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Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.

ABSTRACT: To compare a motivational intervention (MI) focused on increasing involvement in 12-Step groups (TSGs; e.g. Alcoholics Anonymous) versus brief advice (BA) to attend TSGs.Patients were assigned randomly to either the MI or BA condition, and followed-up at 6 months after discharge.One hundred and forty substance use disorder (SUD) patients undergoing in-patient detoxification (detox) in Norway.The primary outcome was TSG affiliation measured with the Alcoholics Anonymous Affiliation Scale (AAAS), which combines meeting attendance and TSG involvement. Substance use and problem severity were also measured.At 6 months after treatment, compared with the BA group, the MI group had higher TSG affiliation [0.91 point higher AAAS score; 95% confidence interval (CI) = 0.04 to 1.78; P = 0.041]. The MI group reported 3.5 fewer days of alcohol use (2.1 versus 5.6 days; 95% CI = -6.5 to -0.6; P = 0.020) and 4.0 fewer days of drug use (3.8 versus 7.8 days; 95% CI = -7.5 to -0.4; P = 0.028); however, abstinence rates and severity scores did not differ between conditions. Analyses controlling for duration of in-patient treatment did not alter the results.A motivational intervention in an in-patient detox ward was more successful than brief advice in terms of patient engagement in 12-Step groups and reduced substance use at 6 months after discharge. There is a potential benefit of adding a maintenance-focused element to standard detox.

SUBMITTER: Vederhus JK

PROVIDER: S-EPMC4282103 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.

Vederhus John-Kåre JK Timko Christine C Kristensen Oistein O Hjemdahl Bente B Clausen Thomas T

Addiction (Abingdon, England) 20140216 5

<h4>Aims</h4>To compare a motivational intervention (MI) focused on increasing involvement in 12-Step groups (TSGs; e.g. Alcoholics Anonymous) versus brief advice (BA) to attend TSGs.<h4>Design</h4>Patients were assigned randomly to either the MI or BA condition, and followed-up at 6 months after discharge.<h4>Setting and participants</h4>One hundred and forty substance use disorder (SUD) patients undergoing in-patient detoxification (detox) in Norway.<h4>Measurements</h4>The primary outcome was ...[more]

PMID: 24400937

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Project description:BACKGROUND:Physical Activity Monitors (PAMs) have been shown to effectively enhance level of physical activity (PA) in older adults. Motivational interviewing is a person-centred model where participants are guided using self-reflection and counselling, and addresses the behavioural and psychological aspects of why people initiate health behaviour change by prompting increases in motivation and self-efficacy. The addition of motivational interviewing to PA interventions may increase the effectiveness of PAMs for older adults. METHODS:This motivational interviewing and PA monitoring trial is designed as an investigator-blinded, two arm parallel group, randomized controlled superiority trial with primary endpoint after 12?weeks of intervention. The intervention group will receive a PAM-based intervention and motivational interviewing and the control group will only receive the PAM-based intervention. The primary outcome is PA, objectively measured as the average daily number of steps throughout the intervention period. Secondary outcome measures include self-reported PA health-related quality of life, loneliness, self-efficacy for exercise, outcome expectancy for exercise, and social relations. The outcomes will be analysed with a linear regression model investigating between-group differences, adjusted for baseline scores. Following the intention to treat principle, multiple imputation will be performed to handle missing values. DISCUSSION:A moderate effect of daily PA measured using PAMs is expected in this superiority RCT investigating the effect of adding motivational interviewing to a PAM intervention. According to the World Health Organization, walking and cycling are key activities in regular PA and should be promoted. To increase the general public health and lower the burden of inactivity in older adults, cost-beneficial solutions should be investigated further. If this RCT shows that motivational interviewing can enhance the effect of PAM-based interventions, it might be included as an add-on intervention when appropriate. No matter what the results of this study will be, the conclusions will be relevant for clinicians as the dependence on technology is increasing, especially in relation to public health promotion. TRIAL REGISTRATION:NCT03906162 , April 1, 2019.

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Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.

Publications

Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.

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