Luciana Signor

Efficacy of the telephone-based Brief Motivational Intervention for alcohol problems in Brazil

BACKGROUND The Brief Motivational Intervention (BMI) is an effective treatment for alcohol misuse but has not been adequately tested for use in helplines for alcoholics. The main objective of this study was to evaluate the efficacy of a telephone-based BMI for Brazilians seeking help with alcohol use cessation. METHODS A randomized, controlled trial was performed with Brazilian subjects. Participants were randomly assigned to either the minimal intervention group (i.e., given reference materials) or the BMI group. Alcohol abstinence was evaluated in a 6-month follow-up telephone counseling session. The analysis was based on the intention to treat (ITT). RESULTS Of the 5,896 drug users who called the helpline, 700 (12%) used alcohol, 637 of whom enrolled in this study. At 6-month follow-up, 70% of the BMI group had stopped consuming alcohol compared to 41% in the control group (odds ratio = 1.5; 95% confidence interval = 1.2-1.9; p = 0.001). CONCLUSIONS A helpline-based BMI helps alcohol users achieve abstinence.

Non-adherence to telemedicine interventions for drug users: systematic review

OBJECTIVE To estimate rates of non-adherence to telemedicine strategies aimed at treating drug addiction. METHODS A systematic review was conducted of randomized controlled trials investigating different telemedicine treatment methods for drug addiction. The following databases were consulted between May 18, 2012 and June 21, 2012: PubMed, PsycINFO, SciELO, Wiley (The Cochrane Library), Embase, Clinical trials and Google Scholar. The Grading of Recommendations Assessment, Development and Evaluation was used to evaluate the quality of the studies. The criteria evaluated were: appropriate sequence of data generation, allocation concealment, blinding, description of losses and exclusions and analysis by intention to treat. There were 274 studies selected, of which 20 were analyzed. RESULTS Non-adherence rates varied between 15.0% and 70.0%. The interventions evaluated were of at least three months duration and, although they all used telemedicine as support, treatment methods differed. Regarding the quality of the studies, the values also varied from very poor to high quality. High quality studies showed better adherence rates, as did those using more than one technique of intervention and a limited treatment time. Mono-user studies showed better adherence rates than poly-user studies. CONCLUSIONS Rates of non-adherence to treatment involving telemedicine on the part of users of psycho-active substances differed considerably, depending on the country, the intervention method, follow-up time and substances used. Using more than one technique of intervention, short duration of treatment and the type of substance used by patients appear to facilitate adherence.

Aconselhamento telefônico para jovens usuários de crack

This study seeks to evaluate the use of Brief Motivational Intervention in a telephone counseling service offered to young people in the process of cessation of crack cocaine use. A descriptive study was conducted based on a survey of the records of callsfrom users during the period January 2006 to December 2007. The researchers included 40 recordsfrom calls of young people aged between 16 and 24 years who consumed crack cocaine, associated or not with other substances. At the end of the six-month follow up, 65% of youths had stopped the consumption of crack cocaine. Of the total, 57.5% were in stage of preparation and action on the first call. The chances of relapse to crack cocaine use were higher in follow-ups to 30 days. The conclusion suggests that the association of IBM with telephone counseling is an important treatment option in cessation of crack cocaine use.Este estudo buscou avaliar a utilizacao da Intervencao Breve Motivacional (IBM) em um servico de aconselhamento telefonico, oferecida aos jovens no processo de cessacao do consumo de crack. Foi realizado um estudo descritivo, a partir do levantamento dos registros de ligacoes de usuarios no periodo de janeiro de 2006 a dezembro de 2007. Foram incluidos 40 registros de chamadas de jovens com idades entre 16 e 24 anos que consumiam crack, associado ou nao com outras substâncias. Ao final do acompanhamento no sexto mes, 65% dos jovens haviam parado o consumo de crack. Do total, 57,5% estavam no estagio de preparacao e acao na primeira ligacao. As chances para recaida do uso de crack foram maiores nos seguimentos ate 30 dias. A partir dos resultados obtidos pode-se sugerir que, a IBM associada ao aconselhamento telefonico representa uma alternativa de tratamento importante na cessacao do uso de crack.

Telephone counseling for young user of crack cocaine

This study seeks to evaluate the use of Brief Motivational Intervention in a telephone counseling service offered to young people in the process of cessation of crack cocaine use. A descriptive study was conducted based on a survey of the records of callsfrom users during the period January 2006 to December 2007. The researchers included 40 recordsfrom calls of young people aged between 16 and 24 years who consumed crack cocaine, associated or not with other substances. At the end of the six-month follow up, 65% of youths had stopped the consumption of crack cocaine. Of the total, 57.5% were in stage of preparation and action on the first call. The chances of relapse to crack cocaine use were higher in follow-ups to 30 days. The conclusion suggests that the association of IBM with telephone counseling is an important treatment option in cessation of crack cocaine use.Este estudo buscou avaliar a utilizacao da Intervencao Breve Motivacional (IBM) em um servico de aconselhamento telefonico, oferecida aos jovens no processo de cessacao do consumo de crack. Foi realizado um estudo descritivo, a partir do levantamento dos registros de ligacoes de usuarios no periodo de janeiro de 2006 a dezembro de 2007. Foram incluidos 40 registros de chamadas de jovens com idades entre 16 e 24 anos que consumiam crack, associado ou nao com outras substâncias. Ao final do acompanhamento no sexto mes, 65% dos jovens haviam parado o consumo de crack. Do total, 57,5% estavam no estagio de preparacao e acao na primeira ligacao. As chances para recaida do uso de crack foram maiores nos seguimentos ate 30 dias. A partir dos resultados obtidos pode-se sugerir que, a IBM associada ao aconselhamento telefonico representa uma alternativa de tratamento importante na cessacao do uso de crack.

Translation, cross-cultural adaptation, and content validation of the Portuguese version of the Coping Behaviours Inventory (CBI) for the Brazilian population

Estrategias de coping relacionam-se diretamente com o sucesso de abstinencia do uso de alcool. No Brasil nao ha instrumentos que identifiquem estrategias especificas para usuarios de alcool. O objetivo deste estudo foi realizar a traducao, adaptacao transcultural e validacao de conteudo do Coping Behaviours Inventory (CBI). Os procedimentos seguiram de traducao e retraducao, adaptacao transcultural, avaliacao de conteudo e estudo piloto. A versao final em portugues foi aplicada por telefone a 40 usuarios de alcool que buscaram auxilio em um servico de teleatendimento, o VIVAVOZ. A versao retraduzida aproximou-se da original. Quanto a validacao de conteudo, a maioria dos itens e satisfatoria e aceitavel. Alem disso, a concordância entre os juizes, referente a dimensao teorica, apresentou indice kappa medio igual a 0,666, sendo o nivel de concordância considerado substancial. Os resultados sao satisfatorios e aceitaveis, o que demonstra que a escala esta adequada para investigar as estrategias de coping para usuarios de alcool.

Tradução, adaptação transcultural e validação de conteúdo da versão em português do Coping Behaviours Inventory (CBI) para a população brasileira

Estrategias de coping relacionam-se diretamente com o sucesso de abstinencia do uso de alcool. No Brasil nao ha instrumentos que identifiquem estrategias especificas para usuarios de alcool. O objetivo deste estudo foi realizar a traducao, adaptacao transcultural e validacao de conteudo do Coping Behaviours Inventory (CBI). Os procedimentos seguiram de traducao e retraducao, adaptacao transcultural, avaliacao de conteudo e estudo piloto. A versao final em portugues foi aplicada por telefone a 40 usuarios de alcool que buscaram auxilio em um servico de teleatendimento, o VIVAVOZ. A versao retraduzida aproximou-se da original. Quanto a validacao de conteudo, a maioria dos itens e satisfatoria e aceitavel. Alem disso, a concordância entre os juizes, referente a dimensao teorica, apresentou indice kappa medio igual a 0,666, sendo o nivel de concordância considerado substancial. Os resultados sao satisfatorios e aceitaveis, o que demonstra que a escala esta adequada para investigar as estrategias de coping para usuarios de alcool.

Traducción, adaptación cultural y validación del contenido de la versión en portugués del Coping Behaviours Inventory (CBI) para la población brasileña

Estrategias de coping relacionam-se diretamente com o sucesso de abstinencia do uso de alcool. No Brasil nao ha instrumentos que identifiquem estrategias especificas para usuarios de alcool. O objetivo deste estudo foi realizar a traducao, adaptacao transcultural e validacao de conteudo do Coping Behaviours Inventory (CBI). Os procedimentos seguiram de traducao e retraducao, adaptacao transcultural, avaliacao de conteudo e estudo piloto. A versao final em portugues foi aplicada por telefone a 40 usuarios de alcool que buscaram auxilio em um servico de teleatendimento, o VIVAVOZ. A versao retraduzida aproximou-se da original. Quanto a validacao de conteudo, a maioria dos itens e satisfatoria e aceitavel. Alem disso, a concordância entre os juizes, referente a dimensao teorica, apresentou indice kappa medio igual a 0,666, sendo o nivel de concordância considerado substancial. Os resultados sao satisfatorios e aceitaveis, o que demonstra que a escala esta adequada para investigar as estrategias de coping para usuarios de alcool.

Consejería telefónica para los jóvenes usuarios de crack

This study seeks to evaluate the use of Brief Motivational Intervention in a telephone counseling service offered to young people in the process of cessation of crack cocaine use. A descriptive study was conducted based on a survey of the records of callsfrom users during the period January 2006 to December 2007. The researchers included 40 recordsfrom calls of young people aged between 16 and 24 years who consumed crack cocaine, associated or not with other substances. At the end of the six-month follow up, 65% of youths had stopped the consumption of crack cocaine. Of the total, 57.5% were in stage of preparation and action on the first call. The chances of relapse to crack cocaine use were higher in follow-ups to 30 days. The conclusion suggests that the association of IBM with telephone counseling is an important treatment option in cessation of crack cocaine use.Este estudo buscou avaliar a utilizacao da Intervencao Breve Motivacional (IBM) em um servico de aconselhamento telefonico, oferecida aos jovens no processo de cessacao do consumo de crack. Foi realizado um estudo descritivo, a partir do levantamento dos registros de ligacoes de usuarios no periodo de janeiro de 2006 a dezembro de 2007. Foram incluidos 40 registros de chamadas de jovens com idades entre 16 e 24 anos que consumiam crack, associado ou nao com outras substâncias. Ao final do acompanhamento no sexto mes, 65% dos jovens haviam parado o consumo de crack. Do total, 57,5% estavam no estagio de preparacao e acao na primeira ligacao. As chances para recaida do uso de crack foram maiores nos seguimentos ate 30 dias. A partir dos resultados obtidos pode-se sugerir que, a IBM associada ao aconselhamento telefonico representa uma alternativa de tratamento importante na cessacao do uso de crack.