17th May 2019, Volume 132 Number 1495

Jennifer Lai, Paul Hanton, Angela Jury, Charito Tuason

In New Zealand, one in five adults have potentially hazardous drinking patterns.1 The Health Promotion Agency recommends no more than 15 standard drinks per week among men, and 10 for…

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Summary

Using established research methods, it has been possible to analyse data collected from people accessing services at the start and end of treatment for their alcohol-related issues. This analysis has shown that reducing alcohol days of use has a positive impact on lifestyle and wellbeing. The sector often discusses reducing harm, this paper shows increased benefits, a paradigm shift in thinking from reduction of a negative to increased positive.

Abstract

Aim

The study examined the impact of alcohol use on lifestyle and wellbeing among adults accessing New Zealand community alcohol and other drug (AOD) services, and practice implications.

Method

Routinely collected Alcohol and Drug Outcome Measure (ADOM) data for individuals at both treatment start and treatment end was analysed. Hierarchical multiple regression analyses examined the independent impact of changes in days of alcohol use on weekly lifestyle and wellbeing issues. Analyses controlled for sociodemographic variables and other substances used.

Results

In total, 598 people reported alcohol as their main substance of concern. The largest improvements in lifestyle and wellbeing were observed for mental health, social relationships and physical health. Change in days of alcohol use significantly contributed to the prediction of change in lifestyle and wellbeing issues experienced (model R2=20%, adjusted R2=19%, p<.001). Results were similar for amount and total volume.

Conclusion

Reduced alcohol use positively impacts on people’s lifestyle and wellbeing. Findings have implications for increasing awareness of the benefits for people’s lives, even small reductions in alcohol use. The need to strengthen routine ADOM collection in AOD services is highlighted, as well as the availability of vocational rehabilitation to support people’s wellbeing.

Author Information

Jennifer Lai, Research Assistant, Te Pou o te Whakaaro Nui, Auckland; 
Paul Hanton, Clinical Project Lead, Te Pou o te Whakaaro Nui, Hamilton; 
Angela Jury, Principal Advisor Research, Te Pou o te Whakaaro Nui, Auckland; 
Charito Tuason, Data Analyst, Te Pou o te Whakaaro Nui, Auckland.

Acknowledgements

The authors would like to acknowledge Professor David Fergusson’s input in the initial stages of this project, and Dr Mark Smith for his early contributions. Thanks also to Sandra Baxendine for the extraction of PRIMHD data, and Will Ward and Ashley Koning for their review of the draft manuscript.

Correspondence

Paul Hanton, Te Pou o te Whakaaro Nui, PO Box 307, Waikato Mail Center, Hamilton 3240.

Correspondence Email

paul.hanton@tepou.co.nz

Competing Interests

Nil.

