Evidence-based models of care for the treatment of alcohol use disorder in primary health care settings : Protocol for systematic review

Journal article

Rombouts, Susan A., Conigrave, James, Louie, Eva, Haber, Paul and Morley, Kirsten C.. (2019). Evidence-based models of care for the treatment of alcohol use disorder in primary health care settings : Protocol for systematic review. Systematic Reviews. 8(1), p. Article 275. https://doi.org/10.1186/s13643-019-1157-7
AuthorsRombouts, Susan A., Conigrave, James, Louie, Eva, Haber, Paul and Morley, Kirsten C.
Abstract

Background
Alcohol use disorder (AUD) is highly prevalent and accounts globally for 1.6% of disability-adjusted life years (DALYs) among females and 6.0% of DALYs among males. Effective treatments for AUDs are available but are not commonly practiced in primary health care. Furthermore, referral to specialized care is often not successful and patients that do seek treatment are likely to have developed more severe dependence. A more cost-efficient health care model is to treat less severe AUD in a primary care setting before the onset of greater dependence severity. Few models of care for the management of AUD in primary health care have been developed and with limited implementation. This proposed systematic review will synthesize and evaluate differential models of care for the management of AUD in primary health care settings.

Methods
We will conduct a systematic review to synthesize studies that evaluate the effectiveness of models of care in the treatment of AUD in primary health care. A comprehensive search approach will be conducted using the following databases; MEDLINE (1946 to present), PsycINFO (1806 to present), Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL) (1991 to present), and Embase (1947 to present).

Reference searches of relevant reviews and articles will be conducted. Similarly, a gray literature search will be done with the help of Google and the gray matter tool which is a checklist of health-related sites organized by topic. Two researchers will independently review all titles and abstracts followed by full-text review for inclusion. The planned method of extracting data from articles and the critical appraisal will also be done in duplicate. For the critical appraisal, the Cochrane risk of bias tool 2.0 will be used.

Discussion
This systematic review and meta-analysis aims to guide improvement of design and implementation of evidence-based models of care for the treatment of alcohol use disorder in primary health care settings. The evidence will define which models are most promising and will guide further research.

Protocol registration number
PROSPERO CRD42019120293.

Keywordsmodel of care; alcohol; addiction; primary health care; systematic review
Year2019
JournalSystematic Reviews
Journal citation8 (1), p. Article 275
PublisherBioMed Central
ISSN2046-4053
Digital Object Identifier (DOI)https://doi.org/10.1186/s13643-019-1157-7
PubMed ID31722739
Scopus EID2-s2.0-85074958463
PubMed Central IDPMC6852723
Open accessPublished as ‘gold’ (paid) open access
Page range1-6
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online13 Nov 2019
Publication process dates
Accepted13 Sep 2019
Deposited20 Sep 2023
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