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journal article Dec 12, 2008

Randomized controlled trial of a brief intervention for problematic prescription drug use in non‐treatment‐seeking patients

Anne Zahradnik Christiane Otto Brit Crackau Ira Löhrmann Gallus Bischof ORCID Ulrich John ORCID Hans‐Jürgen Rumpf
Addiction Vol. 104 No. 1 pp. 109-117 · Wiley
View at Publisher Save 10.1111/j.1360-0443.2008.02421.x
Abstract
ABSTRACTAims  Dependence on or problematic use of prescription drugs (PD) is estimated to be between 1 and 2% in the general population. In contrast, the proportion of substance‐specific treatment in PD use disorders at 0.5% is comparatively low. With an estimated prevalence of 4.7%, PD‐specific disorders are widespread in general hospitals compared to the general population. Brief intervention delivered in general hospitals might be useful to promote discontinuation or reduction of problematic prescription drug use.Design  A randomized, controlled clinical trial.Setting  Internal, surgical and gynaecological wards of a general and a university hospital.Participants  One hundred and twenty‐six patients fulfilling criteria for either regular use of PD (more than 60 days within the last 3 months) or dependence on or abuse of PD, respectively, were allocated randomly to two conditions.Intervention  Subjects received two counselling sessions based on Motivational Interviewing plus an individualized written feedback (intervention group, IG) or a booklet on health behaviour (control group, CG).Measurements  The outcome was measured as reduction (>25%) and discontinuation of PD intake in terms of defined daily dosages (DDD).Findings  After 3 months, more participants in the IG reduced their DDD compared to the participants in the CG (51.8% versus 30%; χ2 = 6.17; P = 0.017). In the IG 17.9%, in the CG 8.6% discontinued use of PD (χ2 = 2.42; P = 0.17).Conclusions  Brief intervention based on Motivational Interviewing is effective in reducing PD intake in non‐treatment‐seeking patients.
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Cited By
55
Motivational interviewing in medical care settings: A systematic review and meta-analysis of randomized controlled trials

Brad Lundahl, Teena Moleni · 2013

Patient Education and Counseling
Metrics
55
Citations
45
References
Details
Published
Dec 12, 2008
Vol/Issue
104(1)
Pages
109-117
License
View
Authors
A
Anne Zahradnik
C
Christiane Otto
B
Brit Crackau
I
Ira Löhrmann
G
Gallus Bischof
U
Ulrich John
H
Hans‐Jürgen Rumpf
Cite This Article
Anne Zahradnik, Christiane Otto, Brit Crackau, et al. (2008). Randomized controlled trial of a brief intervention for problematic prescription drug use in non‐treatment‐seeking patients. Addiction, 104(1), 109-117. https://doi.org/10.1111/j.1360-0443.2008.02421.x
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