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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
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Addiction Science & Clinical Practice

ISSN: 1940-0640