Brief interventions for alcohol use disorders in low- and middle-income countries

Global alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measur...

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Autores: Nadkarni, Abhijit|||0000-0001-5832-5236, Bhatia, Urvita, Bedendo, Andre, de Paula, Tassiane Cristine Santos, de Andrade Tostes, Joanna Gonçalves, Segura-Garcia, Lidia, Tiburcio, Marcela, Andréasson, Sven
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:268762
Acceso en línea:https://ddd.uab.cat/record/268762
https://dx.doi.org/urn:doi:10.1186/s13033-022-00548-5
Access Level:acceso abierto
Palabra clave:Brief interventions
Alcohol use disorders
Low- and middle- income countries
India
Latin America
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spelling Brief interventions for alcohol use disorders in low- and middle-income countriesbarriers and potential solutionsNadkarni, Abhijit|||0000-0001-5832-5236Bhatia, UrvitaBedendo, Andrede Paula, Tassiane Cristine Santosde Andrade Tostes, Joanna GonçalvesSegura-Garcia, LidiaTiburcio, MarcelaAndréasson, SvenBrief interventionsAlcohol use disordersLow- and middle- income countriesIndiaLatin AmericaGlobal alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measure is screening and brief intervention (BI) for alcohol problems. Some of the characteristics of BI make them a particularly appealing choice of interventions in low-resource settings. However, despite evidence of effectiveness, implementation of BI in LMICs is rare. In this paper we discuss barriers to implementation of BI in LMICs, with examples from Latin America and India. Key barriers to implementation of BI in LMICs are the lack of financial and structural resources. Specialized services for alcohol use disorders are limited or non-existent. Hence primary care is often the only possible alternative to implement BI. However, health professionals in such settings generally lack training to deal with these disorders. In our review of BI research in these countries, we find some promising results, primarily in countries from Latin America, but so far there is limited research on effectiveness. Appropriate evaluation of efficacy and effectiveness of BI is undermined by lack of generalisability and methodological limitations. No systematic and scientific efforts to explore the implementation and evaluation of BI in primary and community platforms of care have been published in India. Innovative strategies need to be deployed to overcome supply side barriers related to specialist manpower shortages in LMICs. There is a growing evidence on the effectiveness of non-specialist health workers, including lay counsellors, in delivering frontline psychological interventions for a range of disorders including alcohol use disorders in LMICs. This paper is intended to stimulate discussion among researchers, practitioners and policy-makers in LMICs because increasing access to evidence based care for alcohol use disorders in LMICs would need a concerted effort from all these stakeholders. 22022-01-0120222022-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/268762https://dx.doi.org/urn:doi:10.1186/s13033-022-00548-5reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2687622026-06-06T12:50:31Z
dc.title.none.fl_str_mv Brief interventions for alcohol use disorders in low- and middle-income countries
barriers and potential solutions
title Brief interventions for alcohol use disorders in low- and middle-income countries
spellingShingle Brief interventions for alcohol use disorders in low- and middle-income countries
Nadkarni, Abhijit|||0000-0001-5832-5236
Brief interventions
Alcohol use disorders
Low- and middle- income countries
India
Latin America
title_short Brief interventions for alcohol use disorders in low- and middle-income countries
title_full Brief interventions for alcohol use disorders in low- and middle-income countries
title_fullStr Brief interventions for alcohol use disorders in low- and middle-income countries
title_full_unstemmed Brief interventions for alcohol use disorders in low- and middle-income countries
title_sort Brief interventions for alcohol use disorders in low- and middle-income countries
dc.creator.none.fl_str_mv Nadkarni, Abhijit|||0000-0001-5832-5236
Bhatia, Urvita
Bedendo, Andre
de Paula, Tassiane Cristine Santos
de Andrade Tostes, Joanna Gonçalves
Segura-Garcia, Lidia
Tiburcio, Marcela
Andréasson, Sven
author Nadkarni, Abhijit|||0000-0001-5832-5236
author_facet Nadkarni, Abhijit|||0000-0001-5832-5236
Bhatia, Urvita
Bedendo, Andre
de Paula, Tassiane Cristine Santos
de Andrade Tostes, Joanna Gonçalves
Segura-Garcia, Lidia
Tiburcio, Marcela
Andréasson, Sven
author_role author
author2 Bhatia, Urvita
Bedendo, Andre
de Paula, Tassiane Cristine Santos
de Andrade Tostes, Joanna Gonçalves
Segura-Garcia, Lidia
Tiburcio, Marcela
Andréasson, Sven
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Brief interventions
Alcohol use disorders
Low- and middle- income countries
India
Latin America
topic Brief interventions
Alcohol use disorders
Low- and middle- income countries
India
Latin America
description Global alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measure is screening and brief intervention (BI) for alcohol problems. Some of the characteristics of BI make them a particularly appealing choice of interventions in low-resource settings. However, despite evidence of effectiveness, implementation of BI in LMICs is rare. In this paper we discuss barriers to implementation of BI in LMICs, with examples from Latin America and India. Key barriers to implementation of BI in LMICs are the lack of financial and structural resources. Specialized services for alcohol use disorders are limited or non-existent. Hence primary care is often the only possible alternative to implement BI. However, health professionals in such settings generally lack training to deal with these disorders. In our review of BI research in these countries, we find some promising results, primarily in countries from Latin America, but so far there is limited research on effectiveness. Appropriate evaluation of efficacy and effectiveness of BI is undermined by lack of generalisability and methodological limitations. No systematic and scientific efforts to explore the implementation and evaluation of BI in primary and community platforms of care have been published in India. Innovative strategies need to be deployed to overcome supply side barriers related to specialist manpower shortages in LMICs. There is a growing evidence on the effectiveness of non-specialist health workers, including lay counsellors, in delivering frontline psychological interventions for a range of disorders including alcohol use disorders in LMICs. This paper is intended to stimulate discussion among researchers, practitioners and policy-makers in LMICs because increasing access to evidence based care for alcohol use disorders in LMICs would need a concerted effort from all these stakeholders.
publishDate 2022
dc.date.none.fl_str_mv 2
2022-01-01
2022
2022-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/268762
https://dx.doi.org/urn:doi:10.1186/s13033-022-00548-5
url https://ddd.uab.cat/record/268762
https://dx.doi.org/urn:doi:10.1186/s13033-022-00548-5
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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