What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada
Background First Nations peoples of Australia, New Zealand, the United States of America (USA) and Canada are more likely to be non-drinkers than other people in these countries. However, those who do drink may be at greater risk of alcohol-related harms (at a population level) due to the ongoing im...
Published in: | Addiction Science & Clinical Practice |
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BioMed Central
2020
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Online Access: | https://acuresearchbank.acu.edu.au/download/eeee7008c775c38d95ee9312869b5b6e42daa7633ff73722bcea5a96a807d04e/1216890/OA_Purcell_Khodr_2020_What_can_primary_care_services_do.pdf https://doi.org/10.1186/s13722-020-00204-8 |
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ftaustraliancuni:oai:acuresearchbank.acu.edu.au:8z37y 2024-02-27T08:40:31+00:00 What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada Purcell-Khodr, Gemma C. Lee, K. S. Kylie Conigrave, James H. Webster, Emma Conigrave, Katherine M. 2020 application/pdf https://acuresearchbank.acu.edu.au/download/eeee7008c775c38d95ee9312869b5b6e42daa7633ff73722bcea5a96a807d04e/1216890/OA_Purcell_Khodr_2020_What_can_primary_care_services_do.pdf https://doi.org/10.1186/s13722-020-00204-8 unknown BioMed Central https://acuresearchbank.acu.edu.au/item/8z37y/what-can-primary-care-services-do-to-help-first-nations-people-with-unhealthy-alcohol-use-a-systematic-review-australia-new-zealand-usa-and-canada ISSN:1940-0632 https://acuresearchbank.acu.edu.au/download/eeee7008c775c38d95ee9312869b5b6e42daa7633ff73722bcea5a96a807d04e/1216890/OA_Purcell_Khodr_2020_What_can_primary_care_services_do.pdf https://doi.org/10.1186/s13722-020-00204-8 Purcell-Khodr, Gemma C., Lee, K. S. Kylie, Conigrave, James H., Webster, Emma and Conigrave, Katherine M. (2020). What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada. Addiction Science and Clinical Practice. 15(1), p. Article 31. https://doi.org/10.1186/s13722-020-00204-8 CC BY 4.0 Indigenous First Nations alcohol primary health care outpatient relapse prevention medicines naltrexone disulfiram culture cultural healing journal-article 2020 ftaustraliancuni https://doi.org/10.1186/s13722-020-00204-8 2024-01-29T23:23:53Z Background First Nations peoples of Australia, New Zealand, the United States of America (USA) and Canada are more likely to be non-drinkers than other people in these countries. However, those who do drink may be at greater risk of alcohol-related harms (at a population level) due to the ongoing impacts from colonisation and associated oppression. Addressing unhealthy drinking (drinking above recommended limits including alcohol use disorders) in primary care settings is one important way to increase accessibility of treatment. Methods This systematic review identifies peer-reviewed studies of alcohol treatments delivered in primary care or other non-residential settings for First Nations peoples of Australia, New Zealand, USA and Canada. Literature searches were conducted in seven academic databases from their inception until March, 2020. We assessed evidence of treatment or implementation effectiveness, perceived acceptability or accessibility, and the study quality as assessed by the AXIS tool and by a measure of community participation in the research process. Results Twenty-eight studies were included, published between 1968 and 2018. Studies reported on a range of alcohol treatments, from brief intervention to ambulatory withdrawal management, relapse prevention medicines, and cultural therapies. Brief intervention was the most studied approach. Cultural healing practices and bicultural approaches were a key theme amongst several studies. Four studies measured treatment effectiveness, including one randomised controlled trial (naltrexone vs naltrexone plus sertraline vs placebo) and two uncontrolled trials of disulfiram. Of the six implementation studies, three were (hybrid) effectiveness-implementation designs. Most of the remaining studies (n = 21) focused on treatment accessibility or acceptability. Community participation in the research process was poorly reported in most studies. Conclusions Research evidence on how best to care for First Nations peoples with unhealthy alcohol use is limited. Trials ... Article in Journal/Newspaper First Nations Australian Catholic University: ACU Research Bank Canada New Zealand Addiction Science & Clinical Practice 15 1 |
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Open Polar |
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Australian Catholic University: ACU Research Bank |
op_collection_id |
ftaustraliancuni |
language |
unknown |
topic |
Indigenous First Nations alcohol primary health care outpatient relapse prevention medicines naltrexone disulfiram culture cultural healing |
