The effectiveness of psychosocial interventions at reducing the frequency of alcohol and drug use in parents: findings of a Cochrane Review and meta-analyses.
alcohol
drugs
meta-analyses
parent
psychosocial intervention
Journal
Addiction (Abingdon, England)
ISSN: 1360-0443
Titre abrégé: Addiction
Pays: England
ID NLM: 9304118
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
received:
07
05
2021
accepted:
24
01
2022
pubmed:
22
2
2022
medline:
9
9
2022
entrez:
21
2
2022
Statut:
ppublish
Résumé
Parental substance use is a major public health and safeguarding concern. There have been a number of trials examining interventions targeting this risk factor. We aimed to estimate the effectiveness of psychosocial interventions at reducing parental substance use. We used systematic methods to identify trials; pooling data using a random-effects model. Moderator analyses examined influence of parent gender, presence of child in treatment and intervention type. No restrictions on setting. Substance using parents of children below the age of 21 years. Psychosocial interventions including those that targeted drug and alcohol use only, and drug and alcohol use in combination with associated issues. Frequency of alcohol use and frequency of drug use. We included eight unique studies with a total of 703 participants. Psychosocial interventions were more effective at reducing the frequency of parental alcohol use than comparison conditions at 6-month [standardized mean difference (SMD) = - 0.32, 95% confidence interval (CI) = -0.51 to -0.13, P = 0.001] and 12-month follow-up (SMD = -0.25, 95% CI = -0.47 to -0.03, P = 0.02) and frequency of parental drug use at 12 months only (SMD = -0.21, 95% CI = -0.41 to -0.01, P = 0.04). Integrated interventions which combined both parenting and substance use targeted components were effective at reducing the frequency of alcohol use (6 months: SMD = -0.56, 95% CI = -0.96 to -0.016, P = 0.006; 12 months: SMD = -0.42, 95% CI = -0.82 to -0.03, P = 0.04) and drug use (6 months: SMD = -0.39, 95% CI = -0.75 to -0.03, P = 0.04; 12 months: SMD = -0.43, 95% CI = -0.80 to -0.07, P = 0.02). Interventions targeting only substance use or parenting skills were not effective at reducing frequency of alcohol or drug use at either time-point. Psychosocial interventions should target both parenting and substance use in an integrated intervention.
Sections du résumé
BACKGROUND AND AIM
Parental substance use is a major public health and safeguarding concern. There have been a number of trials examining interventions targeting this risk factor. We aimed to estimate the effectiveness of psychosocial interventions at reducing parental substance use.
DESIGN
We used systematic methods to identify trials; pooling data using a random-effects model. Moderator analyses examined influence of parent gender, presence of child in treatment and intervention type.
SETTING
No restrictions on setting.
PARTICIPANTS
Substance using parents of children below the age of 21 years.
INTERVENTIONS
Psychosocial interventions including those that targeted drug and alcohol use only, and drug and alcohol use in combination with associated issues.
MEASUREMENTS
Frequency of alcohol use and frequency of drug use.
FINDINGS
We included eight unique studies with a total of 703 participants. Psychosocial interventions were more effective at reducing the frequency of parental alcohol use than comparison conditions at 6-month [standardized mean difference (SMD) = - 0.32, 95% confidence interval (CI) = -0.51 to -0.13, P = 0.001] and 12-month follow-up (SMD = -0.25, 95% CI = -0.47 to -0.03, P = 0.02) and frequency of parental drug use at 12 months only (SMD = -0.21, 95% CI = -0.41 to -0.01, P = 0.04). Integrated interventions which combined both parenting and substance use targeted components were effective at reducing the frequency of alcohol use (6 months: SMD = -0.56, 95% CI = -0.96 to -0.016, P = 0.006; 12 months: SMD = -0.42, 95% CI = -0.82 to -0.03, P = 0.04) and drug use (6 months: SMD = -0.39, 95% CI = -0.75 to -0.03, P = 0.04; 12 months: SMD = -0.43, 95% CI = -0.80 to -0.07, P = 0.02). Interventions targeting only substance use or parenting skills were not effective at reducing frequency of alcohol or drug use at either time-point.
CONCLUSION
Psychosocial interventions should target both parenting and substance use in an integrated intervention.
Identifiants
pubmed: 35188313
doi: 10.1111/add.15846
pmc: PMC9543590
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2571-2582Subventions
Organisme : Medical Research Council
ID : MR/K02325X/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/L022206/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N00616X/1
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2022 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.
