Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

3,024 questions · 3,338 findings · 330 reviews

No studies found 735 · 22%GRADE not reported 282 · 8.4%Very low 962 · 28.8%Low 870 · 26.1%Moderate 384 · 11.5%High 105 · 3.1%

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Clinical symptoms ‐ overall risk of harmful or hazardous alcohol and substance use (1 to 6 months post intervention) · adult patients with harmful or hazardous alcohol or substance use
1 finding from 1 review

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Quality of life (1 to 6 months post intervention) · adult patients with harmful or hazardous alcohol or substance use

Primary health professional‐ and community professional‐led… showed no clear difference in quality of life (1 to 6 months post intervention) compared with enhanced usual care (moderate certainty).

1 finding from 1 review

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Service utilisation (1 to 6 months post intervention) ‐ incidence of visits to primary care centres due to alcohol consumption (RR > 1 denotes greater risk) · adult patients with harmful or hazardous alcohol or substance use

It is very uncertain whether primary health professional‐ and community professional‐led… changes service utilisation (1 to 6 months post intervention) ‐ incidence of… compared with enhanced usual care (very low certainty).

1 finding from 1 review

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Adverse events (1 to 6 months post intervention) ‐ incidence of alcohol‐related consequences ‐ accidents (RR > 1 denotes greater risk) · adult patients with harmful or hazardous alcohol or substance use

It is very uncertain whether primary health professional‐ and community professional‐led… changes adverse events (1 to 6 months post intervention) ‐ incidence of… compared with enhanced usual care (very low certainty).

1 finding from 1 review

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Clinical symptoms ‐ alcohol use (1 to 6 months post intervention) · adult patients with substance dependence

It is very uncertain whether primary health professional‐ and community professional‐led… changes clinical symptoms ‐ alcohol use (< 1 month post intervention) compared with enhanced usual care (very low certainty).

1 finding from 1 review

Primary health professional‐ and community professional‐led interventions vs enhanced usual care

Clinical symptoms ‐ drug use (< 1 month post intervention) ‐ heroin · adult patients with substance dependence

It is very uncertain whether primary health professional‐ and community professional‐led… changes clinical symptoms ‐ drug use (< 1 month post intervention) ‐ heroin compared with enhanced usual care (very low certainty).

1 finding from 1 review

Alarm plus other intervention vs other interventions

Proportion of children achieving 14 consecutive dry nights by the end of treatment · children with nocturnal enuresis

It is very uncertain whether alarm plus other intervention changes proportion of children achieving 14 consecutive dry nights by the… compared with other intervention (very low certainty).

3 findings from 1 review

Alarm plus other intervention vs other interventions

Proportion of children dry at · children with nocturnal enuresis

Alarm plus other intervention showed no clear difference in proportion of children dry at compared with other intervention (low certainty).

2 findings from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Patient evaluation of care/the intervention Patient reports that the intervention changed management of his or her health at 6 months after baseline (3‐point scale: dichotomised into 'a great deal' vs 'somewhat' + 'not at all') (Stanford 2018) Hig... · older patients with multi‐morbidity

Interventions for involving patients in decision‐making about their… may leads to higher patient evaluation of care/the intervention Patient reports that the… compared with attention‐control conditions (low certainty).

1 finding from 1 review

Interventions for involving patients in decision‐making about their health care vs attention control

Adverse event** Less patient involvement as a result of the intervention Not measured · older patients with multi‐morbidity

The review found no eligible studies for this question.

1 finding from 1 review