Tags

Type your tag names separated by a space and hit enter

Alcoholics Anonymous and other 12-step programmes for alcohol dependence

Evidence Summaries

Level of Evidence = C

Alcoholics Anonymous and other 12-step programmes may have similar effect as other interventions for alcohol dependence. There is insufficient evidence on the effect of AA compared to no or minimal intervention.

A Cochrane review 1 included 8 trials involving a total of 3417 participants. Alcoholics Anonymous (AA) may help patients to accept treatment and keep patients in treatment more than alternative treatments, though the evidence for this is from one small study that combined AA with other interventions. Other studies reported similar retention rates regardless of treatment group (including Cognitive Behavioral Therapy and Motivational Enhancement Therapy). Three studies compared AA combined with other interventions against other treatments and found few differences in the amount of drinks and percentage of drinking days. Severity of addiction and drinking consequence did not seem to be differentially influenced by 12-step facilitation (TSF) approach vs comparison treatment interventions, and no conclusive differences in treatment drop out rates were reported. Included studies did not allow a conclusive assessment of the effect of 12-step approach in promoting complete abstinence.

Comment: The quality of evidence is downgraded by study quality (several limitations), by inconsistency (heterogeneity in interventions and outcomes).

References

1. Ferri M, Amato L, Davoli M. Alcoholics Anonymous and other 12-step programmes for alcohol dependence. Cochrane Database Syst Rev 2006 Jul 19;3:CD005032.  [PMID:16856072]


Copyright © 2017 Duodecim Medical Publications Limited.
Alcoholics Anonymous and other 12-step programmes for alcohol dependence is a sample topic from the Evidence-Based Medicine Guidelines.

To view other topics, please or purchase a subscription.

Evidence Central is an integrated web and mobile solution that helps clinicians quickly answer etiology, diagnosis, treatment, and prognosis questions using the latest evidence-based research. Learn more.

Citation

"Alcoholics Anonymous and Other 12-step Programmes for Alcohol Dependence." Evidence-Based Medicine Guidelines, Duodecim Medical Publications Limited, 2019. Evidence Central, evidence.unboundmedicine.com/evidence/view/EBMG/452204/all/Alcoholics_Anonymous_and_other_12_step_programmes_for_alcohol_dependence.
Alcoholics Anonymous and other 12-step programmes for alcohol dependence. Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. https://evidence.unboundmedicine.com/evidence/view/EBMG/452204/all/Alcoholics_Anonymous_and_other_12_step_programmes_for_alcohol_dependence. Accessed August 21, 2019.
Alcoholics Anonymous and other 12-step programmes for alcohol dependence. (2019). In Evidence-Based Medicine Guidelines. Available from https://evidence.unboundmedicine.com/evidence/view/EBMG/452204/all/Alcoholics_Anonymous_and_other_12_step_programmes_for_alcohol_dependence
Alcoholics Anonymous and Other 12-step Programmes for Alcohol Dependence [Internet]. In: Evidence-Based Medicine Guidelines. Duodecim Medical Publications Limited; 2019. [cited 2019 August 21]. Available from: https://evidence.unboundmedicine.com/evidence/view/EBMG/452204/all/Alcoholics_Anonymous_and_other_12_step_programmes_for_alcohol_dependence.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Alcoholics Anonymous and other 12-step programmes for alcohol dependence ID - 452204 BT - Evidence-Based Medicine Guidelines UR - https://evidence.unboundmedicine.com/evidence/view/EBMG/452204/all/Alcoholics_Anonymous_and_other_12_step_programmes_for_alcohol_dependence PB - Duodecim Medical Publications Limited DB - Evidence Central DP - Unbound Medicine ER -