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Palmer B, Irwin C, Desbrow B. A review of factors influencing drinking behaviours in young Australian adults using a behavioural framework approach. Drug Alcohol Rev 2024; 43:170-187. [PMID: 37830638 DOI: 10.1111/dar.13760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 09/20/2023] [Accepted: 09/20/2023] [Indexed: 10/14/2023]
Abstract
ISSUES Young adults (aged 18-24 years) are more likely to binge drink than any other age group in Australia. These behaviours expose young adults to possible adverse events, with potential for acute harms. APPROACH A behavioural framework (capability, opportunity, motivation-behaviour [COM-B model]) was used to explore factors that influence the drinking behaviours of young Australian adults. Potential studies were identified by searching four online data bases. Content pertaining to factors moderating young adults' alcohol consumption behaviours (either increasing or decreasing alcohol consumption) in an Australian population was extracted. Factors were then categorised/mapped into the six sub-components of the COM-B model. A narrative synthesis/discussion was subsequently undertaken. KEY FINDINGS Factors increasing or reducing alcohol consumption behaviours were identified across all components of the COM-B model. Overall, alcohol consumption behaviours appear strongly influenced by physical and social opportunities, and young adults have reflective and automatic motivations (i.e., habitual processes, emotional responding and analytical decisional making that directs behaviour) to consume alcohol with purpose and/or reason. IMPLICATIONS AND CONCLUSION The use of a behavioural framework (e.g., the COM-B model) facilitates an integrated understanding of factors influencing alcohol consumption behaviours. Future harm minimisation strategies need to consider the interrelated, contemporary factors underpinning a young adult's decision to consume alcohol within the context of modern Australian society.
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Affiliation(s)
- Blake Palmer
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
| | - Christopher Irwin
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
| | - Ben Desbrow
- School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia
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Parry CDH, Myers B, Londani M, Shuper PA, Janse van Rensburg C, Manda SOM, Nkosi S, Kekwaletswe CT, Hahn JA, Rehm J, Sorsdahl K, Morojele NK. Motivational interviewing and problem-solving therapy intervention for patients on antiretroviral therapy for HIV in Tshwane, South Africa: A randomized controlled trial to assess the impact on alcohol consumption. Addiction 2023; 118:2164-2176. [PMID: 37339811 PMCID: PMC10592292 DOI: 10.1111/add.16278] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 05/24/2023] [Indexed: 06/22/2023]
Abstract
BACKGROUND AND AIMS Reduction of alcohol consumption is important for people undergoing treatment for HIV. We tested the efficacy of a brief intervention for reducing the average volume of alcohol consumed among patients on HIV antiretroviral therapy (ART). DESIGN, SETTING AND PARTICIPANTS This study used a two-arm multi-centre randomized controlled trial with follow-up to 6 months. Recruitment occurred between May 2016 and October 2017 at six ART clinics at public hospitals in Tshwane, South Africa. Participants were people living with HIV, mean age 40.8 years [standard deviation (SD) = 9.07], 57.5% female, and on average 6.9 years (SD = 3.62) on ART. At baseline (BL), the mean number of drinks consumed over the past 30 days was 25.2 (SD = 38.3). Of 756 eligible patients, 623 were enrolled. INTERVENTION Participants were randomly assigned to a motivational interviewing (MI)/problem-solving therapy (PST) intervention arm (four modules of MI and PST delivered over two sessions by interventionists) or a treatment as usual (TAU) comparison arm. People assessing outcomes were masked to group assignment. MEASUREMENTS The primary outcome was the number of standard drinks (15 ml pure alcohol) consumed during the past 30 days assessed at 6-month follow-up (6MFU). FINDINGS Of the 305 participants randomized to MI/PST, 225 (74%) completed the intervention (all modules). At 6MFU, retention was 88% for the control and 83% for the intervention arm. In support of the hypothesis, an intention-to-treat-analysis for the primary outcome at 6MFU was -0.410 (95% confidence interval = -0.670 to -0.149) units lower on log scale in the intervention group than in the control group (P = 0.002), a 34% relative reduction in the number of drinks. Sensitivity analyses were undertaken for patients who had alcohol use disorders identification test (AUDIT) scores ≥ 8 at BL (n = 299). Findings were similar to those of the whole sample. CONCLUSIONS In South Africa, a motivational interviewing/problem-solving therapy intervention significantly reduced drinking levels in HIV-infected patients on antiretroviral therapy at 6-month follow-up.
