Home > Non-attendance at counselling therapy in cocaine-using methadone-maintained patients: lessons learnt from an abandoned randomised controlled trial.

Darker, Catherine D and Sweeney, Brion and El Hassan, Haytham O. and Kelly, A and O'Connor, Sile and Smyth, Bobby P. and Barry, Joseph (2012) Non-attendance at counselling therapy in cocaine-using methadone-maintained patients: lessons learnt from an abandoned randomised controlled trial. Irish Journal of Medical Science, 181 (4). pp. 483-489.

URL: http://www.springerlink.com/content/120514

Background
Recently, the authors commenced a randomised controlled trial to study the effectiveness of cognitive behavioural coping skills (CBCS) to reduce cocaine usage in methadone-maintained patients’ in a clinical setting by assessing attendance at treatment sessions and outcomes in terms of cocaine use. However, recruitment into the study stopped when it became apparent that attendance at counselling sessions was poor.

Aims
The aim of the current study was to determine the reasons for both non-attendance and attendance from a patient’s perspective at counselling sessions.

Methods
A cross-sectional design was employed whereby participants who were recruited for the original study were interviewed utilising a semi-structured interview format.

Results
Motivational inconsistencies were most frequently cited as the reason for dropping out of counselling, whereas a good relationship with staff was cited by attenders as the most important factors which aided their attendance at counselling sessions.

Conclusions
Selecting opiate-dependent methadonemaintained cocaine abusers on the basis of their urine toxicology and offering them counselling as a way of reducing their harmful drug use did not prove efficacious. Attempting to address cocaine misuse within this cohort may need a more stepped approach including brief interventions, such as motivational interviewing, or other enhancers of motivation before we can test the effectiveness of CBCS in this population.

 

Item Type:Article
Date:2012
Page Range:pp. 483-489
Publisher:Springer
Volume:181
Number:4
EndNote:View
Accession Number:HRB (Not in collection)
Subjects:B Drugs and alcohol substances > Cocaine
VA Geographic area > Europe > Ireland
J Health care, prevention and rehabilitation > Treatment and maintenance > patient attitude toward treatment
J Health care, prevention and rehabilitation > Health services, drugs and alcohol research
HJ Treatment method > Drugs and alcohol disorder treatment method > Drugs and alcohol replacement method (substitution) > Methadone maintenance

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