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dc.contributor.authorSorsdahl, K.
dc.contributor.authorStein, D.J.
dc.contributor.authorCorrigall, J.
dc.contributor.authorCuijpers, P.
dc.contributor.authorSmits, N.
dc.contributor.authorNaledi, T.
dc.contributor.authorMyers-Franchi, Bronwyn
dc.date.accessioned2021-07-10T06:32:53Z
dc.date.available2021-07-10T06:32:53Z
dc.date.issued2015
dc.identifier.citationSorsdahl, K. and Stein, D.J. and Corrigall, J. and Cuijpers, P. and Smits, N. and Naledi, T. and Myers, B. 2015. The efficacy of a blended motivational interviewing and problem solving therapy intervention to reduce substance use among patients presenting for emergency services in South Africa: A randomized controlled trial. Substance Abuse: Treatment, Prevention, and Policy. 10: Article No. 46 (2015).
dc.identifier.urihttp://hdl.handle.net/20.500.11937/84468
dc.identifier.doi10.1186/s13011-015-0042-1
dc.description.abstract

Background: The treatment of substance use disorders is a public health priority, particularly in South Africa where the prevalence of these disorders is high. We tested two peer-counsellor delivered brief interventions (BIs) for risky substance use among adults presenting to emergency departments (EDs) in South Africa.

Methods: In this randomised controlled trial, we enrolled patients presenting to one of three 24-hour EDs who screened at risk for substance use according to the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). Eligible patients were randomly allocated to one of three conditions: Motivational Interviewing (MI), blended MI and Problem Solving Therapy (MI-PST) or a Psycho-educational Control Group (CG). The primary outcome was reduction in ASSIST scores at three months follow-up.

Results: Of the 2736 patients screened, 335 met inclusion criteria, were willing to participate in the intervention and were randomised to one of three conditions: 113 to MI, 112 to MI-PST and 110 to CG. ASSIST scores at three months were lower in the MI-PST group than they were in the MI and CG groups (adjusted mean difference of -1.72, 95 % CI -3.36 - -0.08). We recorded no significant difference in ASSIST scores between the CG and MI group (adjusted mean difference of -0.02, 95 % CI -2.01 - 1.96).

Conclusion: With the addition of minimal resources, BIs are feasible to conduct in EDs in a low resourced country. These preliminary findings report that MI-PST appears to be an effective BI for reducing substance use among at risk participants. Further research is required to replicate these findings with effort to limit attrition, to determine whether reductions in substance use are persistent at 6 and 12 month follow-up and whether parallel changes occur in other indications of treatment outcomes, such as injury rates and ED presentations. Trial registration: This trial registered with the Pan African Clinical Trial Registry (PACTR201308000591418).

dc.languageeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectEmergency Medical Services
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMotivational Interviewing
dc.subjectProblem Solving
dc.subjectPsychotherapy, Brief
dc.subjectSouth Africa
dc.subjectSubstance-Related Disorders
dc.subjectTreatment Outcome
dc.subjectYoung Adult
dc.titleThe efficacy of a blended motivational interviewing and problem solving therapy intervention to reduce substance use among patients presenting for emergency services in South Africa: A randomized controlled trial
dc.typeJournal Article
dcterms.source.volume10
dcterms.source.number1
dcterms.source.startPage46
dcterms.source.issn1747-597X
dcterms.source.titleSubstance Abuse: Treatment, Prevention, and Policy
dc.date.updated2021-07-10T06:32:52Z
curtin.note

© The Author(s). 2015 Published in Substance Abuse: Treatment, Prevention, and Policy. This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.

curtin.accessStatusOpen access
dcterms.source.eissn1747-597X
curtin.contributor.scopusauthoridMyers-Franchi, Bronwyn [7202684194]


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