Table 34Motivational techniques versus control evidence summary

Outcome or subgroupNStatistical methodEffect estimate (SMD, 95% CI)
Lapse or relapse
Lapsed up until 6-month follow-up
At 6 months82RR (M-H, Random, 95% CI)0.90 (0.77, 1.06)
Lapsed >12-month follow-up
At 5-year follow-up56RR (M-H, Random, 95% CI)1.03 (0.77, 1.37)
Amount of alcohol consumed
Amount of alcohol consumed up to 6-month follow-up
Average drinks per day (log transformed) over entire assessment period at 1-month follow-up61SMD (IV, Random, 95% CI)-0.67 (-1.20, -0.15)
Average drinks per day (log transformed) over entire assessment period at 2-month follow-up61SMD (IV, Random, 95% CI)-0.46 (-0.97, 0.06)
DDD (log transformed) at 1-month follow-up61SMD (IV, Random, 95% CI)-0.17 (-0.68, 0.34)
DDD (log transformed) at 2-month follow-up61SMD (IV, Random, 95% CI)0.21 (-0.30, 0.72)
Amount of alcohol consumed 7- to 12-month follow-up
Average drinks per day (log transformed) over entire assessment period at 12-month follow-up61SMD (IV, Random, 95% CI)-0.20 (-0.71, 0.31)
DDD (log transformed) at 12-month follow-up61SMD (IV, Random, 95% CI)0.36 (-0.15, 0.88)
Rates of consumption
Rates of consumption up to 6-month follow-up
Days any alcohol use at 5-month follow-up139SMD (IV, Random, 95% CI)-0.31 (-0.64, 0.03)
Days heavy alcohol use (more than four drinks) at 5-month follow-up46SMD (IV, Random, 95% CI)-0.70 (-1.30, -0.11)
Rate of consumption up to 6-month follow-up
Exceeded national drinking guidelines at least once at 6-month follow-up82RR (M-H, Random, 95% CI)0.89 (0.66, 1.19)
Exceeded national drinking guidelines six or more times at 6-month follow-up82RR (M-H, Random, 95% CI)0.89 (0.66, 1.19)
Drank at least ten standard drinks at least once at 6-month follow-up82RR (M-H, Random, 95% CI)0.77 (0.58, 1.03)
Drank at least ten drinks six or more times at 6-month follow-up82RR (M-H, Random, 95% CI)0.66 (0.43, 1.00)
Rates of consumption >12-month follow-up
Exceeded national drinking guidelines at least once at 5-year follow-up56RR (M-H, Random, 95% CI)0.90 (0.60, 1.36)
Exceeded national drinking guidelines six or more times at 5-year follow-up56RR (M-H, Random, 95% CI)0.92 (0.52, 1.62)
Drank at least ten standard drinks at least once at 5-year follow-up56RR (M-H, Random, 95% CI)0.64 (0.34, 1.22)
Drank at least ten drinks six or more times at 5-year follow-up56RR (M-H, Random, 95% CI)0.72 (0.29, 1.74)
Attrition (dropout)
Attrition (dropout) post-treatment290RR (M-H, Random, 95% CI)1.09 (0.76, 1.57)
Attrition (dropout) up to 6-month follow-up82RR (M-H, Random, 95% CI)Not estimable
At 6-month follow-up82RR (M-H, Random, 95% CI)Not estimable
Attrition (dropout) at 7- to 12-month follow-up61
At 12 months61RR (M-H, Random, 95% CI)0.89 (0.30, 2.61)
Attrition (dropout) >12-month follow-up82RR (M-H, Random, 95% CI)1.30 (0.68, 2.48)
At 5-year follow-up82RR (M-H, Random, 95% CI)1.30 (0.68, 2.48)

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 (UK); 2011.
Copyright © 2011, The British Psychological Society & The Royal College of Psychiatrists.

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