A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial
Background: Effective brief treatments for methamphetamine use disorders (MAUD) are urgently needed to complement longer more intensive treatments in low and middle income countries, including South Africa. To address this gap, the purpose of this randomised feasibility trial was to determine the fe...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2021
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| Online Access: | http://hdl.handle.net/20.500.11937/85706 |
| _version_ | 1848764762928709632 |
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| author | Sorsdahl, K. Stein, D.J. Pasche, S. Jacobs, Y. Kader, R. Odlaug, B. Richter, S. Myers-Franchi, Bronwyn Grant, J.E. |
| author_facet | Sorsdahl, K. Stein, D.J. Pasche, S. Jacobs, Y. Kader, R. Odlaug, B. Richter, S. Myers-Franchi, Bronwyn Grant, J.E. |
| author_sort | Sorsdahl, K. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Effective brief treatments for methamphetamine use disorders (MAUD) are urgently needed to complement longer more intensive treatments in low and middle income countries, including South Africa. To address this gap, the purpose of this randomised feasibility trial was to determine the feasibility of delivering a six-session blended imaginal desensitisation, plus motivational interviewing (IDMI) intervention for adults with a MAUD.
Methods: We enrolled 60 adults with a MAUD and randomly assigned them 1:1 to the IDMI intervention delivered by clinical psychologists and a control group who we referred to usual care. Feasibility measures, such as rates of recruitment, consent to participate in the trial and retention, were calculated. Follow-up interviews were conducted at 6 weeks and 3 months post-enrollment.
Results: Over 9 months, 278 potential participants initiated contact. Following initial screening 78 (28%) met inclusion criteria, and 60 (77%) were randomised. Thirteen of the 30 participants assigned to the treatment group completed the intervention. Both psychologists were highly adherent to the intervention, obtaining a fidelity rating of 91%. In total, 39 (65%) participants completed the 6-week follow-up and 40 (67%) completed the 3-month follow-up. The intervention shows potential effectiveness in the intention-to-treat analysis where frequency of methamphetamine use was significantly lower in the treatment than in the control group at both the 6 week and 3-month endpoints. No adverse outcomes were reported.
Conclusions: This feasibility trial suggests that the locally adapted IDMI intervention is an acceptable and safe intervention as a brief treatment for MAUD in South Africa. Modifications to the study design should be considered in a fully powered, definitive controlled trial to assess this potentially effective intervention. Trial registration The trial is registered with the Pan African Clinical Trials Registry (Trial ID: PACTR201310000589295) |
| first_indexed | 2025-11-14T11:24:31Z |
| format | Journal Article |
| id | curtin-20.500.11937-85706 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:24:31Z |
| publishDate | 2021 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-857062021-10-18T05:56:52Z A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial Sorsdahl, K. Stein, D.J. Pasche, S. Jacobs, Y. Kader, R. Odlaug, B. Richter, S. Myers-Franchi, Bronwyn Grant, J.E. Brief treatment Feasibility trial South Africa Substance use Adult Amphetamine-Related Disorders Crisis Intervention Feasibility Studies Female Humans Implosive Therapy Intention to Treat Analysis Male Methamphetamine Motivational Interviewing South Africa Background: Effective brief treatments for methamphetamine use disorders (MAUD) are urgently needed to complement longer more intensive treatments in low and middle income countries, including South Africa. To address this gap, the purpose of this randomised feasibility trial was to determine the feasibility of delivering a six-session blended imaginal desensitisation, plus motivational interviewing (IDMI) intervention for adults with a MAUD. Methods: We enrolled 60 adults with a MAUD and randomly assigned them 1:1 to the IDMI intervention delivered by clinical psychologists and a control group who we referred to usual care. Feasibility measures, such as rates of recruitment, consent to participate in the trial and retention, were calculated. Follow-up interviews were conducted at 6 weeks and 3 months post-enrollment. Results: Over 9 months, 278 potential participants initiated contact. Following initial screening 78 (28%) met inclusion criteria, and 60 (77%) were randomised. Thirteen of the 30 participants assigned to the treatment group completed the intervention. Both psychologists were highly adherent to the intervention, obtaining a fidelity rating of 91%. In total, 39 (65%) participants completed the 6-week follow-up and 40 (67%) completed the 3-month follow-up. The intervention shows potential effectiveness in the intention-to-treat analysis where frequency of methamphetamine use was significantly lower in the treatment than in the control group at both the 6 week and 3-month endpoints. No adverse outcomes were reported. Conclusions: This feasibility trial suggests that the locally adapted IDMI intervention is an acceptable and safe intervention as a brief treatment for MAUD in South Africa. Modifications to the study design should be considered in a fully powered, definitive controlled trial to assess this potentially effective intervention. Trial registration The trial is registered with the Pan African Clinical Trials Registry (Trial ID: PACTR201310000589295) 2021 Journal Article http://hdl.handle.net/20.500.11937/85706 10.1186/s13722-020-00209-3 eng http://creativecommons.org/licenses/by/4.0/ fulltext |
| spellingShingle | Brief treatment Feasibility trial South Africa Substance use Adult Amphetamine-Related Disorders Crisis Intervention Feasibility Studies Female Humans Implosive Therapy Intention to Treat Analysis Male Methamphetamine Motivational Interviewing South Africa Sorsdahl, K. Stein, D.J. Pasche, S. Jacobs, Y. Kader, R. Odlaug, B. Richter, S. Myers-Franchi, Bronwyn Grant, J.E. A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title | A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title_full | A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title_fullStr | A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title_full_unstemmed | A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title_short | A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial |
| title_sort | novel brief treatment for methamphetamine use disorders in south africa: a randomised feasibility trial |
| topic | Brief treatment Feasibility trial South Africa Substance use Adult Amphetamine-Related Disorders Crisis Intervention Feasibility Studies Female Humans Implosive Therapy Intention to Treat Analysis Male Methamphetamine Motivational Interviewing South Africa |
| url | http://hdl.handle.net/20.500.11937/85706 |