Brief interventions for substance abuse in latin america: a systematic review

Ronzani, Telmo Mota; Fuentes-Mejía, Cristina; Mota, Daniela Cristina Belchior; Gomide, Henrique Pinto; Ferreira, Maira Leon; Cruvinel, Erica

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Article • Psicol. Estud. 24 • 2019 • https://doi.org/10.4025/psicolestud.v24i0.44393 copy

Brief interventions for substance abuse in latin america: a systematic review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This study aimed to assess the literature for brief interventions in Latin America. Methods: We searched articles that were published between 2005 and 2016. Results: After removing duplicates and applying exclusion criteria, 29 studies were evaluated. The number of sessions, length, and definition of brief intervention varied across studies as well as the instruments used to assess substance use and participant characteristics. Conclusions: Even though brief interventions are adopted in many countries in Latin America, research was conducted only in 5 countries. In these countries, there was great heterogeneity on research methods, instruments and the type of brief intervention.

Keywords:
Brief intervention; psychoactive substances; substance abuse

Variable	Number of studies (N/%)
Country
Brazil	16 (55.1%)
Mexico	9 (31.0%)
Colombia	2 (6.8%)
Peru	1 (3.4%)
Venezuela	1 (3.4%)
TargetPublic (n/%)
Teenagers	9 (31.0%)
Health Professionals	8 (27.6%)
College and University Students	4 (13.8%)
Others	8 (27.6%)
Intervened Substances (n/%)
Alcohol	20 (68.9%)
Alcohol and Other Drugs	6 (20.7%)
Tobacco	2 (6.9%)
Crack	1 (3.4%)
Type of Study
OutcomeEvaluation	17 (58.6%)
Effectiveness Study of BI	8 (47.0%)
Experimental Studies	6 (75.0%)
Almost Experimental	2 (25.0%)
Others (training effectiveness, qualitative, longitudinal, pre/post control-less)	9 (52.9%)
Process Evaluation	6 (20.7%)
Descriptive	3 (10.3%)
Others	3 (10.3%)

Tool	Number of studies (N/%)
AUDIT	8 (22,9%)
LIBARE	6 (17,1%)
POSIT	4 (11,4%)
ASSIST	3 (8,6%)
CAGE	2 (5,7%)
RAPI	2 (5,7%)
Interview based on the Diagnostic and Statistical Manual of Mental Disorders	2 (5,7%)
Others	8 (22,8%)

