Trial reportAlcohol and alcoholism (Oxford, Oxfordshire)2023
A Latent Class Analysis of Perceived Barriers to Help-seeking Among People with Alcohol Use Problems Presenting for Telephone-delivered Treatment.
Trial report in Alcohol and alcoholism (Oxford, Oxfordshire), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- App-based skills training to reduce problem drinking among adult internet help-seekers: a double-blinded randomized controlled trial.Addiction science & clinical practice · 2026Trial
- Design of a cluster-randomized, hybrid type 1 effectiveness-implementation trial of a care navigation intervention to increase substance use disorder treatment engagement: study protocol.Addiction science & clinical practice · 2025Article
- Barriers to alcohol intervention program: a scoping review.Korean journal of family medicine · 2025Article
- Treatment rates and delays for mental and substance use disorders: results from the Australian National Survey of Mental Health and Wellbeing.Epidemiology and psychiatric sciences · 2025Article
- Large-scale longitudinal analysis of the progression of alcohol use among members of a social media platform: an observational study.The American journal of drug and alcohol abuse · 2024Article
- Self-stigma in alcohol dependence scale: development and validity of the short form.BMC psychiatry · 2024Article
- Reasons for not seeking alcohol treatment among a sample of Florida adults with HIV who perceived the need for treatment.Addiction science & clinical practice · 2024Article
- Web-Based Forums for People Experiencing Substance Use or Gambling Disorders: Scoping Review.JMIR mental health · 2024Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
aimsDespite the magnitude of alcohol use problems globally, treatment uptake remains low. This study sought to determine the proportion of people presenting to telephone-delivered alcohol treatment who are first-time help-seekers, and explored perceived barriers to help-seeking to understand the barriers this format of treatment may help to address.
methodsSecondary analysis of baseline data from a randomized controlled trial of a telephone-delivered intervention for alcohol use problems. Latent class analysis (LCA) identified participant profiles according to self-reported barriers to alcohol treatment.
resultsParticipants' (344) mean age was 39.86 years (SD = 11.36, 18-73 years); 51.45% were male. Despite high alcohol problem severity (Alcohol Use Disorder Identification Test: mean = 21.54, SD = 6.30; 63.37% probable dependence), multiple barriers to accessing treatment were endorsed (mean = 5.64, SD = 2.41), and fewer than one-third (29.36%) had previously accessed treatment. LCA revealed a two-class model: a 'low problem recognition' class (43.32%) endorsed readiness-for-change and attitudinal barriers; a 'complex barriers' class (56.68%) endorsed stigma, structural, attitudinal and readiness-to-change barriers, with complex barrier class membership predicted by female sex (adjusted OR = 0.45, 95% CI 0.28, 0.72) and higher psychological distress (adjusted OR = 1.13, 95% CI 1.08, 1.18).
conclusionThe majority of people accessing this telephone-delivered intervention were new to treatment, yet had high alcohol problem severity. Two distinct profiles emerged, for which telephone interventions may overcome barriers to care and tailored approaches should be explored (e.g. increasing problem awareness, reducing psychological distress). Public health strategies to address stigma, and raise awareness about the low levels of drinking that constitute problem alcohol use, are needed to increase help-seeking.
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