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Affiliation(s)
- Charles D. H. Parry
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilCape TownSouth Africa
- Department of PsychiatryUniversity of StellenboschCape TownSouth Africa
| | - Bronwyn Myers
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilCape TownSouth Africa
- Curtin enAble institute, Faculty of Health SciencesCurtin UniversityPerthWestern AustraliaAustralia
- Division of Addiction Psychiatry, Department of Psychiatry and Mental HealthUniversity of Cape TownCape TownSouth Africa
| | - Mukhethwa Londani
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilPretoriaSouth Africa
- Directorate of Research and InnovationTshwane University of TechnologyPretoriaSouth Africa
| | - Paul A. Shuper
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilCape TownSouth Africa
- Institute for Mental Health Policy Research and Campbell Family Mental Health Research InstituteCentre for Addiction and Mental HealthTorontoOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
| | - Charl Janse van Rensburg
- Biostatistics Unit, South African Medical Research Council, Pretoria, South Africa and Department of StatisticsUniversity of PretoriaPretoriaSouth Africa
| | - Samuel O. M. Manda
- Biostatistics Unit, South African Medical Research Council, Pretoria, South Africa and Department of StatisticsUniversity of PretoriaPretoriaSouth Africa
| | - Sebenzile Nkosi
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilPretoriaSouth Africa
| | - Connie T. Kekwaletswe
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilPretoriaSouth Africa
| | - Judith A. Hahn
- Department of MedicineUniversity of California San FranciscoSan FranciscoCaliforniaUSA
| | - Jürgen Rehm
- Institute for Mental Health Policy Research and Campbell Family Mental Health Research InstituteCentre for Addiction and Mental HealthTorontoOntarioCanada
- Dalla Lana School of Public HealthUniversity of TorontoTorontoOntarioCanada
- Klinische Psychologie und PsychotherapieTechnische Universität Dresden, Klinische Psychologie & PsychotherapieDresdenGermany
- Department of International Health Projects, Institute for Leadership and Health ManagementInstitute for Leadership and Health Management, I.M. Sechenov First Moscow State Medical UniversityMoscowRussian Federation
| | - Katherine Sorsdahl
- Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental HealthUniversity of Cape TownCape TownSouth Africa
| | - Neo K. Morojele
- Alcohol, Tobacco and Other Drug Research UnitSouth African Medical Research CouncilPretoriaSouth Africa
- Department of PsychologyUniversity of JohannesburgJohannesburgSouth Africa
- School of Public HealthUniversity of the WitwatersrandJohannesburgSouth Africa
- School of Family Medicine and Public HealthUniversity of Cape TownCape TownSouth Africa
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Küçük Öztürk G, Şimşek N. The Effect of Motivational Interview-Based Counseling in Individuals With Amputation: A Randomized Controlled Trial in Turkey. Rehabil Nurs 2023; 48:160-169. [PMID: 37669325 DOI: 10.1097/rnj.0000000000000428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
AIM This randomized controlled experimental study determined the effect of motivational interview-based counseling on the coping strategies and perceived social support levels in individuals with amputations due to chronic disease. DESIGN A randomized controlled trial was conducted. METHOD The study was completed in the orthopedics and traumatology department with 48 patients. Data were collected using a descriptive information form, the Coping Strategies Scale, and the Multidimensional Scale of Perceived Social Support. Independent samples t test, paired t test, and chi-square test were used for data analysis. RESULTS The scores of the Coping Strategies Scale and the Perceived Social Support Scale of individuals in the intervention group significantly increased in the posttest after motivational interview-based counseling compared to their pretest scores. It was determined that the Coping Strategies Scale and Perceived Social Support Scale subdimension scores and total mean scores for individuals in the intervention group in the posttest were higher than the mean scores for individuals in the control group. The difference between the groups was significant. CONCLUSION The motivational interview-based counseling given to individuals with amputation because of chronic disease increased their coping strategies and perceived social support levels.
