Quasi-randomized trial of solution-focused brief therapy intervention for readiness to change and alcohol and other drug use in a Brazilian community-based treatment center.

Autor: Nelise de Paula Araujo C; Department of Psychology, Universidade de São Paulo, Sao Paulo, Brazil., MendonçA Corradi-Webster C; Department of Psychology, Universidade de São Paulo, Sao Paulo, Brazil., Gonçalves Correia-Zanini MR; Pedagogy Department, University Center Barão of Mauá, Sao Paulo, Brazil., M Yurasek A; Department of Health Education and Behavior, University of Florida, Gainesville, FL, USA.
Jazyk: angličtina
Zdroj: Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2024 Apr 20, pp. 1-13. Date of Electronic Publication: 2024 Apr 20.
DOI: 10.1080/10503307.2024.2336192
Abstrakt: Objective: Strategies to increase readiness to change may enhance community-based substance use treatment outcomes. This study evaluated the effect of solution-focused brief therapy (SFBT) on readiness to change and substance use compared to treatment as usual (TAU) in a Brazilian community-based substance use treatment center.
Methods: One hundred two adults ( M  = 36.79, SD  = 10.29) were quasi-randomized into SFBT or TAU groups. Assessments were completed at baseline, post-test, and 1-month follow-up. The primary outcome was the changes in readiness to change at post-test and 1-month follow-up. The secondary outcome was the change in substance use at 1-month follow-up.
Results: Through Quade non-parametric analysis of covariance (ANCOVA), both groups decreased tobacco, alcohol, and cocaine/crack use at 1-month follow-up, but SFBT had greater reductions in alcohol use ( p  = .05). ANCOVA analysis demonstrated no differences between groups on readiness to change at any time point. However, among participants who used multiple substances ( n  = 59), SFBT showed higher readiness to change at post-test ( p =  .05).
Conclusions: These findings strengthen the evidence that SFBT holds promise for positive community-based substance use treatment outcomes.
Databáze: MEDLINE