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Pilot Cluster-Randomised Trial of Adjunctive Motivational Interviewing to Reduce Crack Cocaine Use in Clients on Methadone Maintenance

Authors
  • Mitcheson, Luke
  • McCambridge, Jim
  • Byrne, Suzanne
Type
Published Article
Journal
European Addiction Research
Publisher
S. Karger AG
Publication Date
Dec 18, 2006
Volume
13
Issue
1
Pages
6–10
Identifiers
DOI: 10.1159/000095809
PMID: 17172773
Source
Karger
Keywords
License
Green
External links

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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