Randomized controlled trial of brief cognitive‐behavioural interventions among regular users of amphetamine
Abstract
Aims. To identify whether brief cognitive‐behavioural interventions are feasible among regular users of amphetamine, to assess the effectiveness of intervention overall and to pilot two‐ and four‐session interventions. Design. Subjects were assigned randomly to individually receive a cognitive‐behavioural intervention ( n = 32) of either two or four sessions' duration or a self‐help booklet (control condition; n = 32). Setting. Subjects were volunteers recruited from needle exchange schemes and treatment centres in Newcastle, Australia. Participants. Regular (at least monthly) users of amphetamine were recruited. Intervention. Either four sessions of cognitive‐behaviour therapy, consisting of a motivational interview and skills training in avoidance of high‐risk situations, coping with craving and relapse prevention, or two sessions consisting of a motivational interview and discussion of skills. Measurements. The Opiate Treatment Index was the main measure at pre‐treatment and 6‐month follow‐up. Findings. There was a significant reduction in amphetamine use among the sample as a whole, with inconclusive differences between intervention subgroups. There was a moderate overall intervention effect, with the intervention group reporting over twice the reduction in daily amphetamine use as the control group. Significantly more people in the cognitive‐behavioural intervention condition abstained from amphetamine at 6‐month follow‐up compared to the control condition. Conclusion. Brief cognitive‐behavioural interventions appear feasible among regular users of amphetamine. A larger randomised controlled trial of the effectiveness of such interventions appears warranted.
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Relapse Prevention has been used for several types of substance abuse and has considerable empirical support.
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Newman, C. F. (2019) · International Journal of Cognitive Therapy · doi:10.1007/s41811-019-00051-9 · Cited by 8 · see citing works
Motivational Interviewing and Behavior Change
Nahom, D. (2005) · Journal of Evidence-Based Social Work · doi:10.1300/j394v02n01_04 · Cited by 8 · see citing works
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Monograph No. 6: A systematic review of harm reduction
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Hemmat, A., Dept.of Clinical Psychology, F. O. M., Hemmat, J., Dept.of Clinical Psychology, F. O. M., Pirzeh, R., Dept.of Psychiatry, F. O. M., Dadashi, M., & Social Detriments of Health Research Center, Z. U. O. M. S. (2018) · Journal of Advances in Medical and Biomedical Research · doi:10.30699/jambs.30.142.10 · Cited by 6 · see citing works
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Risiko- und Schadensminimierung - wie wirksam sind sie?
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“Findings from the literature review suggested that multi-session interventions with a minimum exposure time of 4 hours over a period of at least 3 weeks are likely to be more effective in changing sexual behavior than very brief interventions [43].”
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“While we conservatively anticipate 50% completion of 4 sessions of CBT and 75% completion of 6-month follow-up assessments based on studies of CBT in this population, 13 59 these are not directly comparable given the pharmacotherapy component of the present study design.”
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“Two trials (23, 24) were high risk because the primary endpoints depended on unblinded participant self-reports.”
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- Authors
- Baker, A., Boggs, T. G., & Lewin, T. J.
- Affiliations
- University of Newcastle Australia (AU)
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2001-09
- Volume
- 96
- Issue
- 9
- Pages
- 1279-1287
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W2100835521
- Cited by
- 114
- References
- 10
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 7 · 2014: 6 · 2013: 2 · 2012: 3
- FWCI
- 3.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- 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 › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- amphetamine use, cognitive-behavioural intervention, brief intervention, motivational interviewing, craving, relapse prevention, self-help booklet, needle exchange programs, treatment centers, drug use reduction
- MeSH terms
- Adult, Analysis of Variance, Female, Humans, Male, New South Wales, Patient Participation, Psychotherapy, Brief, Cognitive Behavioral Therapy, Treatment Outcome, Amphetamine-Related Disorders
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