Effectiveness of Nurse-Practitioner-Delivered Brief Motivational Intervention for Young Adult Alcohol and Drug Use in Primary Care in South Africa: A Randomized Clinical Trial

To assess the effectiveness of brief motivational intervention for alcohol and drug use in young adult primary care patients in a low-income population and country. A randomized controlled trial in a public-sector clinic in Delft, a township in the Western Cape, South Africa recruited 403 patients w...

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Bibliographic Details
Published in:Alcohol and alcoholism (Oxford) 2014-07, Vol.49 (4), p.430-438
Main Authors: MERTENS, Jennifer R, WARD, Catherine L, BRESICK, Graham F, BRODER, Tina, WEISNER, Constance M
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult and adolescent clinical studies
Alcoholism
Alcoholism and acute alcohol poisoning
Biological and medical sciences
Female
Health participants
Humans
Male
Medical sciences
Motivational Interviewing
Nurse Practitioners
Poverty - psychology
Primary Health Care - methods
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy, Brief
Public health. Hygiene
Public health. Hygiene-occupational medicine
Single-Blind Method
South Africa
Substance-Related Disorders - psychology
Substance-Related Disorders - therapy
Toxicology
Treatment
Treatment Outcome
Young Adult
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Summary:To assess the effectiveness of brief motivational intervention for alcohol and drug use in young adult primary care patients in a low-income population and country. A randomized controlled trial in a public-sector clinic in Delft, a township in the Western Cape, South Africa recruited 403 patients who were randomized to either single-session, nurse practitioner-delivered Brief Motivational Intervention plus referral list or usual care plus referral list, and followed up at 3 months. Although rates of at-risk alcohol use and drug use did not differ by treatment arm at follow-up, patients assigned to the Brief Motivational Intervention had significantly reduced scores on ASSIST (Alcohol, Smoking and Substance Involvement Screening Test) for alcohol-the most prevalent substance. Brief Motivational Intervention may be effective at reducing at-risk alcohol use in the short term among low-income young adult primary care patients; additional research is needed to examine long-term outcomes.
ISSN:0735-0414
1464-3502
DOI:10.1093/alcalc/agu030