Titre : | Brief motivational intervention at a clinic visit reduces cocaine and heroin use |
Titre traduit : | (L'intervention brève lors d'une consultation ambulatoire réduit l'usage de cocaïne et d'héroïne) |
Auteurs : | J. BERNSTEIN ; E. BERNSTEIN ; TASSIOPOULOS K. ; T. HEEREN ; LEVENSON S. ; R. HINGSON |
Type de document : | Périodique |
Année de publication : | 2005 |
Format : | 49-59 / fig. ; tabl. |
Note générale : |
Drug and Alcohol Dependence, 2005, 77, (1), 49-59 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés COCAINE ; HEROINE ; ENTRETIEN ; MOTIVATION ; TRAITEMENT AMBULATOIRE ; ABSTINENCE ; EFFICACITE ; DEPENDANCE |
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.) |
Note de contenu : | fig. ; tabl. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 28 |
Affiliation : |
Dept. Emergency Med., Boston Univ. Sch. Med., 818 Harrison St., Boston, MA 02118 Etats-Unis. United States. |
Numéro Toxibase : | 804772 |
Centre Emetteur : | 08 CAS Strasbourg |
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