Historique
Article de Périodique
Randomized controlled trial of a novel cannabis use intervention delivered by telephone (2012)
Auteur(s) :
GATES, P. J. ;
NORBERG, M. M. ;
COPELAND, J. ;
DIGIUSTO, E.
Année
2012
Page(s) :
2149-2158
Langue(s) :
Anglais
Refs biblio. :
41
Domaine :
Drogues illicites / Illicit drugs
Thésaurus géographique
AUSTRALIE
Thésaurus mots-clés
CANNABIS
;
ETUDE RANDOMISEE
;
EVALUATION
;
INTERVENTION BREVE
;
TELEPHONE
;
THERAPIE COGNITIVO-COMPORTEMENTALE
;
ENTRETIEN MOTIVATIONNEL
Note générale :
Commentary: Telehealth services to extend the reach of care involve more than using a telephone for intervention delivery. Tucker J.A., p. 2159-2160.
Résumé :
Aims: To evaluate the efficacy of a telephone-based intervention consisting of four sessions of motivational interviewing (MI) and cognitive behavioural therapy (CBT) designed to assist individuals to reduce their cannabis use and related problems.
Design: Random allocation to intervention or delayed treatment control with 4- and 12-week follow-up assessments.
Setting: Counsellors from the Cannabis Information and Helpline (CIH), an Australian reactive telephone service, delivered the intervention to callers seeking treatment.
Participants: A total of 160 participants were recruited by the CIH, with 110 participants completing the final follow-up assessment (69% retention).
Measurements: Cannabis use, dependence and related problems and other substance use were assessed at baseline and follow-up. Findings Intervention participants reported greater reductions in dependence symptoms [P < 0.001, d = 0.9 (0.5-1.3)] and related problems [P < 0.001, d = 0.5 (0.1-0.9)] compared with control participants at both follow-up assessments. Compared with control, intervention participants reported greater confidence to reduce cannabis use at 4 weeks [P = 0.002, d = 0.5 (0.1-0.9)], and in turn reported a greater percentage of abstinent days at 12 weeks [P = 0.019, d = 0.6 (0.2-1.0)].
Conclusions: A brief course of motivational interviewing plus cognitive behavioural therapy delivered by telephone can help to reduce cannabis dependence and promote abstinence in the short term.
KEY FINDINGS:
A brief course of motivational interviewing plus cognitive behavioural therapy, all delivered by telephone, can help to reduce cannabis dependence and promote abstinence in the short term.
Design: Random allocation to intervention or delayed treatment control with 4- and 12-week follow-up assessments.
Setting: Counsellors from the Cannabis Information and Helpline (CIH), an Australian reactive telephone service, delivered the intervention to callers seeking treatment.
Participants: A total of 160 participants were recruited by the CIH, with 110 participants completing the final follow-up assessment (69% retention).
Measurements: Cannabis use, dependence and related problems and other substance use were assessed at baseline and follow-up. Findings Intervention participants reported greater reductions in dependence symptoms [P < 0.001, d = 0.9 (0.5-1.3)] and related problems [P < 0.001, d = 0.5 (0.1-0.9)] compared with control participants at both follow-up assessments. Compared with control, intervention participants reported greater confidence to reduce cannabis use at 4 weeks [P = 0.002, d = 0.5 (0.1-0.9)], and in turn reported a greater percentage of abstinent days at 12 weeks [P = 0.019, d = 0.6 (0.2-1.0)].
Conclusions: A brief course of motivational interviewing plus cognitive behavioural therapy delivered by telephone can help to reduce cannabis dependence and promote abstinence in the short term.
KEY FINDINGS:
A brief course of motivational interviewing plus cognitive behavioural therapy, all delivered by telephone, can help to reduce cannabis dependence and promote abstinence in the short term.
Affiliation :
National Cannabis Prevention and Information Centre, University of New South Wales, Randwick, NSW, Australia
Cote :
Abonnement