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A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial

BACKGROUND: Methamphetamine use is of deep concern to Aboriginal and Torres Strait Islander communities, but access to culturally appropriate treatment resources and services is limited. Web-based programs have potential as flexible and cost-effective additions to the range of treatment options avai...

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Autores principales: Reilly, Rachel, McKetin, Rebecca, Wand, Handan, Butt, Julia, Smout, Matthew, Ezard, Nadine, Conigrave, Katherine, Clark, Yvonne, Quinn, Brendan, Treloar, Carla, Gray, Dennis, Dunlop, Adrian, Roe, Yvette, Ward, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786845/
https://www.ncbi.nlm.nih.gov/pubmed/33932278
http://dx.doi.org/10.2196/14084
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author Reilly, Rachel
McKetin, Rebecca
Wand, Handan
Butt, Julia
Smout, Matthew
Ezard, Nadine
Conigrave, Katherine
Clark, Yvonne
Quinn, Brendan
Treloar, Carla
Gray, Dennis
Dunlop, Adrian
Roe, Yvette
Ward, James
author_facet Reilly, Rachel
McKetin, Rebecca
Wand, Handan
Butt, Julia
Smout, Matthew
Ezard, Nadine
Conigrave, Katherine
Clark, Yvonne
Quinn, Brendan
Treloar, Carla
Gray, Dennis
Dunlop, Adrian
Roe, Yvette
Ward, James
author_sort Reilly, Rachel
collection PubMed
description BACKGROUND: Methamphetamine use is of deep concern to Aboriginal and Torres Strait Islander communities, but access to culturally appropriate treatment resources and services is limited. Web-based programs have potential as flexible and cost-effective additions to the range of treatment options available to Aboriginal people. The We Can Do This online intervention is designed to incorporate evidence-based therapies in a culturally relevant format using narratives from Aboriginal people to contextualize the therapeutic content. OBJECTIVE: The goal of the research will be to test the effectiveness of the online intervention in a wait-list controlled randomized trial across multiple sites in urban, regional, and remote locations. METHODS: Participants will be Aboriginal and Torres Strait Islander people aged 16 years and over who have used methamphetamine at least weekly for the previous 3 months. They will be recruited online and via health services. During the intervention phase, participants will have access to the online intervention for 6 weeks with optional telephone or face-to-face support provided by participating health services. The primary outcome measure will be the number of days the participant used methamphetamine over the past 4 weeks compared to wait-list controls, assessed at baseline, 1, 2, and 3 months. Secondary outcomes will include help-seeking, readiness to change, severity of dependence, and psychological distress. Any important changes to the protocol will be agreed upon by the trial management committee and communicated to all relevant parties, including trial site representatives and the trial registry. RESULTS: Recruitment will commence in July 2019, and results are expected in early 2021. This research is funded by National Health and Medical Research Council project grant #1100696. The primary sponsor for the trial is the South Australian Health and Medical Research Institute. A trial management committee with representation from the participating health services, chief investigators, other Aboriginal experts, and consumers will oversee procedures, trial conduct, analysis, and reporting of the results. CONCLUSIONS: The trial of this online intervention builds on existing research supporting the effectiveness of Web-based therapies for a range of psychological and other health-related issues including substance use. If successful, the We Can Do this online intervention will increase the range of options available to Aboriginal people seeking to reduce or stop methamphetamine use. It may provide a pathway into treatment for people who may otherwise be disengaged with health services for a range of reasons and will be a culturally appropriate, evidence-based resource for health practitioners to offer their clients. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12619000134123p; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=376088&isReview=true INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/14084
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spelling pubmed-67868452019-12-05 A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial Reilly, Rachel McKetin, Rebecca Wand, Handan Butt, Julia Smout, Matthew Ezard, Nadine Conigrave, Katherine Clark, Yvonne Quinn, Brendan Treloar, Carla Gray, Dennis Dunlop, Adrian Roe, Yvette Ward, James JMIR Res Protoc Protocol BACKGROUND: Methamphetamine use is of deep concern to Aboriginal and Torres Strait Islander communities, but access to culturally appropriate treatment resources and services is limited. Web-based programs have potential as flexible and cost-effective additions to the range of treatment options available to Aboriginal people. The We Can Do This online intervention is designed to incorporate evidence-based therapies in a culturally relevant format using narratives from Aboriginal people to contextualize the therapeutic content. OBJECTIVE: The goal of the research will be to test the effectiveness of the online intervention in a wait-list controlled randomized trial across multiple sites in urban, regional, and remote locations. METHODS: Participants will be Aboriginal and Torres Strait Islander people aged 16 years and over who have used methamphetamine at least weekly for the previous 3 months. They will be recruited online and via health services. During the intervention phase, participants will have access to the online intervention for 6 weeks with optional telephone or face-to-face support provided by participating health services. The primary outcome measure will be the number of days the participant used methamphetamine over the past 4 weeks compared to wait-list controls, assessed at baseline, 1, 2, and 3 months. Secondary outcomes will include help-seeking, readiness to change, severity of dependence, and psychological distress. Any important changes to the protocol will be agreed upon by the trial management committee and communicated to all relevant parties, including trial site representatives and the trial registry. RESULTS: Recruitment will commence in July 2019, and results are expected in early 2021. This research is funded by National Health and Medical Research Council project grant #1100696. The primary sponsor for the trial is the South Australian Health and Medical Research Institute. A trial management committee with representation from the participating health services, chief investigators, other Aboriginal experts, and consumers will oversee procedures, trial conduct, analysis, and reporting of the results. CONCLUSIONS: The trial of this online intervention builds on existing research supporting the effectiveness of Web-based therapies for a range of psychological and other health-related issues including substance use. If successful, the We Can Do this online intervention will increase the range of options available to Aboriginal people seeking to reduce or stop methamphetamine use. It may provide a pathway into treatment for people who may otherwise be disengaged with health services for a range of reasons and will be a culturally appropriate, evidence-based resource for health practitioners to offer their clients. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12619000134123p; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=376088&isReview=true INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/14084 JMIR Publications 2019-07-26 /pmc/articles/PMC6786845/ /pubmed/33932278 http://dx.doi.org/10.2196/14084 Text en ©Rachel Reilly, Rebecca McKetin, Handan Wand, Julia Butt, Matthew Smout, Nadine Ezard, Katherine Conigrave, Yvonne Clark, Brendan Quinn, Carla Treloar, Dennis Gray, Adrian Dunlop, Yvette Roe, James Ward. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 26.07.2019. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Protocol
Reilly, Rachel
McKetin, Rebecca
Wand, Handan
Butt, Julia
Smout, Matthew
Ezard, Nadine
Conigrave, Katherine
Clark, Yvonne
Quinn, Brendan
Treloar, Carla
Gray, Dennis
Dunlop, Adrian
Roe, Yvette
Ward, James
A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title_full A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title_fullStr A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title_full_unstemmed A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title_short A Web-Based Therapeutic Program (We Can Do This) for Reducing Methamphetamine Use and Increasing Help-Seeking Among Aboriginal and Torres Strait Islander People: Protocol for a Randomized Wait-List Controlled Trial
title_sort web-based therapeutic program (we can do this) for reducing methamphetamine use and increasing help-seeking among aboriginal and torres strait islander people: protocol for a randomized wait-list controlled trial
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786845/
https://www.ncbi.nlm.nih.gov/pubmed/33932278
http://dx.doi.org/10.2196/14084
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