Table 50Behavioural therapy versus other intervention evidence summary

Outcome or subgroupNStatistical methodEffect estimate (SMD, 95% CI)
Abstinence
Abstinence post-treatment
PDA per week73SMD (IV, Random, 95% CI)0.11 (−0.35, 0.57)
Controlled (three or more standard drinks) per week post-treatment73SMD (IV, Random, 95% CI)0.00 (−0.46, 0.47)
Abstinence up to 6-month follow-up
PDA/light per month at 3-month follow-up63SMD (IV, Random, 95% CI)0.77 (0.23, 1.31)
PDA/light per month at 6-month follow-up83SMD (IV, Random, 95% CI)0.49 (0.06, 0.93)
Abstinence 7- to 12-month follow-up
PDA/light per month at 9-month follow-up61SMD (IV, Random, 95% CI)0.60 (0.05, 1.15)
PDA/light per month at 12-month follow-up61SMD (IV, Random, 95% CI)0.54 (−0.01, 1.09)
Abstinent days per week at 12-month follow-up105SMD (IV, Random, 95% CI)0.22 (−0.17, 0.60)
Controlled (three or more standard drinks) per week at 12-month follow-up105SMD (IV, Random, 95% CI)0.19 (−0.19, 0.57)
Abstinence >12-month follow-up
Abstinent days per week at 24-month follow-up93SMD (IV, Random, 95% CI)0.14 (−0.26, 0.55)
Controlled (three or more standard drinks) per week at 24-month follow-up93SMD (IV, Random, 95% CI)0.28 (−0.13, 0.69)
Amount of alcohol consumed
Amount of alcohol consumed post-treatment73SMD (IV, Random, 95% CI)−0.12 (−0.59, 0.34)
Total weekly alcohol consumption (standard drinks) post-assessment73SMD (IV, Random, 95% CI)−0.12 (−0.59, 0.34)
Amount of alcohol consumed up to 6-month follow-up
Total weekly alcohol consumption at 3-month follow-up164SMD (IV, Random, 95% CI)0.12 (−0.21, 0.44)
Drinks per occasion at 6-month follow-up42SMD (IV, Random, 95% CI)−0.66 (−1.29, −0.04)
Total weekly alcohol consumption at 6-month follow-up164SMD (IV, Random, 95% CI)0.14 (−0.19, 0.46)
Amount of alcohol consumed per week 7- to 12-month follow-up
Total weekly alcohol consumption at 9-month follow-up164SMD (IV, Random, 95% CI)0.05 (−0.28, 0.37)
Total weekly alcohol consumption at 12-month follow-up269SMD (IV, Random, 95% CI)0.18 (−0.07, 0.42)
Amount of alcohol consumed per week >12-month follow-up105SMD (IV, Random, 95% CI)0.08 (−0.31, 0.46)
Total weekly alcohol consumption at 24 months follow-up105SMD (IV, Random, 95% CI)0.08 (−0.31, 0.46)
Rates of consumption
Rates of consumption up to 6-month follow-up
Percentage of days heavy drinking (more than six drinks per day) at 3-month follow-up64SMD (IV, Random, 95% CI)0.96 (0.42, 1.51)
Percentage of days heavy drinking (more than six drinks per day) at 6-month follow-up63SMD (IV, Random, 95% CI)0.59 (0.06, 1.13)
Drinking days per month at 6-month follow-up42SMD (IV, Random, 95% CI)−0.61 (−1.23, 0.01)
Rates of consumption up to 7-to 12-month follow-up
Percentage of days heavy drinking (more than six drinks per day) at 9-month follow-up62SMD (IV, Random, 95% CI)0.85 (0.30, 1.41)
Percentage of days heavy drinking (more than six drinks per day) at 12-month follow-up62SMD (IV, Random, 95% CI)0.66 (0.12, 1.21)
Attrition (dropout) post-treatment306RR (M-H, Random, 95% CI)1.73 (1.13, 2.63)
Attrition (dropout) up to 6-month follow-up
At 3 months64RR (M-H, Random, 95% CI)0.61 (0.03, 13.87)
At 6 month110RR (M-H, Random, 95% CI)1.55 (0.35, 6.82)
Attrition (dropout) – 7- to 12-month follow-up251RR (M-H, Random, 95% CI)1.49 (0.72, 3.07)
At 9 months63RR (M-H, Random, 95% CI)3.10 (0.41, 23.61)
At 12 months188RR (M-H, Random, 95% CI)1.34 (0.61, 2.90)
Attrition (dropout) – >12-month follow-up105RR (M-H, Random, 95% CI)0.98 (0.34, 2.85)
At 24 months105RR (M-H, Random, 95% CI)0.98 (0.34, 2.85)

From: 6, PSYCHOLOGICAL AND PSYCHOSOCIAL INTERVENTIONS

Cover of Alcohol-Use Disorders
Alcohol-Use Disorders: Diagnosis, Assessment and Management of Harmful Drinking and Alcohol Dependence.
NICE Clinical Guidelines, No. 115.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society; 2011.
Copyright © 2011, The British Psychological Society & The Royal College of Psychiatrists.

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