Category	Authors	Country	Year	Sample	Objective	Aimed Public	Results
Results Evaluation - Effectiveness	Oliveira et al. (2015)Oliveira, K. D., Baracat, E. C. E., Lanaro, R., Eugeni, C., Ricci, E., Rabello, M. S., & Fraga, G. P. (2015). Consumo de álcool e intervenção breve em vítimas de trauma.Revista do Colégio Brasileiro de Cirurgiões,42(4), 202-208.	Brazil	2015	458	Compare presential BI versus online BI versus Control	College and University students	Presential BI = Online BI > Control
	Silva e Tucci (2015)Silva, É. C., & Tucci, A. M. (2015). Intervenção breve para redução do consumo de álcool e suas consequências em estudantes universitários brasileiros.Psicologia: Reflexão e Crítica,28(4), 728-36.	Brazil	2015	32	Evaluate BI versus Control	College and University students	BI = Control.
	Signor et al. (2013)Signor, L., Pierozan, P. S., Ferigolo, M., Fernandes, S., Mazoni, C. G., & Barros, H. M. T. (2013). Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil.Revista Brasileira de Psiquiatria,35(3), 254-261.	Brazil	2013	637	Evaluate BI versus Educative Folder	Internet services users	BI > Educative Folder
	Flórez-Alarcón e Castellanos-Morales (2012)Flórez-Alarcón, L., & Castellanos-Morales, C. A. (2012). Efectos de la entrevista motivacional sobre la motivación autónoma en jóvenes consumidores de alcohol.Revista de Salud Pública,14, 69-85.	Colombia	2012	66	Evaluate Motivational Interview versus Control	Teenagers	Motivational Interview > Control.
	Segatto, Andreoni, Souza e Silva, Diehl e Pinsky (2011)Segatto, M. L., Andreoni, S., Souza e Silva, R. D., Diehl, A., & Pinsky, I. (2011). Brief motivational interview and educational brochure in emergency room settings for adolescents and young adults with alcohol related problems: a randomized single blind clinical trial.Revista Brasileira de Psiquiatria,33(3), 225-233.	Brazil	2011	175	Evaluate ME versus Educational Brochure	Teenagers	ME = Educational Brochure
	Martínez, Meléndez e Trejo, (2012) Martínez, K. I. M., Meléndez, A. B., & Trejo, A. Y. P. (2012). En voz de la experiencia: Estrategias de enfrentamiento en adolescentes que concluyeron un programa de intervención breve en consumo de alcohol.Salud Mental,35(6), 505-512.	Mexico	2010	120	Evaluate BI versus Brief Counseling	Teenagers	BI = Brief Counseling > Control
	Garcia, Ruiz, Martínez e Cabrera (2011)Garcia, M. L. S., Ruiz, J. F. V., Martínez, K. I. M., & Cabrera, F. J. P. (2011). Intervenciones breves con adolescentes estudiantes rurales que consumen alcohol en exceso. Universitas Psychologica, 10(3), 803-815.	Mexico	2010	23	Evaluate IB versus Brief Counseling	Teenagers	BI = Brief Counseling.
	Martínez et al. (2008a)Martínez, K. I. M., Pedroza, C. F. J., Vacío, M. M., Jiménez, P. A. L., & Salazar, G. M. L. (2008a). Consejo breve para adolescentes escolares que abusan del alcohol.Revista Mexicana de Análisis de la Conducta,34(2), 247-264.	Mexico	2008	40	Evaluate Motivational Brief Counseling versus Control	Teenagers	Brief Counseling > Control.
Results Evaluation - Others	Anthony et al. (2016)Anthony, D., Dyson, P. A., Lv, J., Thankappan, K. R., Champgane, B., & Matthews, D. R. (2016). Community Interventions for Health can support clinicians in advising patients to reduce tobacco use, improve dietary intake and increase physical activity.Journal of clinical nursing,25(21-22), 3167-3175.	Mexico	2016	2280	Evaluate Community Intervention versus Control	Community	Community Intervention > Control
	Oliveira et al. (2015)Oliveira C. A., & Boerngen-Lacerda, R. (2015). Reducing substance involvement in college students: a three-arm parallel-group randomized controlled trial of a computer-based intervention.Addictive behaviors,45, 164-171.	Brazil	2015	507	Evaluate BI on trauma victims	Hospitalized patients	Alcohol consumption decrease
