Project MATCH

‘Dangerous Data’ Part 6: Evidence Accumulates and Expert Opinion Converges about Controlled Drinking as a Treatment Goal. An Effectiveness Bank Hot Topic

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Drug and Alcohol Findings
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‘DANGEROUS DATA’ PART 6: EVIDENCE ACCUMULATES AND EXPERT OPINION CONVERGES

The heat dies down as it becomes clearer that both controlled drinking and abstinence have their place among the gaols for alcohol treatment patients, and evidence emerges about what types of patients do best with either objective.

Does AA Really Help Drinkers Stop?

Citation
Estimating the efficacy of Alcoholics Anonymous without self-selection bias: an instrumental variables re-analysis of randomized clinical trials. Humphreys K., Blodgett J.C., Wagner T.H. Alcoholism: Clinical and Experimental Research: 2014, 38(11), p. 2688–2694.
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12-step fellowships offer a way to reconcile shrunken resources with the desire to get more patients safely out of treatment. Accounting for the self-selection bias which has obscured AA’s impacts, this synthesis of US trials finds that attending more meetings after treatment boosts abstinence. Why then is research equivocal on whether promoting attendance significantly improves drink-related outcomes?