What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada
Abstract 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 o...
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ftdoajarticles:oai:doaj.org/article:9b9260e4a46e4a978567acab7242c02b 2023-05-15T16:15:09+02:00 What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada Gemma C. Purcell-Khodr K. S. Kylie Lee James H. Conigrave Emma Webster Katherine M. Conigrave 2020-08-01T00:00:00Z https://doi.org/10.1186/s13722-020-00204-8 https://doaj.org/article/9b9260e4a46e4a978567acab7242c02b EN eng BMC http://link.springer.com/article/10.1186/s13722-020-00204-8 https://doaj.org/toc/1940-0640 doi:10.1186/s13722-020-00204-8 1940-0640 https://doaj.org/article/9b9260e4a46e4a978567acab7242c02b Addiction Science & Clinical Practice, Vol 15, Iss 1, Pp 1-21 (2020) Indigenous First Nations Alcohol Primary health care Outpatient Relapse prevention medicines Medicine (General) R5-920 Social pathology. Social and public welfare. Criminology HV1-9960 article 2020 ftdoajarticles https://doi.org/10.1186/s13722-020-00204-8 2022-12-31T04:17:51Z Abstract 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 ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada New Zealand Addiction Science & Clinical Practice 15 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Indigenous First Nations Alcohol Primary health care Outpatient Relapse prevention medicines Medicine (General) R5-920 Social pathology. Social and public welfare. Criminology HV1-9960 |
spellingShingle |
Indigenous First Nations Alcohol Primary health care Outpatient Relapse prevention medicines Medicine (General) R5-920 Social pathology. Social and public welfare. Criminology HV1-9960 Gemma C. Purcell-Khodr K. S. Kylie Lee James H. Conigrave Emma Webster Katherine M. Conigrave 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 Medicine (General) R5-920 Social pathology. Social and public welfare. Criminology HV1-9960 |
description |
Abstract 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 ... |
format |
Article in Journal/Newspaper |
author |
Gemma C. Purcell-Khodr K. S. Kylie Lee James H. Conigrave Emma Webster Katherine M. Conigrave |
author_facet |
Gemma C. Purcell-Khodr K. S. Kylie Lee James H. Conigrave Emma Webster Katherine M. Conigrave |
author_sort |
Gemma C. Purcell-Khodr |
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 |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s13722-020-00204-8 https://doaj.org/article/9b9260e4a46e4a978567acab7242c02b |
geographic |
Canada New Zealand |
geographic_facet |
Canada New Zealand |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Addiction Science & Clinical Practice, Vol 15, Iss 1, Pp 1-21 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s13722-020-00204-8 https://doaj.org/toc/1940-0640 doi:10.1186/s13722-020-00204-8 1940-0640 https://doaj.org/article/9b9260e4a46e4a978567acab7242c02b |
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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1766000868536090624 |