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Table 3 Scope of the literature meeting inclusion criteria (n = 28)

From: What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada

Author (year) Country
(Indigenous population)
Primary focus of studya Description of alcohol problem treated Strategy: Western/cultural/both Intervention/therapy studied
Treatment effectiveness
 Savard [75]b
(1968)
USA
(Navaho)
Treatment effectiveness Alcoholism Western Pharmacotherapy (disulfiram)c
 Ferguson [73]
(1970)
USA
(Navaho)
Treatment effectiveness Alcoholics Western Pharmacotherapy (disulfiram)c
 O’Malley et al. [24] (2008) USA
(American Indian/Alaska Native)
Treatment effectiveness Alcohol dependence Western Pharmacotherapy (naltrexone)
 Venner et al. [69] (2016) USA
(American Indian/Alaska Native)
Treatment effectiveness Substance use disorder and alcohol abuse/dependence Both MICRA (CBT)/cultural practices
Implementation research
 Kahn and Fua [72] (1992) Australia
(Aboriginal)
Effectiveness-implementation Alcoholism Western Counsellor training as therapy
 Clifford and Shakeshaft [59] (2011) Australia
(Aboriginal and or Torres Strait Islander)
Implementation research;
staff and client acceptability
At-risk drinkers Western BI
 Clifford et al. [61] (2013) Australia
(Aboriginal and or Torres Strait Islander)
Implementation research At-risk of alcohol-related Western BI
 D’Abbs et al. [62] (2013) Australia
(Aboriginal)
Effectiveness-implementationd Alcohol problems Bothe CBT/social-cultural support/pharmacotherapy (naltrexone)
 Lovett et al. [67] (2014) Australia
(Aboriginal and Torres Strait Islander)
Implementation research Problematic alcohol use Both Culturally appropriate introduction to BI and case management
 Brett et al. [29] (2017) Australia (Aboriginal) Effectiveness-implementationd;
client access; staff and client acceptability
Alcohol dependence Western ‘Home detox’
(ambulatory withdrawal)
Treatment access and/or accessibility
 Hall [74]
(1986)
USA
(American Indian)
Client access; staff acceptability Alcoholism Cultural Cultural practices
 Brady et al. [70] (1998) Australia
(Aboriginal)
Staff acceptability Alcohol problems Western BI
 Huriwai et al. [76] (2000) New Zealand
(Māori)
Client acceptability Alcohol problems Cultural Cultural practices
 Robertson et al. [77] (2001) New Zealand
(Māori)
Staff acceptability Alcohol problems Cultural Cultural practices
 Brady et al. [71] (2002) Australia
(Aboriginal)
Staff acceptability and staff perception of client acceptability Hazardous alcohol use Western BI
 DeVerteuil and Wilson [63] (2010) Canada
(Aboriginal)
Client access; staff acceptability Alcohol use problems Both Cultural practices
 Panaretto et al. [68] (2010) Australia
(Aboriginal and Torres Strait Islander)
Staff perceptions of client access; staff acceptability Alcohol abuse and alcohol harms Western BI
 Allan [54]
(2010)
Australia
(Aboriginal and or Torres Strait Islander)
Staff access and acceptability Problematic alcohol use Western BI
 Gone [64]
(2011)
Canada
(Algonquian)
Client access; staff and client acceptability Alcoholism Both Counselling/cultural practices
 Allan and Campbell [55] (2011) Australia
(Aboriginal)
Client access and acceptability Harmful substance use Western MI/BI/Counselling
 Clifford et al. [60] (2012) Australia
(Aboriginal and or Torres Strait Islander)
Staff acceptability Risky drinking Western BI
 Conigrave et al. [30] (2012) Australia
(Aboriginal)
Client accessibility/awareness Alcohol problems and alcohol use disorder Western BI
 Legha and Novins [66] (2012) USA
(American Indian/Alaska Native)
Client access; staff acceptability Alcohol abuse Both Cultural practices
 Calabria et al. [57] (2013) Australia
(Aboriginal)
Client acceptability Alcohol-related harms Western CBT (CRA + CRAFT)
 Lee et al. [65]
(2013)
Australia
(Aboriginal)
Client access and acceptability Alcohol use disorder Both Women’s group (cultural)
 Brett et al. [56]
(2014)
Australia
(Aboriginal and Torres Strait Islander)
Staff perspective of
treatment acceptability
and accessibility
Alcohol dependence Western ‘Home detox’ (ambulatory withdrawal)
 Calabria et al. [58] (2014) Australia
(Aboriginal)
Staff acceptability Alcohol-related harms Western CBT (CRA + CRAFT)
 Hirchak et al. [31] (2018) USA
(American Indian/Alaska Native)
Client acceptability Alcohol use disorders Both Contingency management/
cultural practices
  1. aStudies are ordered in tables according to their focus and year of publication
  2. bResults for this trial of disulfiram therapy were gathered from the background section of the cited publication (published 1964). The cited source for the data was an unpublished conference presentation by the same author who was involved with conducting the trial. Sufficient detail was presented to allow the methods to be described. This was cross-checked against a thesis by the same author. Data was not published elsewhere in refereed journals. Given the scarcity of quantitative data it was decided to include this study
  3. cBoth disulfiram trials required in-patient detoxification and commencement of therapy before participants were discharged to continue disulfiram therapy as outpatients. As part of the initial hospitalisation, after commencement of disulfiram, a “challenge dose” of alcohol was administered to measure the severity of reactions in a controlled environment. This is not standard practice today
  4. dPrimary focus was implementation but there were outcome results from a series of patients in these studies
  5. eThis intervention is mostly western, cultural care was planned but not delivered due to practical constraints