | Effectiveness of brief interventions as part of the Screening, Brief Intervention and Referral to Treatment (SBIRT) model for reducing the nonmedical use of psychoactive substances: a systematic review |
title_sort | effectiveness of brief interventions as part of the screening, brief intervention and referral to treatment (sbirt) model for reducing the nonmedical use of psychoactive substances: a systematic review |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042132/ https://www.ncbi.nlm.nih.gov/pubmed/24887418 http://dx.doi.org/10.1186/2046-4053-3-50 |
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