Disorders - Substance Use Disorders
Tucker, J. S., D'Amico, E. J., Rodriguez, A., Garvey, R., Pedersen, E. R., Klein, D. J.
INTRODUCTION: Few brief evidence-based risk reduction programs for emerging adults experiencing homelessness focus on the interrelated
problems of substance use and sexual risk behavior. This study examines outcomes from a 12-month evaluation of AWARE, a brief Motivational
Interviewing (MI)-based group risk reduction intervention for this population.\rMETHODS: In a cluster randomized crossover trial, N = 276 18-25-
year-olds received AWARE or usual care at drop-in centers serving homeless youth in Los Angeles County. We evaluated intervention effects on
substance use and condomless sex (primary outcomes), as well as drinking consequences and protective strategies, number of casual partners, self-
efficacy, and motivation for change (secondary outcomes).\rRESULTS: AWARE participants self-reported reductions in their alcohol use and negative
consequences from drinking, and an increase in use of drinking protective strategies. AWARE participants also reported an initial decrease in drug
use other than marijuana, followed by a slight uptake later on, as well as an initial increase in importance of cutting down on other drug use
followed by a decrease. Control group participants did not show change in these outcomes. Among those who reported casual sex partners at both
baseline and 12-month surveys, exploratory analyses indicated that AWARE participants had a 29 % decline in condomless sex with casual partners
compared to a 6 % decline for control group participants.\rCONCLUSIONS: Findings build on our pilot work by demonstrating that AWARE has long-term
benefits on drinking among emerging adults experiencing homelessness. Further work should seek to strengthen its long-term effectiveness in reducing
drug use in this population.
Journal of Substance Use and Addiction
Treatment, 152 : 209114
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy
Slesnick, N., Zhang, J., Feng, X., Mallory, A., Martin, J., Famelia, R., Brakenhoff, B., Yilmazer, T., Wu, Q., Ford, J., Holowacz, E., Jaderlund, S., Hatsu, I., Luthy, E., Chavez, L., Walsh, L., Kelleher, K.
Aims: Homeless mothers with young children in their care contend with high rates of substance use and
low self-efficacy. However, a limited number of studies have examined these outcomes associated with housing and supportive services. Design(s):
Participants were randomly assigned to: (1) housing + support services (n = 80), (2) housing-only (n = 80), or (3) services as usual (SAU) (n = 80)
and were re-assessed at 3-, 6-, 9- and 12-months postbaseline. Setting(s): The study recruited a community-based sample from homeless service
agencies and advertisements in a large Midwestern city. Participant(s): The study recruited two hundred forty (N = 240) women between the ages of 18
to 24 years, experiencing homelessness and with a substance use disorder (SUD) who also had a biological child under the age of 6 years in their
care. Measurements: We measured frequency of alcohol and drug use using the Form 90 semi-structured interview, and self-efficacy using Pearlin and
Schooler's (1978) 7-item Mastery Scale. Finding(s): Overall, mothers showed significant improvement in substance use and self-efficacy over time in
each condition. However, as expected, patterns of change differentiated intervention groups with more mothers showing better substance use and self-
efficacy outcomes in housing + supportive services than in SAU. Unexpectedly, more mothers in SAU showed better outcomes than those in housing-only.
Conclusion(s): Substance use decreased and self-efficacy increased over time, but patterns of change characterized the intervention groups. In
particular, findings suggest that when providing housing to this population, supportive services should also be offered. Copyright © 2022 Elsevier
Inc.
Journal of substance abuse treatment, 144 (no
pagination) :
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Other service delivery and improvement
interventions
Simmons, M. B., Cartner, S., MacDonald, R., Whitson, S., Bailey, A., Brown, E.
Background: Peer
workers support individuals experiencing mental health challenges by drawing on their shared lived experience. Peer support has become increasingly
popular for young people with anxiety and depression, but the evidence base is unclear. This systematic review aimed to understand the effectiveness
of peer support for youth depression and anxiety (either primary or comorbid), and to understand in which contexts, for whom, and why peer support
works. Method(s): A systematic search was conducted with the Orygen Evidence Finder, Embase, MEDLINE, and PsycInfo from January 1980 to July 2022.