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Affiliation(s)
- Gülhan Küçük Öztürk
- Department of Psychiatric Nursing, Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir Hacı Bektaş Veli University, Nevşehir, Turkey
| | - Nuray Şimşek
- Department of Psychiatric Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey
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de Andrade D, Button K, Coomber K, Taylor N, Ferris J, Curtis A, Miller PG. Investigating the relationship between inaccurate blood alcohol concentration estimates, harm and other negative consequences. Drug Alcohol Rev 2023; 42:467-475. [PMID: 36449348 DOI: 10.1111/dar.13569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 10/05/2022] [Accepted: 10/21/2022] [Indexed: 12/05/2022]
Abstract
INTRODUCTION Alcohol-related harms place a significant burden on the Australian economy and health-care system. The current study aims to: (i) explore the relationship between blood alcohol concentration (BAC) and self-estimated blood alcohol concentration (EBAC); and (ii) determine whether BAC underestimation is related to an increased risk of experiencing physical aggression, verbal aggression, drink driving, ejection from a venue or refusal of service. METHODS Patron street surveys were conducted in four night-time entertainment precincts (NEP) across Queensland, Australia, between June 2016 and November 2018. Participants (N = 2144) reported on their EBAC and recent negative or harmful experiences in NEPs. BAC was measured via a breathalyser. Paired samples t tests were conducted to determine if patrons' BAC and EBAC were significantly different. Logistic regressions were conducted to examine whether BAC underestimation is a significant predictor of harm and negative outcomes. RESULTS Analyses identified a small, significant difference between patron's BAC and EBAC. Patrons with a low BAC were more likely to overestimate their BAC, while patrons with higher BACs were more likely to underestimate their BAC. Moderately intoxicated patrons had the most precise BAC estimations. Patrons with a high BAC and who underestimated their intoxication level were more likely to have been recently ejected from licensed venues, compared to accurate estimators or over-estimators. DISCUSSION AND CONCLUSIONS Overall, patrons are poor evaluators of their own intoxication level, which may have implications for their experiences in NEPs. The findings highlight the need for improved BAC education for patrons.
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Affiliation(s)
- Dominique de Andrade
- School of Psychology, Deakin University, Geelong, Australia
- School of Psychology, The University of Queensland, Brisbane, Australia
| | - Kira Button
- School of Psychology, Deakin University, Geelong, Australia
| | - Kerri Coomber
- School of Psychology, Deakin University, Geelong, Australia
| | - Nicholas Taylor
- School of Psychology, Deakin University, Geelong, Australia
- National Drug Research Institute, Curtin University, Melbourne, Australia
| | - Jason Ferris
- Centre for Health Services Research, The University of Queensland, Brisbane, Australia
| | - Ashlee Curtis
- School of Psychology, Deakin University, Geelong, Australia
| | - Peter G Miller
- School of Psychology, Deakin University, Geelong, Australia
- National Drug Research Institute, Curtin University, Perth, Australia
- Menzies Research Institute, Darwin, Australia
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Cheetham A, Arunogiri S, Lubman D. Integrated care – panacea or white elephant? A review of integrated care approaches in Australia over the past two decades. ADVANCES IN DUAL DIAGNOSIS 2023. [DOI: 10.1108/add-10-2022-0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Purpose
Integrated care is widely supported as a means of improving treatment outcomes for people with co-occurring mental health and substance use disorders. Over the past two decades, Australian state and federal governments have identified integrated care as a policy priority and invested in a number of research and capacity building initiatives. This study aims to examine Australian research evaluating the effectiveness of integrated treatment approaches to provide insight into implications for future research and practice in integrated treatment.
Design/methodology/approach
This narrative review examines Australian research evaluating empirical evidence of the effectiveness of integrated treatment approaches within specific populations and evidence from initiatives aimed at integrating care at the service or system level.
Findings
Research conducted within the Australian context provides considerable evidence to support the effectiveness of integrated approaches to treatment, particularly for people with high prevalence co-occurring disorders or symptoms of these (i.e. anxiety and depression). These have been delivered through various modalities (including online and telephone-based services) to improve health outcomes in a range of populations. However, there is less evidence regarding the effectiveness of specific models or systems of integrated care, including for more severe mental disorders. Despite ongoing efforts on behalf of the Australian government, attempts to sustain system-level initiatives have remained hampered by structural barriers.