Références
J Subst Abuse Treat. 2018 Jun;89:52-59
pubmed: 29706173
Child Welfare. 2015;94(5):167-86
pubmed: 26827470
Drug Alcohol Rev. 2012 May;31(3):334-41
pubmed: 21615809
Neurobiol Stress. 2019 May 15;11:100172
pubmed: 31193862
Am J Orthopsychiatry. 2010 Apr;80(2):204-12
pubmed: 20553514
Drug Alcohol Rev. 2016 Nov;35(6):728-740
pubmed: 27246821
Alcohol Clin Exp Res. 2013 Dec;37(12):2118-27
pubmed: 23895510
Alcohol Clin Exp Res. 2002 Dec;26(12):1823-32
pubmed: 12500106
Addiction. 2022 Oct;117(10):2571-2582
pubmed: 35188313
J Clin Epidemiol. 2011 Apr;64(4):383-94
pubmed: 21195583
J Pediatr Psychol. 2009 May;34(4):344-53
pubmed: 18784184
Psychol Addict Behav. 2003 Mar;17(1):3-12
pubmed: 12665076
Br J Gen Pract. 2012 Dec;62(605):e827-33
pubmed: 23211263
Subst Abuse Treat Prev Policy. 2010 Sep 01;5:21
pubmed: 20809957
J Fam Soc Work. 2017;20(3):196-212
pubmed: 31105414
J Clin Psychiatry. 2013 Aug;74(8):795-801
pubmed: 24021496
Drug Alcohol Rev. 2015 Jan;34(1):38-45
pubmed: 24602040
Health Econ. 2021 Dec;30(12):3087-3105
pubmed: 34523182
Cochrane Database Syst Rev. 2021 Mar 16;3:CD012823
pubmed: 33723860
BMC Public Health. 2011 Sep 19;11:706
pubmed: 21929803
Subst Use Misuse. 1999 Aug;34(10):1371-406
pubmed: 10446766
J Child Psychol Psychiatry. 2010 Sep;51(9):1067-75
pubmed: 20085606
Child Abuse Negl. 2017 Aug;70:11-27
pubmed: 28551458
J Subst Abuse Treat. 2008 Jan;34(1):90-100
pubmed: 17574799
Psychol Addict Behav. 2005 Mar;19(1):43-53
pubmed: 15783277
BMC Psychiatry. 2017 Dec 28;17(1):412
pubmed: 29282091
J Trauma Acute Care Surg. 2013 Oct;75(4):676-81
pubmed: 24064882
Arch Dis Child. 2015 May;100(5):432-7
pubmed: 25398446
J Evid Based Soc Work. 2008;5(1-2):157-89
pubmed: 19064448
J Consult Clin Psychol. 2002 Apr;70(2):417-27
pubmed: 11952200
J Consult Clin Psychol. 2014 Aug;82(4):706-720
pubmed: 24841866
Child Maltreat. 2009 Aug;14(3):243-54
pubmed: 19502478
Child Abuse Negl. 2012 Apr;36(4):308-22
pubmed: 22483158
Am J Drug Alcohol Abuse. 2000 May;26(2):207-27
pubmed: 10852357
Clin Psychol Rev. 2008 Jul;28(6):952-62
pubmed: 18374464
Psychol Addict Behav. 2016 Sep;30(6):619-29
pubmed: 27454370
Trauma Violence Abuse. 2020 Jul;21(3):470-483
pubmed: 29739281
BMC Public Health. 2014 Feb 24;14:197
pubmed: 24564822
Subst Use Misuse. 2008;43(12-13):1971-86
pubmed: 19016174
Prev Sci. 2016 Jul;17(5):606-14
pubmed: 27178008
Addiction. 1999 Feb;94(2):241-54
pubmed: 10396792
Subst Use Misuse. 2001 Sep;36(11):1543-70
pubmed: 11693955
Soc Sci Med. 2011 Mar;72(6):984-91
pubmed: 21353360
J Subst Abuse Treat. 2010 Apr;38(3):263-74
pubmed: 20116961
Int J Drug Policy. 2013 Nov;24(6):e35-42
pubmed: 23688832
Drug Alcohol Depend. 2007 Jan 5;86(1):46-54
pubmed: 16769181
J Subst Abuse Treat. 2013 Nov-Dec;45(5):416-25
pubmed: 23890686
BMJ. 2011 Jul 22;343:d4002
pubmed: 21784880