Controlled trials of interventions to improve mental health in young people (mean age 14-24), delivered by a peer worker with lived experienced of
mental health challenges were included. Outcomes related to depression or anxiety were extracted and descriptive synthesis was undertaken due to the
heterogeneity of studies. Study quality was rated using the Critical Appraisal Skills Programme; reporting adheres to the Preferred Reporting Items
for Systematic Reviews and Meta-Analyses (PRISMA) statement. Result(s): Nine randomised controlled trials with 2,003 participants were included, with
seven undertaken in high income countries. One targeted depression and anxiety, two stigma-distress (any mental disorder), one first episode
psychosis, four studies preventing eating disorders and one drug misuse. One study successfully reduced anxiety and depression, another reduced
depression only, four reported reductions in negative affect, with the final three measuring, but not having a significant impact on depression.
Study quality was rated as 'good' overall. Discussion(s): Despite the uptake of youth peer support globally, there is limited evidence from
controlled trials of the effect of peer support-related interventions on anxiety and depression. There is some effect on negative affect, especially
for university students. Further rigorously designed trials of peer delivered interventions for young people need to be conducted with a focus on
understanding the mechanisms of action underpinning peer support. Copyright © 2023, The Author(s).
BMC Psychiatry, 23(1) (no pagination) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders, Eating Disorders
(any), Psychosis Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder), At risk (indicated or selected prevention), First episode (psychosis only)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Silovsky, J., Bard, D., Owora, A. H., Milojevich, H., Jorgensen, A., Hecht, D.
Early
adversity predicts increased risk for mental and physical health problems. As such, intervention efforts, such as home-based parenting programs, have
been initiated with vulnerable families to reduce adversity exposure and promote child well-being. The present randomized clinical trial had a
parallel design and 1:1 allocation ratio of SafeCare augmented for an urban high-risk population (SC+) compared to standard home-based mental health
services (SAU) to examine risk and protective factors proximal to child maltreatment. Parents (N = 562) of young children (5 years or less) at risk
of depression, intimate partner violence, or substance abuse were randomized to SC+ or SAU. A significant program effect was found in favor of SC+
for parental depression and social support, as well as within-group improvements for both groups in depression, intimate partner victimization,
family resources, and social support. Promising next steps include future trials examining how improvements in parental depression and social support
impact child well-being over time and further augmentation of SafeCare to enhance healthy relationships and address cultural congruency of services.
(PsycInfo Database Record (c) 2023 APA, all rights reserved)
Child
maltreatment, 28(2) : 384-395
- Year: 2023
- Problem: Depressive Disorders, Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions, Other service delivery and improvement
interventions
Sharma, K., Ghosh, A., Krishnan, N. C., Kathirvel, S., Basu, D., Kumar, A., George, B. B.
Background: Adolescence and early adulthood are vulnerable periods for substance use-related disorders later in life. The use of
internet-enabled interventions can be useful, especially in low-resource settings.\rAims: To examine the feasibility, acceptability, and preliminary
effectiveness of single-session digital screening and brief intervention (d-SBI) for illicit drug misuse in college students and explore barriers and
facilitators of dSBI.\rMethods: Design: Mixed-methods, pilot cluster randomized trial. Setting: Four conveniently selected colleges were randomized
into intervention and control groups. Participants: 219 students were screened, and 37 fulfilled eligibility. Twenty-four completed follow-ups. In-
depth interviews were done with ten students. Intervention and Comparator: Following a digital screening, Alcohol, Smoking, and Substance Involvement
Screening Test (ASSIST) based brief intervention was provided in the d-SBI group. The control group received brief education. Measurements:
Acceptability was assessed by direct questions and usage statistics. ASSIST scores of groups were assessed at baseline and 3 months. Inductive coding
of the interview transcript was done.\rResults: More than 50 % of participants found d-SBI user-friendly, appropriate, and useful. Eighty percent of
users, who logged in, completed screening. Per-protocol analysis showed a reduction in cannabis-ASSIST score over 3 months. The mean ASSIST score for
other drugs combined did not differ significantly between groups. The difference in risk transition (moderate to low) was not significant.
