Windsor, Liliane Cambraia and Benoit, Ellen and Lee, Carol and Jemal, Alexis and Kugler, Kari and Smith, Douglas C and Pinto, Rogério M and Musaad, Salma (2024) Critical dialogue and capacity-building projects reduced alcohol and substance use in a randomized clinical trial among formerly incarcerated men. Substance Use & Misuse, Early online, pp. 1-12. https://doi.org/10.1080/10826084.2024.2352611.
External website: https://www.tandfonline.com/doi/full/10.1080/10826...
Rates of alcohol and/or substance use (ASU) among residents of predominantly Black and marginalized communities are similar to ASU rates in White communities. Yet ASU has worse consequences in predominantly Black and marginalized communities (e.g., higher incarceration). We randomized participants to one of 16 intervention conditions using a 2 full factorial design to optimize a multilevel intervention reducing ASU among 602 formerly incarcerated men with substance-use-disorders (SUD). Candidate intervention components included (1) critical dialogue (CD; six weekly 2-hour-long group sessions vs. no CD sessions), (2) Quality of Life Wheel (QLW; six weekly 1-hour-long group sessions vs. no QLW sessions), (3) capacity building projects (CBP; six weekly 1-hour-long group sessions vs. no CBP sessions), and (4) delivery by a trained peer versus licensed facilitators. Outcome was percentage of days in which participants used alcohol, cocaine, opioid, and/or cannabis in previous 30 days. Intent-to-treat analysis did not meet a priori component selection criteria due to low intervention attendance. After controlling for intervention group attendance (percentage of sessions attended), peer-delivered CD and CBP produced statistically and clinically significant main and interaction effects in ASU over 5 months. Per the multiphase optimization strategy framework, we selected peer-delivered CD and CBP for inclusion as the optimized version of the intervention with a cost of US$1,380 per 10 individuals. No adverse intervention effects occurred. CD and CBP were identified as the only potentially effective intervention components. Future research will examine strategies to improve attendance and test the optimized intervention against standard of care in a randomized-controlled-trial.
HJ Treatment or recovery method > Psychosocial treatment method
L Social psychology and related concepts > Interpersonal interaction and group dynamics > Social support > Peer support or coaching
MM-MO Crime and law > Criminal penalty / sentence > Community service > Probation or parole
N Communication, information and education > Education and training > Affective and interpersonal education > Skills building
T Demographic characteristics > Person in prison (prisoner)
T Demographic characteristics > Person who commits a criminal offence (offender)
VA Geographic area > United States
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