Originality/value
Effective integrated interventions can be delivered by trained clinicians without requiring integration at an organisational or structural level. While there is still considerable work to be done in terms of building sustainable models at a system level, this evidence provides a potential foundation for the development of integrated care models that can be delivered as part of routine practice.
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Pocuca N, Chadi N, Vergunst F, Parent S, Côté SM, Boivin M, Tremblay RE, Séguin JR, Castellanos-Ryan N. Prospective Polysubstance use Profiles Among Adolescents with Early-onset Cannabis Use, and their Association with Cannabis Outcomes in Emerging Adulthood. Int J Ment Health Addict 2023. [DOI: 10.1007/s11469-022-01005-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
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Abstract
PURPOSE OF REVIEW The purpose of this update is to provide an overview of recent research publications (January 2020-January 2022) on real-time telemedicine solutions for the management of addictions (alcohol, tobacco, opioids, and other drugs). RECENT FINDINGS Motivational interviewing by real-time telemedicine showed effectiveness in youth and adults for risky alcohol use and alcohol use disorders, even when a concurrent mental health disorder exists. Live telemedicine is well accepted for managing tobacco use disorders. The range of interventions for treating opioid use disorder by real-time telemedicine is large and has been increased due to the coronavirus disease 2019 (COVID-19) pandemic (prescription of opioid agonists, peer-to-peer support, counseling, and group therapy). SUMMARY The COVID-19 pandemic has accelerated the implementation of real-time telemedicine and, in parallel, research has been conducted to test its effectiveness. Videoconferencing and telephone interventions are supported by solid evidence for risky alcohol use and alcohol use disorder, tobacco use disorder and opioid use disorder. The Integration of other types of telemedicine (asynchronous telemedicine and remote monitoring) and with the entire health system is lacking. Many areas and vulnerable populations (e.g., homeless, elderly, and cannabis use disorders) need more attention.
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Davidson L, Ellem R, Keane C, Chan G, Broccatelli C, Buckley J, Walter Z, Hallo L, Hides L. A two-stage social network intervention for reducing alcohol and other drug use in residential colleges: Protocol for a feasibility trial. Contemp Clin Trials 2022; 118:106779. [PMID: 35491009 DOI: 10.1016/j.cct.2022.106779] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Revised: 03/16/2022] [Accepted: 04/25/2022] [Indexed: 11/03/2022]
Abstract
BACKGROUND In many countries, the rate of binge drinking and alcohol-related harms among students living in residential colleges exceeds that observed among young people in the general population. Peer influence plays a key role in driving alcohol and other drug (AOD) use in colleges. This highlights the potential role of peer influence AOD-interventions in college student-networks. This protocol paper outlines the design of a two-stage social network intervention (SNI) for reducing AOD-use in four Australian first-year residential college networks. METHODS In Stage 1, a peer-led workshop will provide education about AOD-use and harm-minimisation strategies to four first-year cohorts in the first week of semester one (N ~ 500). In Stage 2, a targeted SNI will be delivered to the largest co-educational, first-year cohort (N ~ 160), wherein heavy drinking 'Strategic Players' (influential students) will be identified and offered a brief, telephone-delivered motivational interviewing intervention for AOD-use (QuikFix). Participants will complete online surveys at baseline and 12-, 26-, and 52-weeks follow-up. RESULTS Recruitment occurred in February 2021 and is now closed. Results are expected to be submitted for publication in late 2022. CONCLUSIONS This protocol paper outlines the design of a feasibility trial exploring the impact of applied SNIs for reducing AOD-use and related consequences in residential college student networks. If effective, the two-stage SNI proposed could (i) reduce AOD-use and risk of harm across first-year student networks and (ii) provide an effective brief intervention (QuikFix) to high-risk drinkers who have greatest potential to spread the intervention effects to other risky drinkers in their network. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry (ACTRN12621000494831).
