Patient reactance moderates the effect of directive telephone counseling for methamphetamine users.

Abstract:

OBJECTIVE:This study examined the impact of the interaction between patient reactance and treatment directiveness on the effectiveness of telephone aftercare for methamphetamine dependence. METHOD:Reactance was assessed at baseline, and participants were randomly assigned to directive or nondirective treatment conditions. Logistic regression tested for the significance of the interaction as a predictor of 3-month and 12-month use of methamphetamine and stimulants. RESULTS:A significant interaction was observed at the 3-month follow-up, in which the directive condition was less effective for patients higher in reactance and was more effective for patients lower in reactance. Among patients at a high level of reactance, the nondirective condition increased the likelihood of abstinence. CONCLUSIONS:This study suggests that, in the context of telephone-based care, directive interventions offer short-term clinical benefit for methamphetamine users who readily accept influence from authority figures, whereas nondirective interventions offer benefit for patients who do not readily accept influence. The short-term nature of these effects indicates that there is a need for brief but ongoing telephone support to maintain treatment gains.

journal_name

J Stud Alcohol Drugs

authors

Karno M,Farabee D,Brecht ML,Rawson R

doi

10.15288/jsad.2012.73.844

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

844-50

issue

5

eissn

1937-1888

issn

1938-4114

journal_volume

73

pub_type

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