	Junqueira, Rassool, Santos e Pillon (2015)Junqueira, M. A. B., Rassool, G. H., Santos, M. A., & Pillon, S. C. (2015). The impact of an educational program in brief interventions for alcohol problems on undergraduate nursing students: A Brazilian context.Journal of addictions nursing,26(3), 129-135.	Brazil	2015	120	Evaluate a change of attitude on students after the training	College and University students	Training was effective
	Martínez et al. (2012)Martínez, V. N. A., Icaza, M. M., Elena, M., & Berenzon, G. S. (2010a). La búsqueda de moderación en el consumo de alcohol: Adaptación de los conocimientos a la práctica.Salud mental,33(2), 161-167.	Mexico	2012	70	Evaluate BI versus Brief Counseling	Teenagers	BI = Brief Counseling.
	Martínez, Icaza, Elena e Berenzon (2010a)Martínez, V. N. A., Icaza, M. M., Elena, M., & Berenzon, G. S. (2010a). La búsqueda de moderación en el consumo de alcohol: Adaptación de los conocimientos a la práctica.Salud mental,33(2), 161-167.	Mexico	2010	49	Adapt a BI brochure for implementation	Employees	The BI-based brochure was considered easy to read and implement
	Salazar, Martínez e Barrientos (2009)Salazar, G. M. L., Martínez, M. K. I., & Barrientos, C. V. (2009). Evaluación de un componente de inducción al tratamiento con adolescentes usuarios de alcohol del Distrito Federal.Salud Mental,32(6), 469-477.	Mexico	2009	28	Evaluate if a BI session induces treatment	Teenagers	BI is effective for treatment induction.
	Flores-Alarcón e Gantiva (2009)Flórez-Alarcón, L., & Gantiva, D. C. A. (2009). Terapias motivacionales breves: diferencias entre la aplicación individual y grupal para la moderación del consumo de alcohol y de las variables psicológicas asociadas al cambio. Acta Colombiana de Psicologia, 12(1), 13-26.	Colombia	2009	180	Evaluate Individual Motivational Therapy versus Group Motivational Therapy versus Control	College and University students	Individual Motivational Therapy = Group Motivational Therapy > Control.
	Castro e Laranjeira (2009)Castro, L. A., & Laranjeira, R. (2009). Ensaio clínico duplo-cego randomizado e placebocontrolado com naltrexona e intervenção breve no tratamento ambulatorial da dependência de álcool.Jornal Brasileiro de Psiquiatria, 58(2), 79-85.	Brazil	2009	71	Evaluate the effect of naltrexone mutually implemented with the BI	Community	Naltrexone was not effective on decreasing alcohol consumption
	Martínez, Salazar, Pedroza, Ruiz e Ayala (2008b)Martínez, K. I. M., Salazar, G. M. L., Pedroza, C. F. J., Ruiz, T. G. M., & Ayala, V. H. E. (2008b). Resultados preliminares del programa de intervención breve para adolescentes que inician el consumo de alcohol y otras drogas.Salud mental,31(2), 119-127.	Mexico	2008	25	Evaluate BI alcohol and other drug users	Teenagers	The BI reduced alcohol and marijuana use
Process Evaluation	Hoffman et al. (2016)Hoffman, K. A., Beltrán, J., Ponce, J., García-Fernandez, L., Calderón, M., Muench, J., & Fiestas, F. (2016). Barriers to implementing screening, brief intervention and referral to treatment for substance use in HIV/AIDS health services in Peru.Revista Peruana de Medicina Experimental y Salud Pública,33(3), 432-437.	Peru	2016	51	Evaluate viability on implementing the BI	Health Professionals	Little viability on the BI’s implementation
	Moretti-Pires e Corradi-Webster (2011)Moretti-Pires, R. O., & Corradi-Webster, C. M. (2011). Implementação de intervenções breves para uso problemático de álcool na atenção primária, em um contexto amazônico.Revista Latino-Americana de Enfermagem,19, 813-820.	Brazil	2011	136	Evaluate implementing the BI on primary health care	Health Professionals	The implementation process of the BI was well accepted
	Ronzani et al. (2009)Ronzani, T. M., Mota, D. C. B., & Souza, I. C. W. D. (2009). Prevenção do uso de álcool na atenção primária em municípios do estado de Minas Gerais.Revista de Saúde Pública,43, 51-61.	Brazil	2009	113	Evaluate the effectiveness of the BI’s implementation	Health Professionals	Little viability on the BI’s implementation