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Affiliation(s)
- Lily Davidson
- Lives Lived Well Group (LLW), National Centre for Youth Substance Use Research (NCYSUR), School of Psychology, The University of Queensland, Australia
| | - Rhiannon Ellem
- Lives Lived Well Group (LLW), National Centre for Youth Substance Use Research (NCYSUR), School of Psychology, The University of Queensland, Australia
| | - Carol Keane
- Lives Lived Well Group (LLW), National Centre for Youth Substance Use Research (NCYSUR), School of Psychology, The University of Queensland, Australia
| | - Gary Chan
- NCYSUR, The University of Queensland, Australia
| | - Chiara Broccatelli
- Institute for Social Science Research (ISSR), The University of Queensland, Australia
| | | | - Zoe Walter
- Lives Lived Well Group (LLW), National Centre for Youth Substance Use Research (NCYSUR), School of Psychology, The University of Queensland, Australia; NCYSUR, The University of Queensland, Australia
| | - Louise Hallo
- Emmanuel College, The University of Queensland, Australia
| | - Leanne Hides
- Lives Lived Well Group (LLW), National Centre for Youth Substance Use Research (NCYSUR), School of Psychology, The University of Queensland, Australia.
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Personality as a Possible Intervention Target to Prevent Traumatic Events in Adolescence. Behav Sci (Basel) 2022; 12:bs12040090. [PMID: 35447662 PMCID: PMC9031006 DOI: 10.3390/bs12040090] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 03/21/2022] [Accepted: 03/22/2022] [Indexed: 02/05/2023] Open
Abstract
Traumatic events (severe injury, violence, threatened death) are commonly experienced by children. Such events are associated with a dose-response increasing risk of subsequent substance use, mental illness, chronic disease, and premature mortality. Preventing the accumulation of traumatic events is thus an urgent public health priority. Substance use risk personality profiles (impulsivity, sensation seeking, hopelessness, and anxiety sensitivity) may be an important target for preventing trauma exposure, given associations between these personality traits and risky behaviour, substance misuse, and injuries across adolescence. The current study aimed to investigate associations between personality at age 13 and the number of traumatic events experienced by age 18. It also examined associations between traumas before age 13 and personality at age 13. Participants were the control group of a cluster-randomised controlled trial examining prevention of adolescent alcohol misuse. Baseline data were collected at ages 12–13 (2012). Participants were followed-up at ages 18–19 (2017–2018). Personality profiles of hopelessness, anxiety sensitivity, impulsivity, and sensation seeking were measured at baseline using the Substance Use Risk Profile Scale. Traumatic events and age of exposure were measured at age 18–19 using the Life Events Checklist for DSM-5. Mixed-effect regression was conducted on 287 participants in Stata 17, controlling for sex. High scores on hopelessness, impulsivity, and sensation seeking at age 13 were associated with a greater number of traumatic events by age 18. Impulsivity and sensation seeking predicted the number of new traumatic events from age 13 to 18. Prior trauma exposure was associated with high hopelessness at age 13. Adolescents exhibiting high impulsivity or sensation seeking may be at greater risk of experiencing traumatic events. Additionally, early trauma exposure may contribute to the development of a hopelessness personality trait.