Qualitative analysis revealed three overarching themes- recruitment, engagement, and behavior change.\rConclusions: Digital SBI for drug misuse is
feasible among college students. d-SBI might be effective in reducing cannabis use.
Asian Journal of Psychiatry, 81 : 1-9
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Personalised feedback, normative feedback, Self-help, Technology, interventions delivered using technology (e.g. online, SMS)
Schweer-Collins, M. L., Parr, N. J., Saitz, R., Tanner-Smith, E. E.
Prior research suggests
that brief interventions (BIs) for alcohol and other drug use may vary in effectiveness across patient sociodemographic factors. The objective of
this individual participant data (IPD) meta-analysis was to explore for whom BIs delivered in general healthcare settings are more or less effective.
We examined variability in BI effects by patient age, sex, employment, education, relationship status, and baseline severity of substance use using a
two-stage IPD meta-analysis approach. All trials included in a parent aggregate data meta-analysis (k=116) were invited to contribute IPD, and 29
trials provided patient-level data (12,074 participants). Among females, BIs led to significant reductions in binge alcohol consumption ([Formula:
see text] = 0.09, 95% CI [0.03, 0.14]), frequency of alcohol consumption ([Formula: see text] = 0.10, 95% CI [0.03, 0.17]), and alcohol-related
consequences ([Formula: see text] = 0.16, 95% CI [0.08, 0.25]), as well as greater substance use treatment utilization ([Formula: see text] = 0.25,
95% CI [0.21, 0.30]). BIs yielded larger reductions in frequency of alcohol consumption at 3-month follow-up for individuals with less than a high
school level education ([Formula: see text] = 0.16, 95% CI [0.09, 0.22]). Given evidence demonstrating modest BI effects on alcohol use and mixed or
null findings for BI effects on other drug use, BI research should continue to investigate potential drivers of effect magnitude and variation.
PROTOCOL REGISTRATION DETAILS: The protocol for this review was pre-registered in PROSPERO #CRD42018086832 and the analysis plan was pre-registered
in OSF: osf.io/m48g6. Copyright © 2023. The Author(s).
Prevention science : the official journal
of the Society for Prevention Research., 03 :
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Rabie, S., Tomlinson, M., Almirol, E., Stewart, J., Skiti, Z., Weiss, R. E., Vogel, L., Rotheram-
Borus, M. J.
Young men in South Africa face the intersecting epidemics of HIV, substance use and endemic poverty. We
tested the effectiveness of a behavioral intervention using soccer training to reduce the cluster of risks associated with HIV and substance use.
This cluster randomized controlled trial was conducted with men aged 18-29 years old in 27 neighborhoods in the townships of Cape Town, South Africa.
Neighborhoods were randomized to receive for 6 months either: (1) Soccer League (SL; n = 18 neighborhoods, n = 778 men) who attended soccer three
times weekly (72 sessions; 94% uptake, 45.5% weekly attendance rate), combined with an HIV/substance use, cognitive-behavioral intervention; or (2) a
Control Condition (CC; n = 9; 415 men) who received educational materials and referrals at 3 month intervals. The primary outcome was the number of
significant changes in a cluster of outcomes including HIV-related risks, substance abuse, employment/income, mental health, violence, and community
engagement. There was only one significant difference on the rapid diagnostic tests for mandrax at 6 months, an insufficient number of changes to
indicate a successful intervention. A group-based behavioral intervention was ineffective in addressing multiple risk behaviors among at-risk young
men, similar to the findings of several recent soccer-related interventions. Early adulthood may be too late to alter well-established patterns of
risk behaviors.Clinical Trial Registration This trial was prospectively registered on 24 November 2014 with ClinicalTrials.gov NCT02358226.
AIDS &
Behavior, 27(3) : 842-854
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Skills training, Other Psychological Interventions, Physical activity, exercise
Pineros-Leano, M., Parchment, T. M., Calvo, R.
