The impact of motivational interviewing on relapse to substance use among women in Iran: a randomized clinical trial

Women in Iran are in great need of effective substance abuse services. The current study was conducted to investigate the effectiveness of motivational interviewing (MI) for women in treatment for drug use in Iran. The sample (N = 60) included women in a drug treatment center in Qazvin (Iran) from A...

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Bibliographic Details
Published in:	BMC psychiatry Vol. 20; no. 1; pp. 157 - 7
Main Authors:	Oveisi, Sonia, Stein, L A R, Babaeepour, Elham, Araban, Marzieh
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 10-04-2020 BioMed Central BMC
Subjects:	Addiction Addictions Addictive behaviors Adult Behavior Behavior, Addictive Clinical trials Drug abuse Drug use Female Female drug user Gender differences Heroin Humans Intervention Iran Marijuana Methamphetamine Motivational Interviewing Narcotics Psychiatry Recurrence Relapse Stages of change model Substance abuse Substance abuse treatment Substance use Substance-Related Disorders - therapy Women Women's health Womens health Iran Motivational interviewing Relapse Addiction Female drug user Stages of change model
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Summary:	Women in Iran are in great need of effective substance abuse services. The current study was conducted to investigate the effectiveness of motivational interviewing (MI) for women in treatment for drug use in Iran. The sample (N = 60) included women in a drug treatment center in Qazvin (Iran) from August to December of 2017. The research sample included 60 female drug users randomly assigned to MI or Standard Care (SC). Prior to randomization women completed a baseline questionnaire and the Relapse Prediction Scale (RPS), which measures desire (urge) to use and probability of using/not using in risky situations (self-efficacy). MI consisted of eight 60-min group sessions over a 1-month period, twice weekly. At 2-months follow-up, data were gathered using a questionnaire similar to baseline. Mixed Model Analysis were used to determine group differences. Mean age of participants was 30 years and average addiction duration was 7 years. Although the scores of the desire to use and the probability of drug use were not significant before the intervention, after the intervention, scores on desire to use and probability of use improved about 81.1% (F: 2230.15, P < 0.001, degrees of freedom: 63, 15) and 81.9%, (F: 749.39, P < 0.001, degrees of freedom: 79, 77), respectively, compared to those of control group. The results showed that motivational interviewing could decrease desire to use and probability of use among female drug users. Motivational interviewing could play an important role in improving women's health in Iran. IRCT registration number: IRCT20140907019077N4 Registration date: 2017-12-12, 1396/09/21 Registration timing: registered_while_recruiting Last update: 2017-12-12, 1396/09/21.
ISSN:	1471-244X 1471-244X
DOI:	10.1186/s12888-020-02561-9