	Furtado, Corradi-Webster e Laprega (2008)Furtado, E. F., Corradi-Webster, C. M., & Laprega, M. R. (2008). Implementing brief interventions for alcohol problems in the public health system in the region of Ribeirão Preto, Brazil: evaluation of the PAI-PAD training model.Nordic Studies on Alcohol and Drugs,25(6), 539-551.	Brazil	2008	772	Evaluate the PAI- PAD training on the change of belief of Health Professionals	Health Professionals	PAI- PAD training was effective.
	Ronzani, Rodrigues, Batista, Lourenço e Formigoni (2007)Ronzani, T. M., Rodrigues, T. P., Batista, A. G., Lourenço, L. M., & Formigoni, M. L. O. D. S. (2007). Estratégias de rastreamento e intervenções breves para problemas relacionados ao abuso de álcool entre bombeiros.Estudos de Psicologia (Natal), 12(3) 285-290.	Brazil	2007	303	Evaluate the BI’s implementation on the work environment	Employees	Effectiveness on the BI’s implementation
	Ronzani et al. (2005)Ronzani, T. M., Ribeiro, M. S., Amaral, M. B. D., & Formigoni, M. L. O. D. S. (2005). Implantação de rotinas de rastreamento do uso de risco de álcool e de uma intervenção breve na atenção primária à saúde: dificuldades a serem superadas.Cadernos de Saúde Pública,21, 852-861.	Brazil	2005	45	Evaluate implementing the BI on primary health care	Health Professionals	Viability problems when implementing the BI
Descriptive	Abreu, Parreira, Souza e Barroso (2016)Abreu, A. M. M., Parreira, P. M. S. D., Souza, M. H. D. N., & Barroso, T. M. M. D. D. (2016). Profile of comsumption of psychoatctive substances and its relationship to sociodemographic chracteristics: a contribution to a Brief Intervention in Primary Health Care. Texto & Contexto-Enfermagem,25(4), 1-9.	Brazil	2016	1489	Analyze the consumption profile of psychoactive substances	Health Professionals	There is a link between alcohol consumption and sociodemographic variants.
	Bisch et al. (2011)Bisch, N. K., Benchaya, M. C., Signor, L., Moleda, H. M. R., Ferigolo, M., Andrade, T. M. R., & Barros, H. M. T. (2011). Aconselhamento telefônico para jovens usuários de crack. Revista Gaúcha Enfermargem. 32(1), 31-9.	Brazil	2011	40	Evaluate the BI’s use in a Telephonic Advice service	Teenagers	BI + Telephonic Advice = crack use decrease
	Jurado, Solaeche, Lugo, Montes e Quijada (2011) Jurado, J. R. H., Solaeche, F. M. L ., Lugo, G., Montes, A. R. M., & Quijada, M. A. F. (2011). Estrategias de Intervención en Casos de Consumo Riesgoso de Alcohol en la Consulta de Medicina Familiar. Archivos en Medicina Familiar, 13 (2), 45-53.	Venezuela	2011	102	Identify intervention strategies with alcohol consumers	Hospitalized patients	Diagnosis and interventions’ frequency on users were low in comparison to the alcohol consumption
Others	Cruvinel et al. (2013)Cruvinel, E., Richter, K. P., Bastos, R. R., & Ronzani, T. M. (2013). Screening and brief intervention for alcohol and other drug use in primary care: associations between organizational climate and practice.Addiction science & clinical practice, 8(1), 8-4.	Brazil	2013	149	Evaluate the association between Organizational Climate and BI activities	Health Professionals	A positive climate increases performance on both tracing and the BI
	Cruvinel e Ronzani (2011)Cruvinel, E., & Ronzani, T. M. (2011). Clima organizacional e atividades de prevenção ao uso de risco de álcool.Estudos de Psicologia (Campinas),28(2), 209-217.	Brazil	2011	97	Evaluate the association between Organizational Climate and BI implementation	Health Professionals	Positive correlation between organizational climate and BI implementation
	Lira-Mandujano et al. (2009)Lira-Mandujano, J., González-Betanzos, F., Carrascoza, V. C. A., Ayala, V., Héctor, E., & Cruz-Morales, S. E. (2009). Evaluación de un programa de intervención breve motivacional para fumadores: resultados de un estudio piloto.Salud mental, 32(1), 35-41.	Mexico	2009	10	Evaluate a BI program for smokers	Community	Treatment has shown itself effective

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