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Abstinence only programs

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https://www.readbyqxmd.com/read/28060415/gender-differences-in-affects-and-craving-in-alcohol-dependence-a-study-during-alcohol-detoxification
#1
Géraldine Petit, Olivier Luminet, Mariana Cordovil de Sousa Uva, Pauline Monhonval, Sophie Leclercq, Quentin Spilliaert, François Zammit, Pierre Maurage, Philippe de Timary
BACKGROUND: Alcohol craving is a major cause of relapse in alcohol-dependent (AD) patients. It is closely related to the high depression and anxiety symptoms that are frequently observed at the early stages of abstinence, and these comorbid symptoms might thus constitute a relapse factor when they persist after detoxification. As these negative affects are known to evolve during the detoxification process, the aim of this study was to investigate the course of the relation between affects and craving during detoxification, with a particular attention given to gender in light of the known differences in affects between AD men and women...
January 6, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28027019/screening-and-brief-intervention-in-high-schools-school-nurse-practices-and-attitudes-in-massachusetts
#2
Julie Lunstead, Elissa R Weitzman, Dylan Kaye, Sharon Levy
BACKGROUND: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is recommended as a strategy to prevent or reduce adolescent substance use. Offering SBIRT in schools may provide an opportunity to reach adolescents not accessing primary care. Our objective is to assess school nurses' attitudes and practices regarding adolescent SBIRT. METHODS: We administered electronically and in person a questionnaire including 29 items on SBIRT attitudes and practices to school nurses registered for the Northeastern University's School Health Institute Summer Program in Massachusetts (N = 168)...
December 27, 2016: Substance Abuse
https://www.readbyqxmd.com/read/28017187/aircare-a-naturalistic-evaluation-of-the-effectiveness-of-a-protracted-telephone-based-recovery-assistance-program-on-continuing-care-outcomes
#3
Steven L Proctor, Jaclyn L Wainwright, Philip L Herschman, Albert M Kopak
BACKGROUND & OBJECTIVE: Substance use disorder treatments are increasingly being contextualized within a disease management framework. Within this context, there is an identified need to maintain patients in treatment for longer periods of time in order to help them learn how to manage their disease. One way to meet this need is through telephone-based interventions that engage patients, and include more active outreach attempts and involvement of the patient's family. This study sought to evaluate the effectiveness of three formats of an intensive 12-month post-discharge telephone-based case management approach (AiRCare) on adherence to continuing care plans and substance use outcomes...
February 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27943511/how-do-text-messaging-smoking-cessation-interventions-confer-benefit-a-multiple-mediation-analysis-of-text2quit
#4
Bettina B Hoeppner, Susanne S Hoeppner, Lorien C Abroms
AIMS: To determine the degree to which the observed benefit of Text2Quit was accounted for by psychosocial mechanisms derived from its quit smoking messaging versus from the use of extra-programmatic smoking cessation treatments and services. DESIGN: Prospective, multiple mediation model of a randomized controlled trial (RCT). SETTING: United States nation-wide. PARTICIPANTS: A total of 409 adult daily smokers participated...
November 6, 2016: Addiction
https://www.readbyqxmd.com/read/27933267/a-mixed-method-study-of-the-efficacy-of-physical-activity-consultation-as-an-adjunct-to-standard-smoking-cessation-treatment-among-male-smokers-in-malaysia
#5
Yuin Yi Lee, Selina Khoo, Tony Morris, Clare Hanlon, Lei-Hum Wee, Eng Wah Teo, Yuhanis Adnan
BACKGROUND: This study examined the effectiveness of using Physical Activity Consultation (PAC) as an addition to the standard smoking cessation treatment in Malaysia. We explored participants' experiences in terms of physical activity and smoking abstinence with the combined PAC and smoking cessation intervention. METHODS: Walk-in smokers from a local smoking cessation clinic volunteered for the 8-week intervention program, while undergoing standard smoking cessation treatment...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27810948/impact-of-a-temporary-nrt-enhancement-in-a-state-quitline-and-web-based-program
#6
Sam Cole, Casey Suter, Chelsea Nash, Joseph Pollard
PURPOSE: To examine the impact of a nicotine replacement therapy (NRT) enhancement on quit outcomes. DESIGN: Observational study using an intent to treat as treated analysis. SETTING: Not available. PARTICIPANTS: A total of 4022 Idaho tobacco users aged ≥18 years who received services from the Idaho Tobacco Quitline or Idaho's web-based program. INTERVENTION: One-call phone or web-based participants were sent a single 4- or 8-week NRT shipment...
November 3, 2016: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/27619766/factors-associated-with-intentions-to-engage-in-vaginal-intercourse-among-sexually-abstinent-missouri-high-school-freshmen
#7
Timothy Watts, Kelly L Wilson, Elisa B McNeill, Brittany L Rosen, Nancy Daley Moore, Matthew L Smith
BACKGROUND: We examine personal characteristics, alcohol consumption, normative beliefs, household factors, and extracurricular engagement associated with intentions to have intercourse before marriage among abstinent students. METHODS: Data were analyzed from 245 freshmen enrolled in a school-based abstinence-only-until-marriage program. Two binary logistic regression analyses identified factors associated with intentions to engage in intercourse before marriage and within the next year...
October 2016: Journal of School Health
https://www.readbyqxmd.com/read/27549604/benzodiazepine-misuse-in-the-elderly-risk-factors-consequences-and-management
#8
REVIEW
Guillaume Airagnes, Antoine Pelissolo, Mélanie Lavallée, Martine Flament, Frédéric Limosin
Benzodiazepine (BZD) inappropriate use (i.e., misuse and overuse) is a worldwide public health problem. Despite current knowledge about increased sensitivity to side effects in the elderly, that should lead to more caution, only a third of BZD prescriptions in this age group are considered appropriate. The most frequent inadequate situations are excessive duration and/or dosage of a medical prescription or self-medication, especially in a context where it would be contraindicated, e.g., long-acting BZD in the elderly...
October 2016: Current Psychiatry Reports
https://www.readbyqxmd.com/read/27514248/increasing-reach-by-offering-choices-results-from-an-innovative-model-for-statewide-services-for-smoking-cessation
#9
Paula A Keller, Barbara A Schillo, Amy N Kerr, Rebecca K Lien, Jessie Saul, Marietta Dreher, Randi B Lachter
Although state quitlines provide free telephone counseling and often include nicotine replacement therapy (NRT), reach remains limited (1-2% in most states). More needs to be done to engage all smokers in the quitting process. A possible strategy is to offer choices of cessation services through quitlines and to reduce registration barriers. In March 2014, ClearWay Minnesota(SM) implemented a new model for QUITPLAN® Services, the state's population-wide cessation services. Tobacco users could choose the QUITPLAN® Helpline or one or more Individual QUITPLAN® Services (NRT starter kit, text messaging, email program, or quit guide)...
October 2016: Preventive Medicine
https://www.readbyqxmd.com/read/27488212/randomized-trial-of-computerized-cognitive-behavioral-therapy-for-alcohol-use-disorders-efficacy-as-a-virtual-stand-alone-and-treatment-add-on-compared-with-standard-outpatient-treatment
#10
Brian D Kiluk, Kathleen A Devore, Matthew B Buck, Charla Nich, Tami L Frankforter, Donna M LaPaglia, Brian T Yates, Melissa A Gordon, Kathleen M Carroll
BACKGROUND: Cognitive behavioral therapy (CBT) is an evidence-based treatment for alcohol use disorders (AUDs), yet is rarely implemented with high fidelity in clinical practice. Computer-based delivery of CBT offers the potential to address dissemination challenges, but to date there have been no evaluations of a web-based CBT program for alcohol use within a clinical sample. METHODS: This study randomized treatment-seeking individuals with a current AUD to 1 of 3 treatments at a community outpatient facility: (i) standard treatment as usual (TAU); (ii) TAU plus on-site access to a computerized CBT targeting alcohol use (TAU + CBT4CBT); or (iii) CBT4CBT plus brief weekly clinical monitoring (CBT4CBT + monitoring)...
September 2016: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/27436332/all-nations-breath-of-life-a-randomized-trial-of-smoking-cessation-for-american-indians
#11
Won S Choi, Laura A Beebe, Niaman Nazir, Baljit Kaur, Michelle Hopkins, Myrietta Talawyma, Theresa I Shireman, Hung-Wen Yeh, K Allen Greiner, Christine M Daley
INTRODUCTION: American Indians have the highest cigarette smoking prevalence of any racial/ethnic group in the U.S. There is currently no effective empirically based smoking-cessation program for American Indians. The purpose of this study was to determine if a culturally tailored smoking-cessation program, All Nations Breath of Life (ANBL), is more effective than a non-tailored cessation program among American Indian smokers. DESIGN: A multisite RCT was conducted from September 2009 to July 2014; analysis was conducted in 2015...
November 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27429606/test-retest-reliability-and-descriptive-analyses-of-the-modified-important-people-and-activities-mipa-interview
#12
William H Zywiak, Robert L Stout, Jordan M Braciszewski, Tyler B Wray, Richard Longabaugh
BACKGROUND: The Important People and Activities (IPA) instrument assesses network characteristics and social support for drinking and abstinence. The IPA has garnered widespread use in the alcohol treatment field. We modified the IPA to assess HIV status, drug of choice, and IV drug use among social network members. Further, we queried frequency of unprotected sex, between the participant and network members. AIM: Since this measure was modified, and the test-retest reliability of the IPA has only rarely been examined, we conducted a small substudy (n=26) to examine 1-week test-retest reliability of this measure...
April 2016: Heroin Addiction and related Clinical Problems
https://www.readbyqxmd.com/read/27365318/efficacy-of-an-internet-based-individually-tailored-smoking-cessation-program-a-randomized-trial
#13
Céline Mavrot, Iris Stucki, Fritz Sager, Jean-François Etter
INTRODUCTION: Self-help computer-based programs are easily accessible and cost-effective interventions with a great recruitment potential. However, each program is different and results of meta-analyses may not apply to each new program; therefore, evaluations of new programs are warranted. The aim of this study was to assess the marginal efficacy of a computer-based, individually tailored program (the Coach) over and above the use of a comprehensive Internet smoking cessation website...
June 30, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27353385/school-based-interventions-for-improving-contraceptive-use-in-adolescents
#14
REVIEW
Laureen M Lopez, Alissa Bernholc, Mario Chen, Elizabeth E Tolley
BACKGROUND: Young women, especially adolescents, often lack access to modern contraception. Reasons vary by geography and regional politics and culture. The projected 2015 birth rate in 'developing' regions was 56 per 1000 compared with 17 per 1000 for 'developed' regions. OBJECTIVES: To identify school-based interventions that improved contraceptive use among adolescents SEARCH METHODS: Until 6 June 2016, we searched for eligible trials in PubMed, CENTRAL, ERIC, Web of Science, POPLINE, ClinicalTrials...
2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27296662/an-initial-evaluation-of-a-comprehensive-continuing-care-intervention-for-clients-with-substance-use-disorders-my-first-year-of-recovery-myfyr
#15
James R McKay, Cheryl Knepper, Erin Deneke, Christopher O'Reilly, Robert L DuPont
INTRODUCTION: Physician health programs (PHPs) generate high rates of sustained abstinence in addicted physicians, through a combination of formal treatment, self-help involvement, regular monitoring via random urine toxicology tests, and powerful incentives generated by the threat of losing one's medical license. Recently, Caron Treatment Centers developed a new continuing care intervention, "My First Year of Recovery" (MyFYR), which is modeled after PHPs but provides extended recovery support to a broader segment of those with substance use disorders...
August 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27296656/impact-of-medication-assisted-treatment-for-opioid-addiction-on-medicaid-expenditures-and-health-services-utilization-rates-in-vermont
#16
Mary Kate Mohlman, Beth Tanzman, Karl Finison, Melanie Pinette, Craig Jones
In the face of increasing rates of overdose deaths, escalating health care costs, and the tremendous social costs of opioid addiction, policy makers are asked to address the questions of whether and how to expand access to treatment services. In response to an upward trend in opioid abuse and adverse outcomes, Vermont is investing in statewide expansion of a medication-assisted therapy program delivered in a network of community practices and specialized treatment centers (Hub & Spoke Program). This study was conducted to test the rationale for these investments and to establish a pre-Hub & Spoke baseline for evaluating the additive impact of the program...
August 2016: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/27295823/-efficacy-of-the-serigaya-methamphetamine-relapse-prevention-program-smarpp-for-patients-with-drug-use-disorder-a-study-on-factors-influencing-1-year-follow-up-outcomes
#17
Yuko Tanibuchi, Toshihiko Matsumoto, Fumi Imamura, Asako Wakabayashi, Hiraku Kawachi, Emi Hikitsuchi, Ayumi Takano, Masako Yonezawa, Takashi Kato, Misako Yamada, Aya Wachi, Mai Aboshi, Kiyoshi Wada
PURPOSE: The purpose of this study was to evaluate the efficacy of the Serigaya Methamphetamine Relapse Prevention Program (SMARPP), which is the workbook-based group therapy for individuals with drug dependence, through investigating 1-year follow-up outcomes. METHOD AND SUBJECTS: The sample was drawn from 231 outpatients diagnosed as DSM-IV substance use disorder, who had firstly consulted the drug dependence clinic of the Center Hospital, National Center of Neurology and Psychiatry between September 2009 and June 2013...
February 2016: Nihon Arukōru Yakubutsu Igakkai Zasshi, Japanese Journal of Alcohol Studies & Drug Dependence
https://www.readbyqxmd.com/read/27274610/emergency-contraception-knowledge-and-practice-among-women-and-the-spouses-seeking-termination-of-pregnancy
#18
S K Kathpalia
BACKGROUND: India was one of the first countries to launch a formal family planning program. Initially, the main thrust of the program was on sterilization but subsequently it has got evolved and now the stress is to bring about awareness of contraception and make informed choices. Emergency contraception has been included in its armamentarium. This study was conducted to find out about the awareness among the cases who report for induced abortion. METHODS: A total of 784 willing cases were enrolled in the study; there were no exclusion criteria except unwillingness...
April 2016: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27194629/rooming-in-to-treat-neonatal-abstinence-syndrome-improved-family-centered-care-at-lower-cost
#19
Alison Volpe Holmes, Emily C Atwood, Bonny Whalen, Johanna Beliveau, J Dean Jarvis, John C Matulis, Shawn L Ralston
BACKGROUND AND OBJECTIVE: The incidence and associated costs of neonatal abstinence syndrome (NAS) have recently risen sharply; newborns with NAS occupy 4% of NICU beds. We implemented a coordinated program for NAS including standardized protocols for scoring, medications and weaning, and a calm rooming-in environment, to improve family-centered care and to decrease both length of stay (LOS) and hospital costs. METHODS: In early 2013, a multidisciplinary quality improvement team began consecutive plan-do-study-act (PDSA) cycles...
June 2016: Pediatrics
https://www.readbyqxmd.com/read/27154970/recruiting-pregnant-indigenous-women-who-smoke-into-a-high-contact-incentivized-cessation-trial-a-feasibility-study
#20
Anette Kira, Marewa Glover, Natalie Walker, Linda Bauld
INTRODUCTION: Smoking prevalence among pregnant indigenous women is disproportionately higher than for nonindigenous pregnant women. Incentives have been shown to increase retention in and the effectiveness of smoking cessation programs. To trial if this could work for indigenous women, we aimed to recruit and observe retention of Māori (New Zealand indigenous people) pregnant women that smoke into a cessation program using incentives. METHODS: A parallel group, randomized controlled feasibility trial was undertaken in New Zealand...
October 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
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