Home Visits in the Outpatient Treatment of Individuals Dependent on Alcohol: Randomized Clinical Trial
Abstract
Aim To compare the efficacy and effectiveness of conventional outpatient treatment for alcoholic patients [conventional treatment (CT)] with this same CT plus home visit (HV). Design Randomized clinical trial evaluated alongside a 12-week. Setting An outpatient clinic for alcohol dependents. Participants One hundred twenty alcohol-dependent patients, randomized to CT or HV groups, with homogeneous clinic and sociodemographic characteristics (P>0.1). Ninety percent were male, the mean age was 43 years (SD=8.6), 41.7% were married, and 32.5% had a low educational level. Measurements The main outcome measures were adherence, abstinence, and days of consumption. Other outcomes measured were quality of life (Short Form Health Survey-36), motivation for treatment (Stages of Change Readiness and Treatment Eagerness Scale and University of Rhode Island Change Assessment Scale), severity of problems in areas of life (Addiction Severity Index), and cognitive impairments (Frontal Assessment Battery). Findings Adherence—85.5% for HV and 62.1% for CT (P=0.003); quality of life mental area—51.2% for HV and 48.6% for CT (P=0.006). Outcomes, such as abstinence cases and decreased problems in areas of life, showed statistically significant improvements favoring HV. Conclusions The HV treatment provided better results than CT in many important outcomes, not only regarding the success of the treatment, but also for the improvement of the quality of life of the patients and their relatives.
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Two studies had one arm in psychotherapy or counseling and another arm in health promotion and education.
“Two other studies had one arm in psychotherapy or counseling and another arm in health promotion and education [23,24].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [23]
L'Engle, Rendall-Mkosi, and Moraes all had significant findings for their MI interventions reducing binge drinking up to 12 months, reducing the proportion of women at risk for alcohol-exposed pregnancies, and increasing the proportion of abstinent patients.
“L’Engle, Rendall-Mkosi, and Moraes all had significant findings for their MI interventions reducing binge drinking up to 12 months, reducing the proportion of women at risk for alcohol-exposed pregnancies and increasing the proportion of abstinent patients [23,61,83].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [23]
Most commonly, psychotherapy or counseling interventions used MI techniques or cognitive behavioral therapy (CBT).
“Most commonly, interventions used MI techniques [22,23,61,69,72,83] or cognitive behavioral therapy (CBT) [53,64,68,77,78,87].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [23]
A majority of the health promotion and education studies that found no effect were either not adequately powered to detect the alcohol-related outcome or were compared to another intervention rather than a control.
“Meanwhile, a majority of the studies that found no effect of their interventions either were not adequately powered to detect the alcohol-related outcome [23,43] or were compared to another intervention rather than a control, thus potentially obscuring some potential reduction in harm [95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [23]
Of the health promotion and education RCTs, 2 were based in the workplace, 5 in the community, 6 in schools, and 7 in clinics, of which 1 focused on women sex workers.
“Of these, 2 were based in the workplace [26,38], 5 in the community [23,37,43,84], 6 in schools [33,40,65,85,86], and 7 in clinics [39,55–57], of which 1 was focused on women sex workers [95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [23]
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- Authors
- Moraes, E., de Campos, G. M., Figlie, N. B., Ferraz, M. B., & Laranjeira, R.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Corresponding author
- Moraes, Edilaine
- Laranjeira, Ronaldo
- Venue
- Addictive Disorders & Their Treatment
- Published
- 2010-03
- Volume
- 9
- Issue
- 1
- Pages
- 18-31
- ISSN
- 1531-5754 (ISSN-L)
- OpenAlex
- W2043730082
- Cited by
- 10
- References
- 31
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2017: 1
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Disorders & Their Treatment (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- home visits, alcoholism, outpatient care, medication adherence, abstinence, quality of life, treatment motivation, cognitive impairment, frontal lobe function, Addiction Severity Index
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