References

  1. Ministry of Health. Annual data explorer 2016/17: New Zealand Health Survey [data file] 2017 [cited 8 October 2018]. Available from: http://minhealthnz.shinyapps.io/nz-health-survey-2016-17-annual-update
  2. World Health Organization. WHO expert committee on problems related to alcohol consumption. Geneva: World Health Organization; 2007.
  3. New Zealand Police. Framework for preventing and reducing alcohol-related offending and victimisation 2010-2014. Wellington: New Zealand Police; 2010.
  4. Crampton E, Burgess M. The price of everything, the value of nothing: A (truly) external review of BERL’s study of harmful alcohol and drug use. Christchurch, New Zealand: University of Canterbury; 2009.
  5. Te Pou o te Whakaaro Nui. Alcohol and other drug outcome measure (ADOM). Report four: For period January to December 2017. Auckland, New Zealand: Te Pou o te Whakaaro Nui; 2018.
  6. Donovan D, Mattson ME, Cisler RA, Longabaugh R, Zweben A. Quality of life as an outcome measure in alcoholism treatment research. Journal of Studies on Alcohol, Supplement. 2005; (15):119–39; discussion 92–3. 
  7. Ugochukwu C, Bagot KS, Delaloye S, Pi S, Vien L, Garvey T, et al. The importance of quality of life in patients with alcohol abuse and dependence. Harvard Review of Psychiatry. 2013; 21(1):1–17. 
  8. SAMHSA. SAMHSA’s working definition of recovery. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2012.
  9. Deering D, Robinson G, Wheeler A, Pulford J, Frampton C, Dunbar L, et al. Preliminary work towards validating a draft outcome measure for use in the alcohol and drug sector. Auckland, New Zealand: Te Pou o te Whakaaro; 2009.
  10. Galea S, Websdell P, Galea-Singer J. Alcohol and Drug Outcome Measure: Refinement and validation of ADOM part B questions. Auckland, New Zealand: Te Pou o te Whakaaro Nui; 2013.
  11. Holcomb WR, Parker JC, Leong GB. Outcomes of inpatients treated on a VA psychiatric unit and a substance abuse treatment unit. Psychiatric Services. 1997; 48(5):699–704. 
  12. Boden JM, Fergusson DM. Alcohol and depression. Addiction. 2011; 106(5):906–14. 
  13. Lahmek P, Berlin I, Michel L, Berghout C, Meunier N, Aubin H-J. Determinants of improvement in quality of life of alcohol-dependent patients during an inpatient withdrawal programme. International Journal of Medical Sciences. 2009; 6(4):160–7. 
  14. Rasmussen IS, Arefjord K, Winje D, Dovran A. Childhood maltreatment trauma: a comparison between patients in treatment for substance use disorders and patients in mental health treatment. European Journal of Psychotraumatology. 2018; 9(1):1492835-. 
  15. Oakley Browne MA, Wells JE, Scott KM. Te Rau Hinengaro: The New Zealand mental health survey. Wellington, New Zealand: Ministry of Health; 2006.
  16. Matua Raki and Te Pou o te Whakaaro Nui. Te Whare o Tiki, co-existing problems knowledge and skills framework. Wellington, New Zealand: Matua Raki and Te Pou o te Whakaaro Nui; 2013.
  17. Murphy CM, Ting L. The effects of treatment for substance use problems on intimate partner violence: A review of empirical data. Aggression and Violent Behavior. 2010; 15(5):325–33. 
  18. Russell L. Te Oranga Hinengaro: Report on Māori mental wellbeing results from the New Zealand mental health monitor & health and lifestyles survey. Wellington, New Zealand: Health Promotion Agency/Te Hiringa Hauora; 2018.
  19. Kean J. Mental illness and addictions: Our responsibility to support the family. Aotearoa New Zealand Social Work. 2017; 21(3):26–32. 
  20. Taylor B, Irving HM, Kanteres F, Room R, Borges G, Cherpitel C, et al. The more you drink, the harder you fall: A systematic review and meta-analysis of how acute alcohol consumption and injury or collision risk increase together. Drug and Alcohol Dependence. 2010; 110(1):108–16. 
  21. Wiese JG, Shlipak MG, Browner WS. The alcohol hangover. Annals Of Internal Medicine. 2000; 132(11):897–902. 
  22. Breslow RA, Guenther PM, Juan W, Graubard BI. Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999–2006. Journal of the American Dietetic Association. 2010; 110(4):551–62. 
  23. Te Pou o te Whakaaro Nui. The physical health of people with mental health conditions and/or addiction. Evidence update: December 2017. Auckland, New Zealand: Te Pou o te Whakaaro Nui; 2017.
  24. Centre for Mental Health. Briefing 48: Employment support & addiction. London, England: Centre for Mental Health; 2014.
  25. Best D, Savic M, Beckwith M, Honor S, Karpusheff J, Lubman DI. The role of abstinence and activity in the quality of life of drug users engaged in treatment. Journal of Substance Abuse Treatment. 2013; 45(3):273–9. 
  26. Waddell G, Burton AK, Kendall NA. Vocational rehabilitation–what works, for whom, and when? (Report for the Vocational Rehabilitation Task Group): TSO; 2008.
  27. Marlatt GA, Witkiewitz K. Harm reduction approaches to alcohol use: health promotion, prevention, and treatment. Addictive Behaviors. 2002; 27(6):867–86. 
  28. Gondek D, Edbrooke-Childs J, Fink E, Deighton J, Wolpert M. Feedback from Outcome Measures and Treatment Effectiveness, Treatment Efficiency, and Collaborative Practice: A Systematic Review. Administration and Policy in Mental Health. 2016;43:325–43. 
  29. Best DW, Lubman DI. The recovery paradigm: A model of hope and change for alcohol and drug addiction. Australian Family Physician. 2012; 41(8):593. 
  30. Government Inquiry into Mental Health and Addiction. He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction. Wellington, New Zealand: Crown copyright New Zealand 2018; 2018. 

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