The continuing care project: A multi-arm randomised controlled trial of a continuing care telephone intervention following residential substance use treatment

IF 3.9 2区医学 Q1 PSYCHIATRY

Drug and alcohol dependence Pub Date : 2025-04-05 DOI:10.1016/j.drugalcdep.2025.112668

Peter J. Kelly , Frank P. Deane , Amanda L. Baker , Camilla Townsend , James R. McKay , Tayla J. Degan , Erin Nolan , Kerrin Palazzi , Gerard Byrne , Briony Osborne , Johanna Meyer , Laura Robinson , Christopher Oldmeadow , Kenny Lawson , Andrew Searles , Joanne Lunn , Jason Nunes , Isabella Ingram

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Abstract

Background

Previous research suggests telephone-delivered continuing care interventions are effective in reducing rates of substance use. This study assessed the effectiveness of telephone-delivered continuing care for people who had stayed in a residential alcohol and other drug (AOD) treatment facility for at least 4-weeks.

Methods

Participants were 277 (20 – 71 years; M = 38 years, SD = 10.4; 58 % male) individuals attending residential AOD treatment. Following discharge participants were randomised to: i) 12 weekly telephone sessions; ii) 4 weekly telephone sessions; or iii) no telephone sessions (control group). A multi-centre prospective, randomised, open, blinded endpoint (PROBE) design compared three study arms with follow up at 3- and 6-months. Primary outcome was the odds of complete abstinence and the days of AOD use for those not completely abstinent at 6-months.

Results

At 6-months follow-up, the odds of being completely abstinent in the past month was not significantly different between the three study arms (p > 0.6) and the number of days abstinent was not significantly different (p > 0.4). Participants across all arms were more likely (p < 0.001) to be completely abstinent compared to baseline [12-session OR = 12.86 (5.4, 30.9); 4-session OR = 9.52 (4.0, 22.4); Control OR = 7.02, (3.4, 14.7)].

Conclusions

The results suggest that the residential programs are associated with positive long-term impacts among participants who complete at least 4 weeks of treatment. Further continuing care research should include those who do not remain in treatment for at least 4 weeks, as they may be likely to benefit the most.

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持续护理项目：一项多组随机对照试验，在住院药物使用治疗后进行持续护理电话干预

之前的研究表明，电话持续护理干预在降低药物使用率方面是有效的。本研究评估了电话持续护理对在酒精和其他药物（AOD）住院治疗机构至少4周的人的有效性。方法研究对象277例，年龄20 ~ 71岁；M = 38岁，SD = 10.4；（58%男性）接受住院治疗的个体。出院后，参与者被随机分配到：i)每周12次电话会议；每周4次电话会议；或iii)没有电话会议（对照组）。一项多中心前瞻性、随机、开放、盲法终点（PROBE）设计比较了三个研究组，随访时间分别为3个月和6个月。主要结果是在6个月时完全戒断的几率和未完全戒断的AOD使用天数。结果在6个月的随访中，三个研究组在过去一个月内完全戒断的几率无显著差异（p > 0.6），戒断天数无显著差异（p > 0.4）。与基线相比，所有组的参与者更有可能完全戒断（p < 0.001）[12期OR = 12.86 (5.4, 30.9)；4-session OR = 9.52 (4.0, 22.4)；对照OR = 7.02,(3.4, 14.7)]。结论：研究结果表明，在完成至少4周治疗的参与者中，住院治疗项目具有积极的长期影响。进一步的持续护理研究应包括那些没有持续治疗至少4周的患者，因为他们可能受益最多。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Drug and alcohol dependence 医学-精神病学

CiteScore

7.40

自引率

7.10%

发文量

409

审稿时长

41 days

期刊介绍： Drug and Alcohol Dependence is an international journal devoted to publishing original research, scholarly reviews, commentaries, and policy analyses in the area of drug, alcohol and tobacco use and dependence. Articles range from studies of the chemistry of substances of abuse, their actions at molecular and cellular sites, in vitro and in vivo investigations of their biochemical, pharmacological and behavioural actions, laboratory-based and clinical research in humans, substance abuse treatment and prevention research, and studies employing methods from epidemiology, sociology, and economics.