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Whitt ZT, Sturgeon T, Rattermann MJ, Salyers M, Zapolski T, Cyders MA. Mapping recovery: A qualitative node map approach to understanding factors proximal to relapse among adolescents in a recovery high school. J Subst Abuse Treat 2022; 138:108750. [DOI: 10.1016/j.jsat.2022.108750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 12/14/2021] [Accepted: 01/28/2022] [Indexed: 10/19/2022]
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Walter Z, Quinn CA, Dingle G, Pocuca N, Baker AL, Beck A, De Andrade D, Toombs M, Hides L. FullFix: a randomised controlled trial of a telephone delivered transdiagnostic intervention for comorbid substance and mental health problems in young people. BMJ Open 2021; 11:e045607. [PMID: 34635511 PMCID: PMC8506879 DOI: 10.1136/bmjopen-2020-045607] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 09/15/2021] [Indexed: 12/02/2022] Open
Abstract
INTRODUCTION Transdiagnostic cognitive-behavioural therapy (CBT) targets common psychological factors that underlie multiple disorders. While transdiagnostic interventions are a promising new approach, limited research has evaluated these treatments within the alcohol and other drug (AOD) sector for young people with comorbid mental health symptoms. This project will examine the feasibility and preliminary efficacy of FullFix-a new risk-targeted transdiagnostic CBT telehealth programme for comorbid AOD and depression/anxiety disorders in young people. Secondary aims are to identify moderators and mediators of treatment outcomes, to determine how and why treatment is effective and who is most likely to benefit. METHODS/DESIGN Participants will be 130 young people (aged 16-35) accessing AOD services in Queensland, Australia, with comorbid mental health symptoms. They will be randomised to receive either the FullFix intervention plus standard AOD care or standard AOD care alone. Primary outcomes on AOD use and mental health symptoms will be reassessed at 6 weeks, 3 months, 6 months and 12 months, along with secondary outcomes of emotion regulation, social connectedness, perceived self-efficacy, coping skills and quality of life. The trial commenced on October 2018 and expected completion date is September 2021. ETHICS AND DISSEMINATION Ethical approval for this trial was provided by the University of Queensland (#2018001185). The results of the trial will be disseminated through publication in a peer-reviewed scientific journal, scientific presentations at conferences and distributed via a report and presentations to the partner organisation. TRIAL REGISTRATION NUMBER ACTRN12618001563257.
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Affiliation(s)
- Zoe Walter
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
- National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Catherine A Quinn
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
- National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Queensland, Australia
| | - Genevieve Dingle
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Nina Pocuca
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Amanda L Baker
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Alison Beck
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Dominique De Andrade
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
| | - Maree Toombs
- Rural Clinical School, The University of Queensland, Toowoomba, Queensland, Australia
| | - Leanne Hides
- School of Psychology, The University of Queensland, Brisbane, Queensland, Australia
- National Centre for Youth Substance Use Research, The University of Queensland, Brisbane, Queensland, Australia
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Rubenis AJ, Baker AL, Arunogiri S. Methamphetamine use and technology-mediated psychosocial interventions: A mini-review. Addict Behav 2021; 121:106881. [PMID: 33896672 DOI: 10.1016/j.addbeh.2021.106881] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 02/04/2021] [Accepted: 02/13/2021] [Indexed: 02/06/2023]
Abstract
Engagement with face-to-face psychosocial interventions is often compromised in people using methamphetamine (MA), in the context of high rates of polysubstance use, mental health disorders, cognitive impairment and geographic isolation. Technology-mediated interventions offer flexible ways of engaging with treatment and are readily accessible. This mini-review evaluates evidence from eight studies for the effectiveness of telephone, mHealth (text-messaging and apps) and computer-based interventions for MA use. Two papers from one telephone counselling study showed a small improvement in MA-related outcomes, particularly for individuals in active use. However, a directive counselling style was associated with a higher likelihood of MA use during recovery for those higher in resistance to authority. Text-messaging interventions generally showed small but significant reductions in MA use in non-treatment seekers. When compared, there was no significant difference in level of MA use reduction between interactive, automated and self-monitoring text messages. Studies in other modalities (smartphone app, one trial; computer-based interventions, two trials) did not confer statistically significant reductions in MA use, though were likely impacted by app design and participant characteristics. Preliminary findings hint at the potential effectiveness of telephone counselling in aftercare and the capacity for text-messaging to reach those who are not in treatment. Given the small amount of existing literature, this review discusses the potential value of emerging interventions, the importance of adapting interventions to the characteristics of people who use MA and suggests specific directions for research in each technology modality.
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Affiliation(s)
- Adam J Rubenis
- Turning Point, Eastern Health, 110 Church St., Richmond, VIC 3121, Australia; National Drug and Alcohol Research Centre, Faculty of Medicine, University of New South Wales, Sydney, NSW 2052, Australia; The National Centre for Clinical Research on Emerging Drugs (NCCRED), University of New South Wales, Sydney, NSW 2052, Australia.
| | - Amanda L Baker
- School of Medicine and Public Health, University of Newcastle, NSW 2300, Australia.
| | - Shalini Arunogiri
- Turning Point, Eastern Health, 110 Church St., Richmond, VIC 3121, Australia; Monash Alfred Psychiatry Research Centre, Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC 3004, Australia.
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