Adapting a blended motivational interviewing and problem-solving intervention to address risky substance use amongst South Africans.
The purpose of this study was to examine the acceptability and initial substance use outcomes of a blended motivational interviewing (MI) and problem-solving therapy (PST) intervention, delivered by peer counsellors. Twenty people who scored at risk for substance use according to the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) received a five session blended MI-PST intervention and were assessed at baseline and at three months. An open-ended semi-structured interview, designed to identify possible factors that may hinder or promote the acceptability of the intervention was also conducted. Fifteen participants completed the intervention and the three-month follow-up. According to ASSIST scores, participants significantly reduced their substance use (p > 0.001) at the three-month follow-up. Randomized controlled trials are needed to evaluate the effect of this intervention more rigorously.
a Alan J. Flisher Centre for Public Mental Health (CPMH), Department of Psychiatry & Mental Health , University of Cape Town , Cape Town , South Africa.
Katherine
K
Sorsdahl
Bronwyn
B
Myers
Catherine L
CL
Ward
Richard
R
Matzopoulos
Bulelwa
B
Mtukushe
Andrew
A
Nicol
Pim
P
Cuijpers
Dan J
DJ
Stein
D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000523:psychology; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D062405:Motivational Interviewing / Q000379:methods*; D011340:Problem Solving; D011614:Psychotherapy, Brief / Q000379:methods; D013019:South Africa; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D055815:Young Adult
South Africa; emergency departments; motivational interviewing; problem-solving therapy; task shifting