Engle Bretton, Macgowan Mark J
Community-Based Intervention Research Group, Florida International University, Miami, Florida, USA.
J Evid Based Soc Work. 2009 Jul;6(3):217-43. doi: 10.1080/15433710802686971.
Evidence-based social work requires the use of interventions that are supported by good research evidence. This article reviews the empirical research on adolescent alcohol and other drug (AOD) abuse group treatments. Despite the popularity of group work, searches of the academic literature yielded only 13 adolescent group treatments for which AOD use outcomes have been reported. These treatments and the studies that evaluated them are systematically reviewed.
Methodological, efficacy rating, and treatment factor criteria are applied to these studies.
Statistically significant reductions in pre-, post-, and/or follow-up use rates of one or more substances were reported for 10 of the 13 reviewed treatments, but only two met Chambless and Hollon's (1998) criteria for "possible efficacy." Similarities between the two possibly efficacious treatments, as well as among the three treatments with no indication of positive outcomes are described. A major limitation of the studies overall was the lack of group treatment factor descriptions and analyses.
If the state of the science is to advance, adolescent AOD group treatment researchers must improve study designs and reporting on group-related treatment factors. Based on the limited information provided, treatment factors and/or active ingredients that may distinguish effective vs. ineffective group work are discussed. Finally, the evidence suggests that group work is a viable modality for treating adolescent AOD abuse despite recent concerns to the contrary. Recommendations for advancing the state of the science are made.
循证社会工作要求采用有充分研究证据支持的干预措施。本文回顾了关于青少年酒精及其他药物（AOD）滥用群体治疗的实证研究。尽管群体工作很受欢迎，但对学术文献的检索仅发现了13种已报告AOD使用结果的青少年群体治疗方法。对这些治疗方法及其评估研究进行了系统综述。
将方法学、疗效评级和治疗因素标准应用于这些研究。
在13种综述治疗方法中，有10种报告了一种或多种物质在治疗前、治疗后和/或随访时的使用率有统计学显著下降，但只有两种符合钱布利斯和霍伦（1998年）的“可能有效”标准。描述了两种可能有效的治疗方法之间以及三种未显示积极结果的治疗方法之间的相似之处。总体而言，这些研究的一个主要局限性是缺乏对群体治疗因素的描述和分析。
如果要推动科学发展，青少年AOD群体治疗研究人员必须改进研究设计并报告与群体相关的治疗因素。基于所提供的有限信息，讨论了可能区分有效与无效群体工作的治疗因素和/或活性成分。最后，证据表明，尽管最近有相反的担忧，但群体工作仍是治疗青少年AOD滥用的一种可行方式。提出了推动科学发展的建议。
