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Effectiveness of treatment for alcohol problems: Findings of the randomised United Kingdom Alcohol Treatment Trial (UKATT)

Russell, I., Orford, J., Alwyn, T., Black, R., Copello, A., Coulton, S., Farrin, A., Godfrey, C., Morton, V., Finnegan, O., Handforth, L., Middleton, W., Raistrick, D., Thistlethwaite, G., Tober, G., Westwood, A., Fryer, K., Heather, N., Hodgson, R., John, B., Kerr, C., Parrott, S., Slegg, G., Smith, M., Smith, A., Barrett, C., Kenyon, R., Chalk, P., Champney-Smith, J., McBride, A., Crome, I., Parkes, S., Emlyn-Jones, R., Fleming, A., Kahn, A., Summers, Z. and Williams, P. (2005) Effectiveness of treatment for alcohol problems: Findings of the randomised United Kingdom Alcohol Treatment Trial (UKATT). British Medical Journal, 331 (7516). pp. 541-544. ISSN 0959-8138

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Objective: To compare the effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy.

Design: Pragmatic randomised trial.

Setting: Seven treatment sites around Birmingham, Cardiff, and Leeds.

Participants: 742 clients with alcohol problems; 689 (93.0%) were interviewed at three months and 617 (83.2%) at 12 months.

Interventions: Social behaviour and network therapy and motivational enhancement therapy.

Main outcome measures: Changes in alcohol consumption, alcohol dependence, and alcohol related problems over 12 months.

Results: Both groups reported substantial reductions in alcohol consumption, dependence, and problems, and better mental health related quality of life over 12 months. Between groups we found only one significant difference in outcome, probably due to chance: the social network group showed significantly better physical health at three months. Non-significant differences at 12 months in the motivational group relative to the social network group included: the number of drinks consumed per drinking day had decreased by an extra 1.1 (95% confidence interval -1.0 to 3.2); scores on the Leeds dependence questionnaire had improved by an extra 0.6 (-0.7 to 2.0); scores on the alcohol problems questionnaire had improved by an extra 0.5 (-0.4 to 1.4); but the number of days abstinent from drinking had increased by 1.2% less (-4.5% to 6.9%).

Conclusion: The novel social behaviour and network therapy for alcohol problems did not differ significantly in effectiveness from the proved motivational enhancement therapy.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Centre for Health Economics (York)
The University of York > Health Sciences (York)
Depositing User: York RAE Import
Date Deposited: 18 Sep 2009 09:29
Last Modified: 18 Sep 2009 09:29
Published Version: http://dx.doi.org/10.1136/bmj.331.7516.541
Status: Published
Publisher: BMJ Publishing Group
Identification Number: 10.1136/bmj.331.7516.541
URI: http://eprints.whiterose.ac.uk/id/eprint/5799

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