Evidence map›Paper›PMID 35546281›Full record

SynthesisDrug and alcohol review2022

Community-based models of alcohol and other drug support for First Nations peoples in Australia: A systematic review.

Jacynta Krakouer, Melissa Savaglio, Karinda Taylor, Helen Skouteris

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Drug and alcohol review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Jacynta KrakouerHealth and Social Care Unit, School of Public and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-7550-8007
Melissa SavaglioHealth and Social Care Unit, School of Public and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0002-4414-1214
Karinda TaylorFirst Peoples' Health and Wellbeing, Thomastown and Frankston, Australia.
Helen SkouterisHealth and Social Care Unit, School of Public and Preventive Medicine, Monash University, Melbourne, Australia.ORCID 0000-0001-9959-5750
Monash University · AUHealth First · USUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

issuesThe transgenerational impacts of colonisation-inclusive of dispossession, intergenerational trauma, racism, social and economic exclusion and marginalisation-places First Nations peoples in Australia at significant risk of alcohol and other drug (AOD) use and its associated harms. However, knowledge and evidence supporting community-based AOD treatment for First Nations adults is limited. Therefore, this review aimed to examine the impact and acceptability of community-based models of AOD support for First Nations adults in Australia. APPROACH: A systematic search of the empirical literature from the past 20 years was conducted. KEY

findingsSeventeen studies were included. Nine studies evaluated the program's impact on substance use and 10 studies assessed program acceptability (two studies evaluated both). Only three out of nine studies yielded a statistically significant reduction in substance use. Acceptable components included cultural safety, First Nations AOD workers, inclusion of family and kin, outreach and group support. Areas for improvement included greater focus on holistic wrap-around psychosocial support, increased local community participation and engagement, funding and breaking down silos. IMPLICATIONS: Culturally safe, holistic and integrated AOD outreach support led by First Nations peoples and organisations that involves local community members may support First Nations peoples experiencing AOD concerns. These findings may inform the (re)design and (re)development of community-based AOD services for First Nations peoples.

conclusionThere is a limited evidence-base for community-based AOD programs for First Nations peoples. First Nations-led research that is controlled by and co-produced with First Nations peoples is necessary to extend our understanding of community-based programs within First Nations communities.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesCommunity Health ServicesHealth Services, IndigenousSubstance-Related DisordersAdultAustraliaHumansAboriginal and Torres Strait Islander peoplesalcohol and other drug supportcommunity-based treatmentFirst Nations peoplessubstance abuse treatment

Identifiers

PMID35546281
PMCPMC9542511
OpenAlexW4280524090

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.