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Physical activity and the prevention, reduction, and treatment of alcohol and other drug use across the lifespan (The PHASE review):: A systematic review

Physical activity and the prevention, reduction, and treatment of alcohol and other drug use across the lifespan (The PHASE review):: A systematic review
Physical activity and the prevention, reduction, and treatment of alcohol and other drug use across the lifespan (The PHASE review):: A systematic review
The aim of this review is to systematically describe and quantify the effects of PA interventions on alcohol and other drug use outcomes, and to identify any apparent effect of PA dose and type, possible mechanisms of effect, and any other aspect of intervention delivery (e.g. key behaviour change processes), within a framework to inform the design and evaluation of future interventions. Systematic searches were designed to identify published and grey literature on the role of PA for reducing the risk of progression to alcohol and other drug use (PREVENTION), supporting individuals to reduce alcohol and other drug use for harm reduction (REDUCTION), and promote abstinence and relapse prevention during and after treatment of alcohol and other drug use (TREATMENT). Searches identified 49,518 records, with 49,342 excluded on title and abstract. We screened 176 full text articles from which we included 32 studies in 32 papers with quantitative results of relevance to this review. Meta-analysis of two studies showed a significant effect of PA on prevention of alcohol initiation (risk ratio [RR]: 0.72, 95%CI: 0.61 to 0.85). Meta-analysis of four studies showed no clear evidence for an effect of PA on alcohol consumption (Standardised Mean Difference [SMD]: 0.19, 95%, Confidence Interval −0.57 to 0.18). We were unable to quantitatively examine the effects of PA interventions on other drug use alone, or in combination with alcohol use, for prevention, reduction or treatment. Among the 19 treatment studies with an alcohol and other drug use outcome, there was a trend for promising short-term effect but with limited information about intervention fidelity and exercise dose, there was a moderate to high risk of bias. We identified no studies reporting the cost-effectiveness of interventions. More rigorous and well-designed research is needed. Our novel approach to the review provides a clearer guide to achieve this in future research questions addressed to inform policy and practice for different populations and settings.
Alcohol, Other drugs, Physical activity, Prevention, Reduction, Substance, Treatment
1755-2966
Thompson, Tom P.
f78fb592-b81b-46f3-96be-ddc60bc4a39d
Horrell, Jane
e87b0fa0-27d4-479d-8022-19100e259096
Taylor, Adrian H.
c7d629e0-c052-46d6-88d8-f61f6c4d8e7d
Wanner, Amanda
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Husk, Kerryn
f6e7aee0-4435-40bf-90ee-6bc6fdb19bf4
Wei, Y.
93d12bb1-e36e-4cd7-ae6c-40a3c669fe4a
Creanor, Siobhan
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Kandiyali, Rebecca
0d6e99f7-ec3b-41e5-8631-faaa0c045fab
Neale, Jo
43bfd5ad-9243-4b63-a0ac-f538840b090a
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Nasser, Mona
21d4b045-a0c1-48ca-aed8-24834f237848
Wallace, Gary
b7242b4d-7064-4295-b811-d6b0cc17036d
Thompson, Tom P.
f78fb592-b81b-46f3-96be-ddc60bc4a39d
Horrell, Jane
e87b0fa0-27d4-479d-8022-19100e259096
Taylor, Adrian H.
c7d629e0-c052-46d6-88d8-f61f6c4d8e7d
Wanner, Amanda
5b93b2dd-78fe-4a8d-a8f6-e3f193c0c2e2
Husk, Kerryn
f6e7aee0-4435-40bf-90ee-6bc6fdb19bf4
Wei, Y.
93d12bb1-e36e-4cd7-ae6c-40a3c669fe4a
Creanor, Siobhan
fce42a2f-cedf-4c43-9e56-8dff3f2044ed
Kandiyali, Rebecca
0d6e99f7-ec3b-41e5-8631-faaa0c045fab
Neale, Jo
43bfd5ad-9243-4b63-a0ac-f538840b090a
Sinclair, Julia
be3e54d5-c6da-4950-b0ba-3cb8cdcab13c
Nasser, Mona
21d4b045-a0c1-48ca-aed8-24834f237848
Wallace, Gary
b7242b4d-7064-4295-b811-d6b0cc17036d

Thompson, Tom P., Horrell, Jane, Taylor, Adrian H., Wanner, Amanda, Husk, Kerryn, Wei, Y., Creanor, Siobhan, Kandiyali, Rebecca, Neale, Jo, Sinclair, Julia, Nasser, Mona and Wallace, Gary (2020) Physical activity and the prevention, reduction, and treatment of alcohol and other drug use across the lifespan (The PHASE review):: A systematic review. Mental Health and Physical Activity, 19, [100360]. (doi:10.1016/j.mhpa.2020.100360).

Record type: Article

Abstract

The aim of this review is to systematically describe and quantify the effects of PA interventions on alcohol and other drug use outcomes, and to identify any apparent effect of PA dose and type, possible mechanisms of effect, and any other aspect of intervention delivery (e.g. key behaviour change processes), within a framework to inform the design and evaluation of future interventions. Systematic searches were designed to identify published and grey literature on the role of PA for reducing the risk of progression to alcohol and other drug use (PREVENTION), supporting individuals to reduce alcohol and other drug use for harm reduction (REDUCTION), and promote abstinence and relapse prevention during and after treatment of alcohol and other drug use (TREATMENT). Searches identified 49,518 records, with 49,342 excluded on title and abstract. We screened 176 full text articles from which we included 32 studies in 32 papers with quantitative results of relevance to this review. Meta-analysis of two studies showed a significant effect of PA on prevention of alcohol initiation (risk ratio [RR]: 0.72, 95%CI: 0.61 to 0.85). Meta-analysis of four studies showed no clear evidence for an effect of PA on alcohol consumption (Standardised Mean Difference [SMD]: 0.19, 95%, Confidence Interval −0.57 to 0.18). We were unable to quantitatively examine the effects of PA interventions on other drug use alone, or in combination with alcohol use, for prevention, reduction or treatment. Among the 19 treatment studies with an alcohol and other drug use outcome, there was a trend for promising short-term effect but with limited information about intervention fidelity and exercise dose, there was a moderate to high risk of bias. We identified no studies reporting the cost-effectiveness of interventions. More rigorous and well-designed research is needed. Our novel approach to the review provides a clearer guide to achieve this in future research questions addressed to inform policy and practice for different populations and settings.

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More information

Accepted/In Press date: 28 September 2020
e-pub ahead of print date: 1 October 2020
Published date: October 2020
Additional Information: © 2020 The Authors.
Keywords: Alcohol, Other drugs, Physical activity, Prevention, Reduction, Substance, Treatment

Identifiers

Local EPrints ID: 444561
URI: http://eprints.soton.ac.uk/id/eprint/444561
ISSN: 1755-2966
PURE UUID: 3bc7d937-5a6d-4055-844d-eefb83d1bbdc
ORCID for Julia Sinclair: ORCID iD orcid.org/0000-0002-1905-2025

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Date deposited: 26 Oct 2020 17:30
Last modified: 17 Mar 2024 02:44

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Contributors

Author: Tom P. Thompson
Author: Jane Horrell
Author: Adrian H. Taylor
Author: Amanda Wanner
Author: Kerryn Husk
Author: Y. Wei
Author: Siobhan Creanor
Author: Rebecca Kandiyali
Author: Jo Neale
Author: Julia Sinclair ORCID iD
Author: Mona Nasser
Author: Gary Wallace

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