J Telemed Telecare - The effectiveness of helplines for the treatment of alcohol and illicit substance use.

Tópicos

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Resumo

While tobacco helplines (quitlines) are thought to be effective, helplines which treat other substance use do not have an established evidence base. A review was conducted of the literature on illicit drug or alcohol (IDA) helplines. The literature search was conducted in five databases. Studies prior to 2014 were included if published in English, and involved the use of a telephone counselling helpline for the treatment of illicit drug or alcohol use. Review papers, opinion pieces, letters or editorials, case studies, published abstracts and posters were excluded. Initial searching identified 2178 articles and after removing duplicates and those meeting the exclusion criteria, there were 36 publications for review. A total of 29 articles provided descriptive information about 19 different IDA helplines which operated in the US (42%), Europe (21%), Australia (21%), Asia (11%) and Canada (5%). These services reported monthly call rates from 3.7 to over 23,000 calls per month. A total of nine articles provided evaluative information on eight different IDA helplines: four articles included a comparison of treatment outcomes against a control group and five articles included information on treatment satisfaction or service utilisation. Together they provide some evidence that these services are effective. Although there was little consistency in the measures used between articles which assessed helpline satisfaction, all but one reported high satisfaction. Although the evidence is mainly supportive of IDA helplines, further work is required to compare treatment outcomes in randomized groups.

Resumo Limpo

tobacco helplin quitlin thought effect helplin treat substanc use establish evid base review conduct literatur illicit drug alcohol ida helplin literatur search conduct five databas studi prior includ publish english involv use telephon counsel helplin treatment illicit drug alcohol use review paper opinion piec letter editori case studi publish abstract poster exclud initi search identifi articl remov duplic meet exclus criteria public review total articl provid descript inform differ ida helplin oper us europ australia asia canada servic report month call rate call per month total nine articl provid evalu inform eight differ ida helplin four articl includ comparison treatment outcom control group five articl includ inform treatment satisfact servic utilis togeth provid evid servic effect although littl consist measur use articl assess helplin satisfact one report high satisfact although evid main support ida helplin work requir compar treatment outcom random group

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