Cochrane · systematic review · CD012823
Effectiveness of psychosocial interventions for reducing parental substance misuse
McGovern, R, Newham, JJ, Addison, MT, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
Drugs and AlcoholAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
32
current version
GRADE rated
32
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 21.9%Low 20 · 62.5%Moderate 5 · 15.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Any psychosocial interventions compared with control intervention for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Any psychosocial interventions vs control intervention | no estimate extracted | 6 studies · 475 participants | Moderate Downgraded: risk of bias |
Frequency of alcohol misuse 12 months Any psychosocial interventions vs control intervention | no estimate extracted | 4 studies · 366 participants | Moderate Downgraded: risk of bias |
Frequency of drug use 6 months Any psychosocial interventions vs control intervention | no estimate extracted | 8 studies · 625 participants | Moderate Downgraded: risk of bias |
Frequency of drug use 12 months Any psychosocial interventions vs control intervention | no estimate extracted | 6 studies · 514 participants | Moderate Downgraded: risk of bias |
Drug and alcohol use only‐focused psychosocial interventions compared with control intervention for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Drug and alcohol use only‐focused psychosocial interventions vs control intervention | no estimate extracted | 2 studies · 89 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Drug and alcohol use only‐focused psychosocial interventions vs control intervention | no estimate extracted | 1 study · 34 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 6 months Drug and alcohol use only‐focused psychosocial interventions vs control intervention | no estimate extracted | 2 studies · 87 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 12 months Drug and alcohol use only‐focused psychosocial interventions vs control intervention | no estimate extracted | 1 study · 32 participants | Low Downgraded: risk of bias, imprecision |
Parenting‐focused psychosocial interventions WITHOUT substance use‐focused component compared with treatment as usual and attention control for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Parenting‐focused psychosocial interventions WITHOUT substance use‐focused component vs treatment | no estimate extracted | 3 studies · 273 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Parenting‐focused psychosocial interventions WITHOUT substance use‐focused component vs treatment | no estimate extracted | 2 studies · 219 participants | Very low Downgraded: imprecision |
Frequency of drug use 6 months Parenting‐focused psychosocial interventions WITHOUT substance use‐focused component vs treatment | no estimate extracted | 4 studies · 407 participants | Moderate Downgraded: risk of bias |
Frequency of drug use 12 months Parenting‐focused psychosocial interventions WITHOUT substance use‐focused component vs treatment | no estimate extracted | 3 studies · 351 participants | Very low Downgraded: imprecision |
Integrated parenting and substance use‐focused component psychosocial interventions compared with treatment as usual and attention control for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Integrated parenting and substance use‐focused component psychosocial interventions vs treatment | no estimate extracted | 2 studies · 113 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Integrated parenting and substance use‐focused component psychosocial interventions vs treatment | no estimate extracted | 2 studies · 113 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 6 months Integrated parenting and substance use‐focused component psychosocial interventions vs treatment | no estimate extracted | 2 studies · 131 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 12 months Integrated parenting and substance use‐focused component psychosocial interventions vs treatment | no estimate extracted | 2 studies · 131 participants | Low Downgraded: risk of bias, imprecision |
Psychosocial interventions WITH child involvement compared with control for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Psychosocial interventions WITH child involvement vs control | no estimate extracted | 3 studies · 273 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Frequency of alcohol misuse 12 months Psychosocial interventions WITH child involvement vs control | no estimate extracted | 2 studies · 219 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Frequency of drug use 6 months Psychosocial interventions WITH child involvement vs control | no estimate extracted | 5 studies · 429 participants | Low Downgraded: risk of bias, inconsistency |
Frequency of drug use 12 months Psychosocial interventions WITH child involvement vs control | no estimate extracted | 4 studies · 373 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Psychosocial interventions WITHOUT child involvement compared with control for substance‐using parents
Population: Parents who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Psychosocial interventions WITHOUT child involvement vs control | no estimate extracted | 3 studies · 202 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Psychosocial interventions WITHOUT child involvement vs control | no estimate extracted | 2 studies · 147 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 6 months Psychosocial interventions WITHOUT child involvement vs control | no estimate extracted | 3 studies · 196 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 12 months Psychosocial interventions WITHOUT child involvement vs control | no estimate extracted | 2 studies · 141 participants | Low Downgraded: risk of bias, imprecision |
Psychosocial interventions compared with control for mothers who use substances
Population: Mothers who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Psychosocial interventions vs control | no estimate extracted | 3 studies · 328 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Psychosocial interventions vs control | no estimate extracted | 3 studies · 325 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Frequency of drug use 6 months Psychosocial interventions vs control | no estimate extracted | 6 studies · 484 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 12 months Psychosocial interventions vs control | no estimate extracted | 4 studies · 373 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Psychosocial interventions compared with control for fathers who use substances
Population: Fathers who use substances
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of alcohol misuse 6 months Psychosocial interventions vs control | no estimate extracted | 2 studies · 147 participants | Low Downgraded: risk of bias, imprecision |
Frequency of alcohol misuse 12 months Psychosocial interventions vs control | no estimate extracted | 2 studies · 147 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 6 months Psychosocial interventions vs control | no estimate extracted | 2 studies · 141 participants | Low Downgraded: risk of bias, imprecision |
Frequency of drug use 12 months Psychosocial interventions vs control | no estimate extracted | 2 studies · 141 participants | Low Downgraded: risk of bias, imprecision |