spellingShingle |
Indigenous First Nations alcohol primary health care outpatient relapse prevention medicines naltrexone disulfiram culture cultural healing Purcell-Khodr, Gemma C. Lee, K. S. Kylie Conigrave, James H. Webster, Emma Conigrave, Katherine M. What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
topic_facet |
Indigenous First Nations alcohol primary health care outpatient relapse prevention medicines naltrexone disulfiram culture cultural healing |
description |
Background First Nations peoples of Australia, New Zealand, the United States of America (USA) and Canada are more likely to be non-drinkers than other people in these countries. However, those who do drink may be at greater risk of alcohol-related harms (at a population level) due to the ongoing impacts from colonisation and associated oppression. Addressing unhealthy drinking (drinking above recommended limits including alcohol use disorders) in primary care settings is one important way to increase accessibility of treatment. Methods This systematic review identifies peer-reviewed studies of alcohol treatments delivered in primary care or other non-residential settings for First Nations peoples of Australia, New Zealand, USA and Canada. Literature searches were conducted in seven academic databases from their inception until March, 2020. We assessed evidence of treatment or implementation effectiveness, perceived acceptability or accessibility, and the study quality as assessed by the AXIS tool and by a measure of community participation in the research process. Results Twenty-eight studies were included, published between 1968 and 2018. Studies reported on a range of alcohol treatments, from brief intervention to ambulatory withdrawal management, relapse prevention medicines, and cultural therapies. Brief intervention was the most studied approach. Cultural healing practices and bicultural approaches were a key theme amongst several studies. Four studies measured treatment effectiveness, including one randomised controlled trial (naltrexone vs naltrexone plus sertraline vs placebo) and two uncontrolled trials of disulfiram. Of the six implementation studies, three were (hybrid) effectiveness-implementation designs. Most of the remaining studies (n = 21) focused on treatment accessibility or acceptability. Community participation in the research process was poorly reported in most studies. Conclusions Research evidence on how best to care for First Nations peoples with unhealthy alcohol use is limited. Trials ... |
format |
Article in Journal/Newspaper |
author |
Purcell-Khodr, Gemma C. Lee, K. S. Kylie Conigrave, James H. Webster, Emma Conigrave, Katherine M. |
author_facet |
Purcell-Khodr, Gemma C. Lee, K. S. Kylie Conigrave, James H. Webster, Emma Conigrave, Katherine M. |
author_sort |
Purcell-Khodr, Gemma C. |
title |
What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
title_short |
What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
title_full |
What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
title_fullStr |
What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
title_full_unstemmed |
What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada |
title_sort |
what can primary care services do to help first nations people with unhealthy alcohol use? a systematic review : australia, new zealand, usa and canada |
publisher |
BioMed Central |
publishDate |
2020 |
url |
https://acuresearchbank.acu.edu.au/download/eeee7008c775c38d95ee9312869b5b6e42daa7633ff73722bcea5a96a807d04e/1216890/OA_Purcell_Khodr_2020_What_can_primary_care_services_do.pdf https://doi.org/10.1186/s13722-020-00204-8 |
geographic |
Canada New Zealand |
geographic_facet |
Canada New Zealand |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
https://acuresearchbank.acu.edu.au/item/8z37y/what-can-primary-care-services-do-to-help-first-nations-people-with-unhealthy-alcohol-use-a-systematic-review-australia-new-zealand-usa-and-canada ISSN:1940-0632 https://acuresearchbank.acu.edu.au/download/eeee7008c775c38d95ee9312869b5b6e42daa7633ff73722bcea5a96a807d04e/1216890/OA_Purcell_Khodr_2020_What_can_primary_care_services_do.pdf https://doi.org/10.1186/s13722-020-00204-8 Purcell-Khodr, Gemma C., Lee, K. S. Kylie, Conigrave, James H., Webster, Emma and Conigrave, Katherine M. (2020). What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review : Australia, New Zealand, USA and Canada. Addiction Science and Clinical Practice. 15(1), p. Article 31. https://doi.org/10.1186/s13722-020-00204-8 |
op_rights |
CC BY 4.0 |
op_doi |
https://doi.org/10.1186/s13722-020-00204-8 |
container_title |
Addiction Science & Clinical Practice |
container_volume |
15 |
container_issue |
1 |
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1792047629562019840 |