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The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up

BACKGROUND: The prevalence of substance use in people acutely admitted to in-patient psychiatric wards is high and the patients` duration of stay is limited. Motivational interviewing is a method with evidence based effect in short interventions. The aims of the present study were to compare the eff...

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Autores principales: Bagøien, Gunnhild, Bjørngaard, Johan Håkon, Østensen, Christine, Reitan, Solveig Klæbo, Romundstad, Pål, Morken, Gunnar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618135/
https://www.ncbi.nlm.nih.gov/pubmed/23517244
http://dx.doi.org/10.1186/1471-244X-13-93
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author Bagøien, Gunnhild
Bjørngaard, Johan Håkon
Østensen, Christine
Reitan, Solveig Klæbo
Romundstad, Pål
Morken, Gunnar
author_facet Bagøien, Gunnhild
Bjørngaard, Johan Håkon
Østensen, Christine
Reitan, Solveig Klæbo
Romundstad, Pål
Morken, Gunnar
author_sort Bagøien, Gunnhild
collection PubMed
description BACKGROUND: The prevalence of substance use in people acutely admitted to in-patient psychiatric wards is high and the patients` duration of stay is limited. Motivational interviewing is a method with evidence based effect in short interventions. The aims of the present study were to compare the effects of 2 sessions of motivational interviewing and treatment as usual (intervention group) with treatment as usual only (control group) on adult patients with comorbid substance use admitted to a psychiatric in-patient emergency unit. METHODS: This was an open randomised controlled trial including 135 patients where substance use influenced the admittance. After admission and assessments, the patients were allocated to the intervention group (n = 67) or the control group (n = 68). The primary outcome was self-reported days per month of substance use during the last 3 months at 3, 6, 12 and 24 months after inclusion. Data was analysed with a multilevel linear repeated measures regression model. RESULTS: Both groups reduced substance use during the first 12 months with no substantial difference between the 2 groups. At 2 year follow-up, the control group had increased their substance use with 2.4 days (95% confidence interval (CI) –1.5 to 6.3), whereas the intervention group had reduced their monthly substance use with 4.9 days (95% CI 1.2 to 8.6) compared to baseline. The 2 year net difference was 7.3 days of substance use per month (95% CI 1.9 to 12.6, p < 0.01) in favour of the intervention group. CONCLUSIONS: The present study suggests that 2 sessions of motivational interviewing to patients with comorbid substance use admitted to a psychiatric emergency unit reduce substance use frequency substantially at 2 year follow-up. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00184223
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spelling pubmed-36181352013-04-06 The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up Bagøien, Gunnhild Bjørngaard, Johan Håkon Østensen, Christine Reitan, Solveig Klæbo Romundstad, Pål Morken, Gunnar BMC Psychiatry Research Article BACKGROUND: The prevalence of substance use in people acutely admitted to in-patient psychiatric wards is high and the patients` duration of stay is limited. Motivational interviewing is a method with evidence based effect in short interventions. The aims of the present study were to compare the effects of 2 sessions of motivational interviewing and treatment as usual (intervention group) with treatment as usual only (control group) on adult patients with comorbid substance use admitted to a psychiatric in-patient emergency unit. METHODS: This was an open randomised controlled trial including 135 patients where substance use influenced the admittance. After admission and assessments, the patients were allocated to the intervention group (n = 67) or the control group (n = 68). The primary outcome was self-reported days per month of substance use during the last 3 months at 3, 6, 12 and 24 months after inclusion. Data was analysed with a multilevel linear repeated measures regression model. RESULTS: Both groups reduced substance use during the first 12 months with no substantial difference between the 2 groups. At 2 year follow-up, the control group had increased their substance use with 2.4 days (95% confidence interval (CI) –1.5 to 6.3), whereas the intervention group had reduced their monthly substance use with 4.9 days (95% CI 1.2 to 8.6) compared to baseline. The 2 year net difference was 7.3 days of substance use per month (95% CI 1.9 to 12.6, p < 0.01) in favour of the intervention group. CONCLUSIONS: The present study suggests that 2 sessions of motivational interviewing to patients with comorbid substance use admitted to a psychiatric emergency unit reduce substance use frequency substantially at 2 year follow-up. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT00184223 BioMed Central 2013-03-21 /pmc/articles/PMC3618135/ /pubmed/23517244 http://dx.doi.org/10.1186/1471-244X-13-93 Text en Copyright © 2013 Bagøien et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bagøien, Gunnhild
Bjørngaard, Johan Håkon
Østensen, Christine
Reitan, Solveig Klæbo
Romundstad, Pål
Morken, Gunnar
The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title_full The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title_fullStr The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title_full_unstemmed The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title_short The effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
title_sort effects of motivational interviewing on patients with comorbid substance use admitted to a psychiatric emergency unit - a randomised controlled trial with two year follow-up
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618135/
https://www.ncbi.nlm.nih.gov/pubmed/23517244
http://dx.doi.org/10.1186/1471-244X-13-93
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