Background: The Latinx population is the largest and fastest-growing
segment of the U.S. While the vast majority\rof Latinx children are US-born, over half are growing up in a family where they live with at least one
foreign-born\rparent. Despite research showing that Latinx immigrants are less likely to experience mental, emotional, and\rbehavioral (MEB) health
issues (e.g., depression, conduct disorder, substance misuse), their children have one of\rthe country's highest rates of MEB disorders. To address
the MEB health of Latinx children and their caregivers,\rculturally grounded interventions have been developed, implemented, and tested to promote
MEB health. The\rpurpose of this systematic review is to identify these interventions and summarize their findings.\rMethods: We searched PubMed,
PsycINFO, ERIC, Cochrane library, Scopus, HAPI, ProQuest, and ScienceDirect\rdatabases from 1980 through January 2020 as part of a registered
protocol (PROSPERO) following PRISMA\rguidelines. Our inclusion criteria were randomized controlled trials of family interventions among a
predominantly Latinx sample. We assessed the risk of bias in the included studies using the Cochrane Risk of Bias Tool.\rFindings: Initially, we
identified 8,461 articles. After going through the inclusion criteria, twenty-three studies\rwere included in the review. We found a total of 10
interventions, with Familias Unidas and Bridges/Puentes\rhaving the most information available. Overall, 96% of studies demonstrated to be effective
in addressing MEB\rhealth, namely substance use, alcohol and tobacco use, risky sexual behaviors, conduct disorder, and internalizing symptoms among
Latinx youth. Most interventions focused on improving parent - child relationships as the\rmain mechanism to improve MEB health among Latinx youth.
\rDiscussion: Our findings show that family interventions can be effective for Latinx youth and their families. It is\rlikely that including cultural
values such as familismo and issues related to the Latinx experience such as\rimmigration and acculturation can help the long-term goal of improving
MEB health in Latinx communities.\rFuture studies investigating the different cultural components that may influence the acceptability and
effectiveness of the interventions are warranted.
Children and Youth Services Review, 145 : 1-
12
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders, Substance Use Disorders (any)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Family therapy, Other Psychological Interventions
Pietsch, B., Arnaud, N., Lochbuhler, K., Rossa, M., Kraus, L., Gomes-de-Matos, E., Grahlher, K., Thomasius, R., Hanewinkel, R., Morgenstern, M.
Vocational students are a risk group for problematic substance use and addictive behaviors. The study aim was to evaluate the effects
of an app-based intervention on tobacco, e-cigarettes, alcohol, and cannabis use as well as gambling and digital media-related behaviors in the
vocational school setting. A total of 277 classes with 4591 students (mean age 19.2 years) were consecutively recruited and randomized into an
intervention (IG) or waitlist control group (CG). Students from IG classes received access to an app, which encouraged a voluntary commitment to
reduce or completely abstain from the use of a specific substance, gambling, or media-related habit for 2 weeks. Substance use, gambling, and digital
media use were assessed before and after the intervention in both groups with a mean of 7.7 weeks between assessments. Multi-level logistic
regression models were used to test group differences. Intention-to-treat-results indicated that students from IG classes had a significantly larger
improvement on a general adverse health behavior measure compared to CG (OR = 1.24, p = 0.010). This difference was mainly due to a significantly
higher reduction of students' social media use in the IG (OR = 1.31, p < 0.001). Results indicate that the app \"Meine Zeit ohne\" is feasible for
the target group and seems to have a small but measurable impact on students' health behavior.
International Journal of Environmental Research & Public Health [Electronic
Resource], 20(3) : 20
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Ojonuba, H.
S., Abdul-Rahman, H., Zaremohzzabieh, Z., Mohd-Zulkefli, N. A.
(1) Background: Substance use among inner-city adolescents is at an alarming rate in Nigeria. Despite their high exposure to this risk,
limited experimental tests have been conducted on prevention programs. (2) Methods: This study investigates the effectiveness of an empowerment
education intervention in reducing the risk of substance use in Abuja's inner-city adolescents. Random selection placed adolescents into
intervention and control conditions, and assessment was conducted at baseline, post-test, and 3-months follow-up intervention. After pre-test, the
intervention group engaged in an empowerment education intervention of 11 sessions. (3) Results: In a post-test of three months, results show
significant and positive changes among adolescents in substance use, including a notable reduction in positive attitudes toward drugs. In other
words, the results showed adolescents reported less depression and substance use as well as higher peer support, parental support, social competence,
and self-esteem at post-test and 3-month follow-ups as compared to the pre-intervention period. In addition, at both post-test and the 3-month
follow-up, the intervention group performed better than the control group on peer support, parental support, social competence, and self-esteem. (4)
Conclusion(s): This study presents a new indication that the empowerment education intervention effectively reduces substance use among Nigeria's
inner-city adolescents. Copyright © 2023 by the authors.
International Journal of Environmental
Research and Public Health, 20(4) (no pagination) :
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Marsiglia, F. F., Kulis, S. S., Munyuwiny, S., Cutrin, O., Gresenz, K., Osir, O., Huang, C. K.
OBJECTIVE: Although many primary school students in Kenya report use of alcohol and other drugs, evidence-based prevention interventions for
schools are generally unavailable. Globally, there are growing opportunities to conduct research that assesses whether efficacious interventions from
elsewhere can be adopted for new settings and populations. This small pilot study implemented and evaluated a linguistically adapted version of the
school-based keepin' it REAL (kiR) universal substance use prevention program from the United States in Kenyan primary schools to assess its
effectiveness and estimate potential effect sizes. METHOD(S): A convenience sample of primary schools in metropolitan Nairobi was randomized into an
intervention or control group. Teachers in intervention schools were trained to deliver the kiR curriculum with fidelity. Students in seventh and
eighth grades in the intervention and control schools (N = 533) completed pretest and posttest questionnaires assessing substance use behaviors,
attitudes, and drug resistance strategies. RESULT(S): Relative to the control group, kiR students reported several desired changes in behaviors and
attitudes: less recent alcohol use and heavy (binge) alcohol drinking, and continuing or increased adherence to certain anti-drug norms. There was
partial evidence that kiR helped students rely less on conflictual drug resistance strategies, such as reacting to substance offers angrily or with
violence. Effect sizes for these outcomes compare favorably to those obtained in other school-based prevention interventions. CONCLUSION(S): Although
larger trials with a more representative sample of schools are needed, the study suggests the potential for kiR as an effective approach for
substance use prevention in Kenya.
Journal of studies on alcohol and drugs, 84(1) : 45-50
- Year: 2023
- Problem: Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Kor,
A., Shoshani, A.
Objective: Previous research suggests that well-being interventions are effective in moderating substance and
digital media use and improving mental health. This study evaluated the feasibility and preliminary efficacy of a school-based Positive Psychology
Addiction Prevention (PPAP) intervention aimed at reducing substance and digital media use and increasing the mental health of school children during
the COVID-19 pandemic. Method(s): The sample was composed of 1,670 children and adolescents (Mean age = 12.96, SD = 2.01) from six elementary and
secondary schools in Israel who were randomly assigned to the PPAP intervention (n = 833) or the waiting-list control conditions (n = 837). A three-
year longitudinal repeated-measures randomized control design was used to examine modifications in substance use, digital media use, and
psychological symptoms in the intervention and control groups assessed on the pre-test (before the outbreak of COVID-19, September 2019), the post-
test (May 2021), and the 12-month follow-up (May 2022). Result(s): The 12-month prevalence of tobacco use, alcohol use, and cannabis use decreased
significantly from the pre- to the follow-up period in the intervention group, and increased significantly in the control group. Daily digital media
use increased during the pandemic period in both groups, with a significantly higher increase in the control group. The intervention group reported
significantly lower psychological symptoms and negative emotions, and greater positive emotions and life satisfaction after the intervention and at
follow-up compared to the control group. Conclusion(s): The COVID-19 pandemic has profoundly disrupted the lives of children and adolescents. Well-
being and addiction prevention interventions may be effective in improving the mental health of school children during pandemics and crisis periods.
Copyright © 2023 Elsevier Ltd
Addictive Behaviors, 141 (no
pagination) :
- Year: 2023
- Problem: Anxiety Disorders (any), Depressive Disorders, Substance Use Disorders (any)
- Type: Randomised controlled trials
-
Stage: Universal prevention
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions, Positive
psychology