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Presentation Title: Exploring The Evidence: A Systematic Review Of Smart Recovery Evaluations Contributors: Alison K. Beck, Amanda L. Baker, Peter J. Kelly, Anthony Shakeshaft, Frank P. Deane, David Hunt Presenter: Alison Beck Introduction and Aims: Self-help groups are integral to the process of addiction recovery. Self-Management and Recovery Training (SMART Recovery) was borne from a need for an alternative to 12 step approaches. SMART Recovery adopts key principles (e.g. self-efficacy) and therapeutic approaches (e.g. motivational interviewing and cognitive behavioural therapy) shown to be effective in promoting recovery from addiction. However, further clarity regarding SMART Recovery as a mutual-aid support package is needed. This systematic review will provide an overview of the current state of evidence for SMART Recovery including outcomes, potential mediators and a critical evaluation of the methods used to evaluate SMART Recovery. Design and Methods: Six electronic peer-reviewed and four grey literature databases were searched for literature on SMART Recovery. Articles classified as ‘evaluation’ were assessed against standardised criteria. Results: Preliminary searches identified nine evaluations of SMART Recovery, including one randomised controlled trial which found clinically significant improvements in alcohol use following SMART Recovery. Although positive findings were apparent, the remaining evaluations were largely cross-sectional, focused on process relative to outcome measures and/or evaluated SMART Recovery within a specific treatment context (e.g. dual diagnosis). Discussion and Conclusions: The SMART Recovery model is grounded in science. Evidence from one ‘gold standard’ evaluation supports the role of both face-to-face and web versions in promoting recovery from alcohol addiction. Further high quality evaluations are needed to understand the impact on other addictive behaviours and possible mechanisms of action. Implications for Practice or Policy: Campaigning for change in healthcare practice and policy relies on a solid evidence base. This systematic review represents an important step in generating the evidence needed to refine, disseminate and raise the profile of SMART Recovery as an effective alternative to traditional 12 step approaches for long-term addiction recovery support. The Australasian Professional Society on Alcohol and other Drugs (APSAD) held it’s 35th conference in Perth for the 2015 APSAD Scientific Alcohol and Drug Conference. What is SMART Recovery? SMART (Self Management and Recovery Training) Recovery is a free group program assisting any problematic behaviours, including addiction to drugs, alcohol, cigarettes, gambling, food, shopping, Internet and others. Guided by trained peers and professionals, participants come to help themselves and help each other using a variety of cognitive behaviour therapy (CBT) and motivational tools and techniques.

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