Your browser doesn't support javascript.
loading
Systematic review of treatment completion rates and correlates among young people accessing alcohol and other drug treatment.
Wells, Megan; Kelly, Peter J; Robson, Davina; Haynes, Chloe; Hatton, Emma; Larance, Briony.
Afiliación
  • Wells M; School of Psychology, University of Wollongong, Australia. Electronic address: meganwe@uow.edu.au.
  • Kelly PJ; School of Psychology, University of Wollongong, Australia.
  • Robson D; School of Psychology, University of Wollongong, Australia; School of Education, Faculty of Arts, Design and Architecture, University of New South Wales, Australia.
  • Haynes C; School of Psychology, University of Wollongong, Australia.
  • Hatton E; School of Psychology, University of Wollongong, Australia.
  • Larance B; School of Psychology, University of Wollongong, Australia; National Drug and Alcohol Research Centre, University of New South Wales, Australia.
Drug Alcohol Depend ; 262: 111376, 2024 Sep 01.
Article en En | MEDLINE | ID: mdl-38971027
ABSTRACT
BACKGROUND AND

AIMS:

Treatment completion is associated with improved alcohol and other drug (AOD) treatment outcomes. Unfortunately, treatment disengagement is common, particularly among young people. We reviewed and synthesised research on AOD treatment completion and/or early disengagement among young people.

METHODS:

We conducted a systematic review and meta-analysis of studies reporting on completion rates and/or early disengagement from psychosocial AOD treatment among adolescents and young adults. An overall estimated treatment completion rate was calculated using inverse-variance random effects meta-analysis, and random-effects meta-regression was used to identify between-study level moderators of completion rate. We completed a narrative review summarising literature on early treatment disengagement and within-study level correlates of treatment completion. Study quality was assessed using the EPHPP.

RESULTS:

Of the 6158 studies screened, we retained 410 for full text review and included 98 studies in the review. Treatment completion rates were reported in 88 studies, and early disengagement rates were reported in 13. The estimated overall treatment completion rate was 59 % (95 % CI=57-61 %), with experimental studies reporting higher rates of completion than observational studies. There was limited evidence for demographic or substance-related correlates of treatment completion. Contingency management was associated with increased completion rates, as was family-based intervention.

CONCLUSIONS:

Disengagement from AOD treatment among youth populations is common and contributes to poor treatment outcomes. Existing research has yielded little consensus on the factors associated with treatment completion. The use of contingency management strategies and involving family/social supports in treatment were identified as potential avenues for promoting ongoing treatment engagement.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias Límite: Adolescent / Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Relacionados con Sustancias Límite: Adolescent / Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda