The systematic development and pilot randomized evaluation of counselling for alcohol problems, a lay counselor-delivered psychological treatment for harmful drinking in primary care in India: the PREMIUM study.
Bottom Line: Despite harmful drinking causing a significant burden on global health, there is a large treatment gap, especially in low- and middle-income countries.Data from a case series were used to inform several adaptations to enhance the acceptability of CAP to the recipients and feasibility of delivery by lay counselors of the treatment, for example expansion of the target group to include alcohol-dependent patients and the extension of the delivery settings to include home-based delivery.There was preliminary evidence of the effectiveness of CAP.
Affiliation: London School of Hygiene & Tropical Medicine, London, United Kingdom; Sangath, Goa, India.Show MeSH
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Mentions: The framework for the development of Counselling for Alcohol Problems (CAP) was informed by our systematic review of methods used for cultural adaptations of PTs for depression (Chowdhary et al., 2013), the approach of “dismantling” evidence‐based PT to “distill” core treatment strategies which could be more easily task‐shared with less qualified therapists (Chorpita et al., 2005), and the methodology adopted by the research team in India for the development of psychosocial interventions for delivery by lay counselors for other mental disorders (Chatterjee et al., 2003, 2008; Dias et al., 2008). Based on these experiences, our methodology involved 3 sequential stages: (i) identifying potential treatment strategies; (ii) developing a theoretical framework for the treatment; and (iii) evaluating the acceptability, feasibility, and impact of the treatment. Within each stage, several procedures were implemented as shown in Fig. 1.
Affiliation: London School of Hygiene & Tropical Medicine, London, United Kingdom; Sangath, Goa, India.