The impact of motivational interviewing on relapse to substance use among women in Iran: a randomized clinical trial

Sonia Oveisi,Marzieh Araban,L A R Stein,Elham Babaeepour

doi:10.1186/s12888-020-02561-9

Abstract

BackgroundWomen in Iran are in great need of effective substance abuse services. The current study was conducted to investigate the effectiveness of motivational interviewing (MI) for women in treatment for drug use in Iran.MethodThe sample (N = 60) included women in a drug treatment center in Qazvin (Iran) from August to December of 2017. The research sample included 60 female drug users randomly assigned to MI or Standard Care (SC). Prior to randomization women completed a baseline questionnaire and the Relapse Prediction Scale (RPS), which measures desire (urge) to use and probability of using/not using in risky situations (self-efficacy). MI consisted of eight 60-min group sessions over a 1-month period, twice weekly. At 2-months follow-up, data were gathered using a questionnaire similar to baseline. Mixed Model Analysis were used to determine group differences.ResultsMean age of participants was 30 years and average addiction duration was 7 years. Although the scores of the desire to use and the probability of drug use were not significant before the intervention, after the intervention, scores on desire to use and probability of use improved about 81.1% (F: 2230.15, P < 0.001, degrees of freedom: 63, 15) and 81.9%, (F: 749.39, P < 0.001, degrees of freedom: 79, 77), respectively, compared to those of control group.ConclusionThe results showed that motivational interviewing could decrease desire to use and probability of use among female drug users. Motivational interviewing could play an important role in improving women’s health in Iran.Trial registrationIRCT registration number: IRCT20140907019077N4Registration date: 2017-12-12, 1396/09/21Registration timing: registered_while_recruitingLast update: 2017-12-12, 1396/09/21

Highlights

Norms and procedures of group, introducing motivational interviewing and stages of change, determining stage of change
The results showed that motivational interviewing could decrease desire to use and probability of use among female drug users
As the planned 2-month follow-up makes it difficult to observe relapse, this study focuses on the Relapse Prediction Scale (RPS), which is a more sensitive and realistic outcome, given the small sample size and brief follow-up

Summary

Introduction

Norms and procedures of group, introducing motivational interviewing and stages of change, determining stage of change. Women in Iran are in great need of effective substance abuse services. The current study was conducted to investigate the effectiveness of motivational interviewing (MI) for women in treatment for drug use in Iran. Amin-Esmaeli et al, (2016) [4] studied prevalence of substance use disorders in Iran (N = 7841; N, women = 4475). A national survey of emergency hospitals in Iran indicated 2% of women used opium with .05% dependent on opium and its derivatives [5]. In a sample of women in substance treatment, use of crystal meth appears to be associated with being single and an expectancy that it enhances the ability to work, whereas use of opium is associated with being married and having a spouse who is drug-involved [5]

Methods

Results

Discussion

Conclusion