Evidence Synthesis and Tables
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JohnsHopkinsIndividualEvidenceSummaryToolwk3SystematicReview.docxPractice Question: How to address substance abuse disorders
Date: 18th January, 2021.
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Article Number |
Author and Date |
Evidence Type |
Sample, Sample Size, Setting |
Findings That Help Answer the EBP Question |
Observable Measures |
Limitations |
Evidence Level, Quality |
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Sancho, M., De Gracia, M., Rodriguez, R. C., Mallorquí-Bagué, N., Sánchez-González, J., Trujols, J., ... & Menchón, J. M. (2018). Mindfulness-based interventions for the treatment of substance and behavioral addictions: a systematic review. Frontiers in psychiatry, 9, 95. https://doi.org/10.3389/fpsyt.2018.00095 Permalink https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00095/full?report=reader Database Ebscohost.
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Evidence: Systematic Review Type: Narrative synthesis. Purpose: The purpose of the review is to assess the efficiency of Mindfulness-based interventions (MBI) in substance and behavioral addictions. Objective: The objective of this systematic review is to compare MBI s with other interventions to inform future Decisions. |
Sample: 54 randomized controlled trials published in English between 2009 and April 2017 were used in the study. Search terms were used to get the articles from different databases including PubMeb, Cochrane, and web of science. Sample size: The total number of participants were 4, 916 from the 54 studies. Setting: Two independent reviewers conducted an online library search at the comfort of their zones and later met for a review of the studies upon which they eliminated some studies and remained with relevant studies. |
Generally, mindfulness-based evidence proved to be effective in addressing substance abuse and behavioral addiction such as gambling. These interventions reduce dependence, cravings and other addiction symptoms. MBIs are more effective when combined with Treatment as Usual (TAUs). When compared with TAU, MBRP reduced alcohol dependence and depressive mood more significantly than TAUs. MBI patients recorded significantly the same satisfaction, retention and frequency of substance use with Cognitive Behavioral Therapy CBT patients. MBRP was found to be more significant and directly related to mindfulness while Relapse Prevention (RP) related inversely to mindfulness. Mindfulness-Based Relapse Prevention (MBRP) is also more effective in reducing psychiatric severity such as anxiety and depression. MBI interventions such as Mindful Training for Smokers (MTS) enhanced emotional regulation and MBIs are more effective that lack of treatment. Interventions such as yoga is more effective than physical education. MBIs are also effective in reducing the craving for smoking among college students.
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The first group received interventions that is tested. The control group received alternative interventions. |
The first limitation is that there was inconsistencies in number of patients, comparators, MBIs, and outcome measures across studies reviewed. Another limitation is that only 54 trials were included in the study hence could not integrate all the information needed.
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Level: I Quality: B |
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Attach a reference list with full citations of articles reviewed for this Practice question.
Johns Hopkins Nursing Evidence-Based Practice
Appendix G: Individual Evidence Summary Tool
The Johns Hopkins Hospital/ The Johns Hopkins University
1
Directions for Use of the Individual Evidence Summary Tool
Purpose
This form is used to document the results of evidence appraisal in preparation for evidence synthesis. The form provides the EBP team with documentation of the sources of evidence used, the year the evidence was published or otherwise communicated, the information gathered from each evidence source that helps the team answer the EBP question, and the level and quality of each source of evidence.
Article Number
Assign a number to each reviewed source of evidence. This organizes the individual evidence summary and provides an easy way to reference articles.
Author and Date
Indicate the last name of the first author or the evidence source and the publication/communication date. List both author/evidence source and date.
Evidence Type
Indicate the type of evidence reviewed (for example: RCT, meta-analysis, mixed methods, quaLitative, systematic review, case study, narrative literature review).
Sample, Sample Size, and Setting
Provide a quick view of the population, number of participants, and study location.
Findings That Help Answer the EBP Question
Although the reviewer may find many points of interest, list only findings that directly apply to the EBP question.
Observable Measures
QuaNtitative measures or variables are used to answer a research question, test a hypothesis, describe characteristics, or determine the effect, impact, or influence. QuaLitative evidence uses cases, context, opinions, experiences, and thoughts to represent the phenomenon of study.
Limitations
Include information that may or may not be within the text of the article regarding drawbacks of the piece of evidence. The evidence may list limitations, or it may be evident to you, as you review the evidence, that an important point is missed or the sample does not apply to the population of interest.
Evidence Level and Quality
Using information from the individual appraisal tools, transfer the evidence level and quality rating into this column.
