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You have found 10 document(s) after clicking the search option in a hot topic entry. Starting with the most recently added or updated of our analyses, the list shows in orange whether the original document was a study, review or some other type of document, year it was published, the type of file you will download when you click the title, and for PDFs its size. In blue is the document’s title; click to download. Below is a brief description. Remember we only list documents relevant to the effectiveness of drug or alcohol interventions in the United Kingdom.

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HOT TOPIC 2017 HTM file
Cycle of Change: change promoter or benevolent fiction?

Its simplicity is beguiling, but does the ubiquitous cycle of change model simply describe the change process, or help predict and accelerate it? One of our selection of Hot Topics – important issues which sometimes generate heated debate over the facts or their interpretation.

MATRIX CELL 2014 HTM file
Drug Matrix cell C2: Management/supervision; Generic and cross-cutting issues

The most important seminal and key studies on the role of management and supervision across therapy and medical treatment. One of 25 cells in the drug matrix. Also highlights the most useful reviews and practice guidelines and offers a customised one-click search for more on the Effectiveness Bank database.

STUDY 2012 HTM file
The role of demographic characteristics and readiness to change in 12-month outcome from two distinct brief interventions for impaired drivers

Can repeat drink-driving offenders be swayed by just 30 minutes with a therapist, and would those minutes best be spent in motivational interviewing or providing information on alcohol? This Canadian study hints that 'Yes' is the answer to both questions – but only hints.

STUDY 2009 HTM file
Thinking about drinking: need for cognition and readiness to change moderate the effects of brief alcohol interventions

This US study found that different types of heavy-drinking college students responded best to different types of brief intervention to promote moderation; a novel finding was that the thinkers among them were most affected by being led to reflect on how their drinking compared to that of the average student.

REVIEW 2011 HTM file
Evidence-based therapy relationships: research conclusions and clinical practices

Draws conclusions and makes recommendations based on research syntheses commissioned by the American Psychological Association on effective therapeutic relationships and how to match therapeutic style to different patients. Though not specific to substance use, this work will be critical to the recovery agenda for addiction treatment.

REVIEW 2011 HTM file
Adapting psychotherapy to the individual patient: Stages of change

Prochaska and DiClemente's stages of change reliably predict how well psychotherapy patients will do based on their initial stage, but no relevant studies were found on whether matching therapy to the patient's initial stage of change improves outcomes.

REVIEW 2011 HTM file
What works for whom: tailoring psychotherapy to the person

Based on commissioned meta-analytic reviews, a US task force judged that adapting psychotherapy to the patient's reactance/resistance, preferences, culture, and religion/spirituality demonstrably improved effectiveness.

OFFCUT 2006 PDF file 125Kb
Impulse smoking cessation resolutions twice as likely to stick as planned

The popular cycle of change model offers one way to envision intentional change but that is not the only or the most lasting way addiction is resolved; seemingly sudden conversions to abstinence are common and lead to more lasting remission.

STUDY 2009 HTM file
Secondary prevention of hazardous alcohol consumption in psychiatric out-patients: a randomised controlled study

Set in Sweden, the first study among psychiatric outpatients to test brief alcohol interventions against screening alone found worthwhile extra drinking reductions after brief motivational advice. Use of a telephone-based intervention was another innovation.

REVIEW 2001 PDF file 594Kb
Cycle of change

Its simplicity is beguiling, but does the ubiquitous Prochaska and DiClemente cycle of change model simply describe the change process, or help predict and accelerate it? Professor Robin Davidson casts a sceptical eye over the evidence.