Evidence map›Paper›PMID 39446874›Full record

ArticlePLOS global public health2024

A scoping review of substance use brief interventions in Africa.

Florence Jaguga, Sarah Kanana Kiburi, Eunice Temet, Matthew C Aalsma, Mary A Ott, Rachel W Maina, Juddy Wachira, Cyprian Mostert, Gilliane Kosgei, Angeline Tenge and 1 more

Abstract readScoping Review
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

11 authors.

Florence JagugaDepartment of Alcohol and Drug Abuse Rehabilitative Services, Moi Teaching & Referral Hospital, Eldoret, Kenya.ORCID https://orcid.org/0000-0002-8381-6309
Sarah Kanana KiburiDepartment of Medicine, Aga Khan University Hospital, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-7296-7216
Eunice TemetDepartment of Psychiatry, Moi Teaching & Referral Hospital, Eldoret, Kenya.ORCID https://orcid.org/0000-0002-6462-1813
Matthew C AalsmaDepartment of Pediatrics, Division of Child Health Services Research, Adolescent Behavior Health Research Program, Indiana University, School of Medicine, Bloomington, Indiana.ORCID https://orcid.org/0000-0001-5952-6785
Mary A OttDepartment of Global Health and Health System Design, Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai, New York, New York, United States of America.ORCID https://orcid.org/0000-0003-1347-2480
Rachel W MainaDepartment of Medicine, Medical College East Africa, The Aga Khan University, Karachi, Pakistan.
Juddy WachiraDepartment of Mental Health and Behavioral Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Cyprian MostertDepartment of Population Health, Medical College East Africa, The Aga Khan University, Karachi, Pakistan.
Gilliane KosgeiAfya ya Akili Mashinani, Academic Model Providing Access to Healthcare, Eldoret, Kenya.ORCID https://orcid.org/0009-0000-5076-4680
Angeline TengeDepartment of Mental Health and Behavioral Sciences, School of Medicine, Moi University, Eldoret, Kenya.
Lukoye AtwoliDepartment of Medicine, Medical College East Africa, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-7710-9723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of substance use in Africa is substantial. Brief interventions (BIs) are a recommended public health strategy for the prevention and early intervention for substance use problems. The objective of this scoping review was to map the literature on substance use BIs in Africa, identify gaps, and provide directions for future research.

methodsThe scoping review was guided by the Arksey O'Malley Framework and the PRISMA-Scoping review (PRISMA-ScR) guidelines. A search of five bibliographic databases (PubMed, PsychINFO, Web of Science, Cumulative Index of Nursing and Allied Professionals (CINAHL) and Cochrane Library) was conducted from inception until 1st November 2023. BIs were defined as those targeting substance use and delivered over 1-4 sessions, or interventions delivered over more than four sessions if the authors referred to them as 'brief'. Results of the review have been summarized descriptively and organized by three broad outcomes: BI effect and feasibility; feasibility and effectiveness of training providers to deliver BIs; Other outcomes i.e. cost-effectiveness, BI adaptation and development, and knowledge attitude and practice of BIs by providers.

resultsOf the 80 studies that were eligible for inclusion, 68 investigated the effect and feasibility of BIs, six studies investigated the feasibility and effectiveness of training providers to deliver BIs, and six explored other outcomes. Most of the available studies had been conducted in Eastern and Southern Africa. BIs were largely based on motivational interviewing and psychoeducational principles. Overall, the BIs were reported as feasible to implement from the perspective of policy makers, providers, and the intervention recipients. Findings on the effect of BIs on substance use were mixed. Key evidence gaps emerged. There was paucity of BI research focusing on substances other than alcohol, and there was limited literature on feasibility and efficacy of BIs among youth and adolescents.

conclusionThe results of this scoping review provide important directions for future substance use BI research in Africa.

Identifiers

PMID39446874
PMCPMC11501030

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.