AI Article Synopsis

  • This pilot trial tested motivational interviewing (MI) to see if it could help reduce crack cocaine use among people in methadone maintenance treatment.
  • Out of 29 participants, those who received MI showed some reduction in crack use, but the results weren't strong enough to be statistically significant; however, there was a significant decrease in heroin use.
  • The study suggests that adding psychosocial interventions like MI is doable in a busy outpatient setting and indicates the need for a larger trial to explore these findings further.

Article Abstract

This pilot trial explored the effectiveness of an adjunctive single session of motivational interviewing (MI) to reduce crack cocaine use in a methadone maintenance treatment population. Twenty-nine participants were cluster randomised by clinician to MI or a crack information control condition as part of treatment as usual. The intervention had a modest impact on one crack cocaine measure but was not statistically significant in this small sample. A large and statistically significant reduction in heroin use amongst those in the MI condition was observed. This pilot study demonstrated that it was feasible to incorporate a psychosocial intervention within a busy outpatient methadone maintenance programme and the findings support the value of undertaking a larger trial.

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http://dx.doi.org/10.1159/000095809DOI Listing

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