Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments

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dc.contributor.authorMyers, Bronwyn
dc.contributor.authorvan der Westhuizen, Claire
dc.contributor.authorNaledi, Tracey
dc.contributor.authorStein, Dan J
dc.contributor.authorSorsdahl, Katherine
dc.date.accessioned2016-06-06T09:45:33Z
dc.date.available2016-06-06T09:45:33Z
dc.date.issued2016-02-20
dc.date.updated2016-05-18T15:52:04Z
dc.description.abstractBackground: This study examines whether readiness to change is a predictor of substance use outcomes and explores factors associated with RTC substance use among patients at South African emergency departments. Methods: We use data from participants enrolled into a randomized controlled trial of a brief substance use intervention conducted in three emergency departments in Cape Town, South Africa. Results: In adjusted analyses, the SOCRATES “Recognition” (B = 11.6; 95 % CI = 6.2–17.0) and “Taking Steps” score (B = -9.5; 95 % CI = -15.5- -3.5) as well as alcohol problems (B = 4.4; 95 % CI = 0.9–7.9) predicted change in substance use involvement at 3 month follow-up. Severity of depression (B = 0.2; 95 % CI = 0.1–0.3), methamphetamine use (B = 3.4; 95 % CI = 0.5- 6.3) and substance-related injury (B = 1.9; 95 % CI = 0.6–3.2) were associated with greater recognition of the need for change. Depression (B = 0.1; 95 % CI = 0.04 -0.1) and methamphetamine use (B = 2.3; 95 % CI = 0.1 -4.2) were also associated with more ambivalence about whether to change. Participants who presented with an injury that was preceded by substance use were less likely to be taking steps to reduce their substance use compared to individuals who did not (B = -1.7; 95 % CI = -5.0- -0.6). Conclusion: Findings suggest that brief interventions for this population should include a strong focus on building readiness to change substance use through motivational enhancement strategies. Findings also suggest that providing additional support to individuals with depression may enhance intervention outcomes.en_ZA
dc.identifier.apacitationMyers, B., van der Westhuizen, C., Naledi, T., Stein, D. J., & Sorsdahl, K. (2016). Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments. <i>BMC Psychiatry</i>, http://hdl.handle.net/11427/19922en_ZA
dc.identifier.chicagocitationMyers, Bronwyn, Claire van der Westhuizen, Tracey Naledi, Dan J Stein, and Katherine Sorsdahl "Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments." <i>BMC Psychiatry</i> (2016) http://hdl.handle.net/11427/19922en_ZA
dc.identifier.citationMyers, B., van der Westhuizen, C., Naledi, T., Stein, D. J., & Sorsdahl, K. (2016). Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments. BMC psychiatry, 16(1), 35.en_ZA
dc.identifier.issn1471-244Xen_ZA
dc.identifier.ris TY - Journal Article AU - Myers, Bronwyn AU - van der Westhuizen, Claire AU - Naledi, Tracey AU - Stein, Dan J AU - Sorsdahl, Katherine AB - Background: This study examines whether readiness to change is a predictor of substance use outcomes and explores factors associated with RTC substance use among patients at South African emergency departments. Methods: We use data from participants enrolled into a randomized controlled trial of a brief substance use intervention conducted in three emergency departments in Cape Town, South Africa. Results: In adjusted analyses, the SOCRATES “Recognition” (B = 11.6; 95 % CI = 6.2–17.0) and “Taking Steps” score (B = -9.5; 95 % CI = -15.5- -3.5) as well as alcohol problems (B = 4.4; 95 % CI = 0.9–7.9) predicted change in substance use involvement at 3 month follow-up. Severity of depression (B = 0.2; 95 % CI = 0.1–0.3), methamphetamine use (B = 3.4; 95 % CI = 0.5- 6.3) and substance-related injury (B = 1.9; 95 % CI = 0.6–3.2) were associated with greater recognition of the need for change. Depression (B = 0.1; 95 % CI = 0.04 -0.1) and methamphetamine use (B = 2.3; 95 % CI = 0.1 -4.2) were also associated with more ambivalence about whether to change. Participants who presented with an injury that was preceded by substance use were less likely to be taking steps to reduce their substance use compared to individuals who did not (B = -1.7; 95 % CI = -5.0- -0.6). Conclusion: Findings suggest that brief interventions for this population should include a strong focus on building readiness to change substance use through motivational enhancement strategies. Findings also suggest that providing additional support to individuals with depression may enhance intervention outcomes. DA - 2016-02-20 DB - OpenUCT DO - 10.1186/s12888-016-0742-8 DP - University of Cape Town J1 - BMC Psychiatry KW - Readiness to change KW - Substance use KW - Motivation KW - Brief intervention KW - Emergency departments KW - South Africa LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1471-244X T1 - Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments TI - Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments UR - http://hdl.handle.net/11427/19922 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12888-016-0742-8
dc.identifier.urihttp://hdl.handle.net/11427/19922
dc.identifier.urihttp://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-016-0742-8
dc.identifier.vancouvercitationMyers B, van der Westhuizen C, Naledi T, Stein DJ, Sorsdahl K. Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments. BMC Psychiatry. 2016; http://hdl.handle.net/11427/19922.en_ZA
dc.languageengen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution 4.0 International (CC BY 4.0)*
dc.rights.holderMyers et al.
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_ZA
dc.sourceBMC Psychiatryen_ZA
dc.source.urihttp://bmcpsychiatry.biomedcentral.com/
dc.subjectReadiness to change
dc.subjectSubstance use
dc.subjectMotivation
dc.subjectBrief intervention
dc.subjectEmergency departments
dc.subjectSouth Africa
dc.titleReadiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departmentsen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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