Patient Reactance Moderates the Effect of Directive Telephone Counseling for Methamphetamine Users
Open accessAbstract
OBJECTIVE: This study examined the impact of the interaction between patient reactance and treatment directiveness on the effectiveness of telephone aftercare for methamphetamine dependence. METHOD: Reactance was assessed at baseline, and participants were randomly assigned to directive or nondirective treatment conditions. Logistic regression tested for the significance of the interaction as a predictor of 3-month and 12-month use of methamphetamine and stimulants. RESULTS: A significant interaction was observed at the 3-month follow-up, in which the directive condition was less effective for patients higher in reactance and was more effective for patients lower in reactance. Among patients at a high level of reactance, the nondirective condition increased the likelihood of abstinence. CONCLUSIONS: This study suggests that, in the context of telephone-based care, directive interventions offer short-term clinical benefit for methamphetamine users who readily accept influence from authority figures, whereas nondirective interventions offer benefit for patients who do not readily accept influence. The short-term nature of these effects indicates that there is a need for brief but ongoing telephone support to maintain treatment gains.
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Research has demonstrated that patients with StUD who have not achieved initial treatment goals may benefit from extended treatment with EBIs to facilitate long-term recovery.
“Research has demonstrated that patients with StUD who have not achieved their treatment goals during the initial phase of treatment may benefit from extended treatment with EBIs to facilitate long-term recovery.95,99,103,104”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [99]
The Method describes telephone aftercare following intensive outpatient treatment, and the Discussion suggests ongoing contacts may help sustain gains. But the study did not identify patients who had failed to meet initial treatment goals, and its observed benefit was limited to the 3-month follow-up rather than demonstrated long-term recovery (Discussion; page unavailable). (LLM, conf=0.86)
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The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder
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- Authors
- Karno, M., Farabee, D., Brecht, M.-L., & Rawson, R.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Journal of Studies on Alcohol and Drugs
- Publisher
- Alcohol Research Documentation, Inc.
- Published
- 2012-09
- Volume
- 73
- Issue
- 5
- Pages
- 844-850
- ISSN
- 1937-1888 (ISSN-L)
- 1938-4114
- PMC
- PMC3410952
- OpenAlex
- W1995663749
- Cited by
- 5
- References
- 13
- Citations by year
- 2024: 1 · 2021: 2 · 2015: 1 · 2014: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Studies on Alcohol and Drugs (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (DA 018208, R01DA018208)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- directive counseling, non-directive counseling, telephone counseling, methamphetamine dependence, stimulant use, medication adherence, moderation, abstinence, brief intervention
- MeSH terms
- Adult, Aftercare, Female, Follow-Up Studies, Humans, Male, Methamphetamine, Telephone, Treatment Outcome, Amphetamine-Related Disorders, Directive Counseling
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