Historique
Périodique
Brief motivational intervention at a clinic visit reduces cocaine and heroin use
(L'intervention brève lors d'une consultation ambulatoire réduit l'usage de cocaïne et d'héroïne)
Auteur(s) :
BERNSTEIN, J. ;
BERNSTEIN, E. ;
TASSIOPOULOS K. ;
HEEREN, T. ;
LEVENSON S. ;
HINGSON, R.
Année
2005
Page(s) :
49-59
Langue(s) :
Anglais
Refs biblio. :
28
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
COCAINE
;
HEROINE
;
ENTRETIEN
;
MOTIVATION
;
TRAITEMENT AMBULATOIRE
;
ABSTINENCE
;
EFFICACITE
;
DEPENDANCE
Note générale :
Drug and Alcohol Dependence, 2005, 77, (1), 49-59
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
Background:Brief intervention is effective for alcohol misuse, but not adequately tested in the clinical setting with drug using patients. This study tested the impact of a single, structured encounter targeting cessation of drug use, conducted between peer educators and out-of-treatment cocaine and heroin users screened in the context of a routine medical visit. Methods:A randomized, controlled trial was conducted in inner-city teaching hospital outpatient clinics with 3 and 6 months follow-up by blinded observers. Drug abstinence was documented by RIA hair testing. Analysis was limited to enrollees with drug-positive hair at baseline. Results:Among 23,669 patients screened 5/9811/00, 1232 (5%) were eligible, and 1175 enrolled. Enrollees (mean age 38 years) were 29% female, 62% non-hispanic black, 23% hispanic, 46% homeless. Among those with positive hair at entry, the follow-up rate was 82%. The intervention group was more likely to be abstinent than the control group for cocaine alone (22.3% versus 16.9%), heroin alone (40.2% versus 30.6%), and both drugs (17.4% versus 12.8%), with adjusted OR of 1.511.57. Cocaine levels in hair were reduced by 29% for the intervention group and only 4% for the control group. Reductions in opiate levels were similar (29% versus 25%). Conclusions:Brief motivational intervention may help patients achieve abstinence from heroin and cocaine. (Review's abstract.)
Affiliation :
Dept. Emergency Med., Boston Univ. Sch. Med., 818 Harrison St., Boston, MA 02118
Etats-Unis. United States.
Etats-Unis. United States.