Web-Based Intervention to Reduce Substance Abuse and Depression: A Three Arm Randomized Trial in Mexico

Autor: Morise Fernández, Marcela Tiburcio, Araceli Aguilar, Nora Martinez, Ma Asunción Lara
Rok vydání: 2018
Předmět:
Adult
Male
medicine.medical_specialty
Health (social science)
Substance-Related Disorders
Health Behavior
Psychological intervention
Medicine (miscellaneous)
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Intervention (counseling)
Humans
Medicine
Web application
030212 general & internal medicine
Psychiatry
Mexico
Depression (differential diagnoses)
Depressive Disorder
Internet
Cognitive Behavioral Therapy
Depression
business.industry
Public Health
Environmental and Occupational Health
food and beverages
Middle Aged
medicine.disease
030227 psychiatry
Behavior
Addictive
Self Care
Substance abuse
Psychiatry and Mental health
Therapy
Computer-Assisted
Feasibility Studies
Patient Compliance
Female
Substance Abuse Treatment Centers
Substance use
Brief intervention
business
Zdroj: Substance Use & Misuse. 53:2220-2231
ISSN: 1532-2491
1082-6084
DOI: 10.1080/10826084.2018.1467452
Popis: Web-based cognitive-behavioral interventions to reduce substance use can be a useful low-cost treatment for a large number of people, and an attractive option in countries where a greater availability of treatment is needed.To evaluate the feasibility and initial effectiveness of a web-based cognitive-behavioral intervention for the reduction of substance use and depression compared with treatment as usual, with and without a printed self-help manual.Individuals seeking outpatient treatment for substance use were randomly assigned to one of the following: (1) the web-based Help Program for Drug Abuse and Depression (n = 23); (2) an in-person session with an addiction therapist and use of the Alcohol, Smoking, and Substance Involvement Screening Test Self-Help Strategies guide, followed by treatment as usual (n = 25), or (3) treatment ordinarily offered in the participating treatment centers (n = 26). The study took place in 2013-2014 (trial registration: ISRCTN25429892), and participants completed baseline, posttreatment, and 1-month follow-up evaluation interviews.Treatment retention and data availability were comparable in all three conditions. A reduction was observed from baseline to follow-up in average days of use [F(1,28) = 29.70, p0.001], severity of use [F(2,28) = 143.66, p0.001], and depressive symptomatology [F = (4)16.40, p0.001], independent of the type of treatment provided.The findings suggest that the web-based intervention to reduce substance abuse is feasible, although it is not more effective than other intervention modalities; its effectiveness must be evaluated in a larger sample. Attrition was a main limitation; future studies must improve retention and assess cost-effectiveness.
Databáze: OpenAIRE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje