TY - JOUR
KW - Adult
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Interpersonal Relations
KW - Male
KW - Middle Aged
KW - Opiate Substitution Treatment/methods/psychology
KW - Opioid-Related Disorders/psychology/therapy
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Pilot Projects
KW - Social Support
KW - heroin use
KW - Opioid substitution therapy
KW - Randomised controlled trial
KW - Social behaviour and network therapy (SBNT)
KW - social networks
AU - E. Day
AU - A. Copello
AU - J. L. Seddon
AU - M. Christie
AU - D. Bamber
AU - C. Powell
AU - C. Bennett
AU - S. Akhtar
AU - S. George
AU - A. Ball
AU - E. Frew
AU - I. Goranitis
AU - N. Freemantle
A1 - 
AB - BACKGROUND: Approximately 3% of people receiving opioid substitution therapy (OST) in the UK manage to achieve abstinence from prescribed and illicit drugs within three years of commencing treatment. Involvement of families and wider social networks in supporting psychological treatment may be an effective strategy in facilitating recovery, and this pilot study aimed to evaluate the impact of a social network-focused intervention for patients receiving OST. METHODS: A two-site, open feasibility trial randomised patients receiving OST for at least 12 months but still reporting illicit opiate use in the past 28 days to one of three treatments: 1) treatment as usual (TAU), 2) Brief Social Behaviour and Network Therapy (B-SBNT) + TAU, or 3) Personal Goal Setting (PGS) + TAU. The two active interventions consisted of 4 sessions. There were 3 aims: 1) test the feasibility of recruiting OST patients to a trial of B-SBNT, and following them up over 12 months; 2) test the feasibility of training clinicians to deliver B-SBNT; 3) test whether B-SBNT reduces heroin use 3 and 12 months after treatment, and to explore potential mediating factors. The primary outcome for aim 3 was number of days of heroin use in the past month, and a range of secondary outcome measures were specified in advance (level of drug dependence, mental health, social satisfaction, therapist rapport, treatment satisfaction, social network size and support). RESULTS: A total of 83 participants were randomised, and 70 (84%) were followed-up at 12 months. Fidelity analysis of showed that B-SBNT sessions were clearly distinguishable from PGS and TAU sessions, suggesting it was possible to train clinical staff to an adequate level of competence. No significant differences were found between the 3 intervention arms in the primary or secondary outcome measures. Attendance at psychosocial treatment intervention sessions was low across all three arms (44% overall). CONCLUSIONS: Patients receiving OST can be recruited into a trial of a social network-based intervention, but poor attendance at treatment sessions makes it uncertain whether an adequate dose of treatment was delivered. In order to achieve the benefits of psychosocial interventions, further work is needed to overcome poor engagement. TRIAL REGISTRATION: ISRCTN Trial Registration Number: ISRCTN22608399 . Date of registration: 27/04/2012. Date of first randomisation: 14/08/2012.
AD - Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK. Edward.Day@kcl.ac.uk.; Addictions Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK. Edward.Day@kcl.ac.uk.; Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK.; School of Psychology, The University of Birmingham, Birmingham, UK.; Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK.; School of Psychology, The University of Birmingham, Birmingham, UK.; Leicester City Drug and Alcohol Service, Leicester, UK.; Leicester City Drug and Alcohol Service, Leicester, UK.; Leicester City Drug and Alcohol Service, Leicester, UK.; Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK.; Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK.; Birmingham and Solihull Mental Health NHS Foundation Trust, c/o Dept of Psychiatry, The Barberry 25 Vincent Drive, Edgbaston, Birmingham, B152FG, UK.; Leicester City Drug and Alcohol Service, Leicester, UK.; Health Economics Unit, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.; Health Economics Unit, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.; Institute of Clinical Trials and Methodology, University College London, London, UK.
BT - BMC psychiatry
C5 - Opioids & Substance Use
CP - 1
CY - England
DO - 10.1186/s12888-018-1600-7
IS - 1
JF - BMC psychiatry
M1 - Journal Article
N2 - BACKGROUND: Approximately 3% of people receiving opioid substitution therapy (OST) in the UK manage to achieve abstinence from prescribed and illicit drugs within three years of commencing treatment. Involvement of families and wider social networks in supporting psychological treatment may be an effective strategy in facilitating recovery, and this pilot study aimed to evaluate the impact of a social network-focused intervention for patients receiving OST. METHODS: A two-site, open feasibility trial randomised patients receiving OST for at least 12 months but still reporting illicit opiate use in the past 28 days to one of three treatments: 1) treatment as usual (TAU), 2) Brief Social Behaviour and Network Therapy (B-SBNT) + TAU, or 3) Personal Goal Setting (PGS) + TAU. The two active interventions consisted of 4 sessions. There were 3 aims: 1) test the feasibility of recruiting OST patients to a trial of B-SBNT, and following them up over 12 months; 2) test the feasibility of training clinicians to deliver B-SBNT; 3) test whether B-SBNT reduces heroin use 3 and 12 months after treatment, and to explore potential mediating factors. The primary outcome for aim 3 was number of days of heroin use in the past month, and a range of secondary outcome measures were specified in advance (level of drug dependence, mental health, social satisfaction, therapist rapport, treatment satisfaction, social network size and support). RESULTS: A total of 83 participants were randomised, and 70 (84%) were followed-up at 12 months. Fidelity analysis of showed that B-SBNT sessions were clearly distinguishable from PGS and TAU sessions, suggesting it was possible to train clinical staff to an adequate level of competence. No significant differences were found between the 3 intervention arms in the primary or secondary outcome measures. Attendance at psychosocial treatment intervention sessions was low across all three arms (44% overall). CONCLUSIONS: Patients receiving OST can be recruited into a trial of a social network-based intervention, but poor attendance at treatment sessions makes it uncertain whether an adequate dose of treatment was delivered. In order to achieve the benefits of psychosocial interventions, further work is needed to overcome poor engagement. TRIAL REGISTRATION: ISRCTN Trial Registration Number: ISRCTN22608399 . Date of registration: 27/04/2012. Date of first randomisation: 14/08/2012.
PP - England
PY - 2018
SN - 1471-244X; 1471-244X
SP - 018
EP - 7
EP - 8+
T1 - A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services
T2 - BMC psychiatry
TI - A pilot feasibility randomised controlled trial of an adjunct brief social network intervention in opiate substitution treatment services
U1 - Opioids & Substance Use
U2 - 29334921
U3 - 10.1186/s12888-018-1600-7
VL - 18
VO - 1471-244X; 1471-244X
Y1 - 2018
Y2 - Jan 15
ER -