Readiness to change is a predictor of reduced substance use involvement: Findings from a randomized controlled trial of patients attending South African emergency departments

Myers, Bronwyn; Stein, Dan J.; Sorsdahl, Katherine

doi:10.1016/j.drugalcdep.2016.08.415

Cited by 2 publications

(3 citation statements)

References 45 publications

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“…A study in South Africa reported positive results for using adapted MI, but showed no difference between MI and controls in treating AUDs in emergency departments . Similar studies using MI have reported good results in Zambia , South Africa and Nigeria . In sub‐Saharan Africa, studies using MI have shown mixed results due to poor attendance to sessions, poor fidelity of the intervention and high attrition rates .…”

Section: Introductionmentioning

confidence: 97%

A randomized clinical trial of mobile phone motivational interviewing for alcohol use problems in Kenya

et al. 2020

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Aim To test the effectiveness of a motivational interviewing (MI) intervention using the mobile phone among adults with alcohol use problems. Design A randomized clinical trial of mobile MI and standard in-person MI with 1-and 6-month follow-up, including a 1-month waitlist control followed by mobile MI. Setting A primary health center in rural Kenya. Participants Three hundred adults screening positive for alcohol use problems were randomized and received immediate mobile MI (n = 89), in-person MI (n = 65) or delayed mobile MI (n = 76) for waiting-list controls 1 month after no treatment, with 70 unable to be reached for intervention. Intervention and comparator One MI session was provided either immediately by mobile phone, in-person at the health center or delayed by 1 month and then provided by mobile phone.Measurements Alcohol use problems were repeatedly assessed using the Alcohol Use Disorder Identification Test (AU-DIT) and the shorter AUDIT-C. The primary outcome was difference in alcohol score 1 month after no intervention for waiting-list control versus 1 month after MI for mobile MI. The secondary outcomes were difference in alcohol score for in-person MI versus mobile MI one and 6 months after MI. Findings For our primary outcome, average AUDIT-C scores were nearly three points higher (difference = 2.88, 95% confidence interval = 2.11, 3.66) for waiting-list controls after 1 month of no intervention versus mobile MI 1 month after intervention. Results for secondary outcomes supported the null hypothesis of no difference between in-person and mobile MI at 1 month (Bayes factor = 0.22), but were inconclusive at 6 months (Bayes factor = 0.41). Conclusion Mobile phone-based motivational interviewing may be an effective treatment for alcohol use problems among adults visiting primary care in Kenya. Providing mobile motivational interviewing may help clinicians in rural areas to reach patients needing treatment for alcohol use problems.

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Section: Introductionmentioning

confidence: 97%

A randomized clinical trial of mobile phone motivational interviewing for alcohol use problems in Kenya

et al. 2020

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“…However, addressing multiple substances in treatment settings is difficult for a variety of reasons [18]. Not the least of which are questions about whether participants are ready and willing to take action to address their polysubstance use [19][20][21]. Indeed, readiness to change is known to be a key predictor for substance use treatment completion [20][21][22][23][24][25].…”

Section: Introductionmentioning

confidence: 99%

“…Our study also explored opportunities for engaging SGM who use CM. Indeed, given the potential harms associated with CM use and polysubstance use, it is important to understand how SGM engage in care or prefer to engage in care [16,20]. In addressing this aim, we asked participants about where they accessed care, who they felt comfortable with approaching them about their substance use, and where they thought we could reach other people who use CM.…”

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confidence: 99%

Substance-specific readiness to change among sexual and gender minority men who use crystal methamphetamine

2022

Journal of Men's Health

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A patient-oriented approach to addressing high levels of polysubstance use among sexual and gender minority men (SGM) who use crystal methamphetamine (CM) requires an understanding of which drugs they would like to change their use of. We examined readiness to change for 24 separate substances. Participants were SGM, aged 18+, living with Canada, who used CM in the past six months that were recruited through advertisements on socio-sexual networking applications. Frequency of use and readiness to change were descriptively analyzed and associations between frequency of use and readiness to change were assessed. Only slightly more than half (53.1%) of CM-using SGM were ready now, soon, or in the future to change substance use. Participants were most ready to change their tobacco, methamphetamine, and barbiturate use. Greater frequency of use was associated with greater readiness to change for all drugs in which daily or almost daily use was common. SGM participants reported high levels of comfort being asked about their substance use from primary care, mental health, and queer-identified health professionals. Interventions addressing multiple and specific substances are needed in health care settings serving SGM who use CM. Screening, brief interventions, and referral to treatment (SBIRT) in these settings may help identify those ready to address their substance use. Harm reduction interventions should offer supports for those not wanting to change their substance use-which includes most SGM for most of the drugs they use.

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Readiness to change is a predictor of reduced substance use involvement: Findings from a randomized controlled trial of patients attending South African emergency departments

Abstract: Background: This study examines whether readiness to change is a predictor of substance use outcomes and explores factors associated with RTC substance use among patients at South African emergency departments.

Cited by 2 publications

References 45 publications

A randomized clinical trial of mobile phone motivational interviewing for alcohol use problems in Kenya

A randomized clinical trial of mobile phone motivational interviewing for alcohol use problems in Kenya

Substance-specific readiness to change among sexual and gender minority men who use crystal methamphetamine

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