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Cited by 15Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentTelemedicine and Telehealth Implementation

A comparison of four telephone-based counseling styles for recovering stimulant users.

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Farabee, David, Cousins, Sarah J., Brecht, Mary-Lynn, Antonini, Valerie P., Lee, Anne B., Brummer, Julie, Hemberg, Jordana, Karno, Mitchell +1 more·2013·Psychology of Addictive Behaviors
DOI 10.1037/a0029572PMC PMC3500433
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Abstract

The continuing development and refinement of empirically supported interventions to increase participation in posttreatment care and promote sustained abstinence from illicit drug use is a priority for the addictions field. The purpose of this study was to assess the combined and relative effectiveness of four types of counseling styles, delivered by telephone, relative to a no call control condition. Stimulant users (N = 302) were randomized to one of four low-cost, telephone support protocols (unstructured/nondirective, unstructured/directive, structured/nondirective, structured/directive) or a standard referral to aftercare without telephone counseling (control). All of the study participants were nearing the completion of (or had completed) an intensive phase of structured, outpatient stimulant abuse treatment. Drug use and aftercare participation were assessed at 3 and 12 months following randomization. Intent-to-treat analyses showed no significant time-by-group interactions for these primary outcomes. Subsequent analyses, however, revealed a significant difference between the aggregated call groups and the control group at the time of the 3-month follow-up. The mean ASI drug use severity composite score for subjects in the call conditions declining from .058 at baseline to .048 at 3 months, whereas the no call/control group average score increased from .053 to .062 (χ (1) = 4.95, p = .026). A similar-and slightly stronger-effect was found when the study sample was restricted to those reporting any use during the month prior to the baseline interview (n = 152). This study provides modest support for the telephone-based counseling approaches strategies examined in this project. Subsequent research will assess interactions between patient characteristics and counseling styles, and improved identification of which treatment graduates might be more likely to benefit from this type of continuing support. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

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  • Patients without ready computer/internet access or with low computer literacy may find these interventions difficult to access, disproportionately affecting lower socioeconomic status patients.

    “Patients who do not have ready access to a computer and the internet and/or who have low computer literacy could find these interventions difficult to access, disproportionately impacting patients with lower socioeconomic status.93”

    From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [93]

    The Abstract and Discussion describe telephone-based counseling for recovering stimulant users, not interventions requiring a computer or internet connection. Searches of our copy for computer and internet access, computer literacy, and socioeconomic barriers found no passage addressing the claimed access disparity. (LLM, conf=0.76)

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  1. Karno MP Longabaugh R Less directiveness by therapists improves drinking outcomes of reactant 2005b 15796633

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Authors
Farabee, D., Cousins, S. J., Brecht, M.-L., Antonini, V. P., Lee, A. B., Brummer, J., Hemberg, J., Karno, M., & Rawson, R. A.
Affiliations
University of California, Los Angeles (US)
ORCID
Venue
Psychology of Addictive Behaviors
Publisher
American Psychological Association (APA)
Published
2013
Volume
27
Issue
1
Pages
223-229
ISSN
  • 0893-164X (ISSN-L)
  • 1939-1501
DOI
10.1037/a0029572
PMC
PMC3500433
OpenAlex
W1967650303
Cited by
15
References
15
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2021: 1 · 2020: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
1.92
Type
journal article
Language
en
Open access
Locations
  • Psychology of Addictive Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (DA 018208)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords
telephone counseling, counseling style, stimulant use disorder, follow-up care, abstinence, non-directive counseling
MeSH terms
Adult, Counseling, Female, Humans, Male, Middle Aged, Telephone, Treatment Outcome, Remote Consultation, Amphetamine-Related Disorders, Cocaine-Related Disorders

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