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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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A structured, telephone-delivered intervention to reduce methamphetamine use: study protocol for a parallel-group

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Australia faces high rates of methamphetamine (MA) use, with significant barriers to accessing in-person psychological treatment.
  • Individual factors like stigma and structural issues such as service accessibility limit treatment uptake.
  • Telephone-delivered interventions offer a promising solution to overcome these barriers.

Purpose of the Study:

  • To examine the efficacy of a standalone, structured telephone-delivered intervention for reducing MA problem severity and related harms.
  • To provide an effective, low-cost, and scalable treatment option for individuals with MA use disorder who face barriers to traditional care.

Main Methods:

  • A double-blind, parallel-group randomized controlled trial (RCT) involving 196 individuals with mild to moderate MA use disorder.
  • Participants were randomized to receive either the Ready2Change-Methamphetamine (R2C-M) intervention or a control condition.
  • Outcomes, including MA problem severity (DUDIT), were assessed at 6 weeks and 3, 6, and 12 months post-randomization.

Main Results:

  • The primary outcome is the change in MA problem severity (DUDIT) at 3 months post-randomization.
  • Secondary outcomes include sustained reduction in MA problem severity, reduced MA use, and improved psychological functioning.
  • Cost-effectiveness and program evaluation will also be examined.

Conclusions:

  • This study is the first international RCT assessing a telephone-delivered intervention for MA use disorder.
  • The intervention is expected to be effective, low-cost, and scalable, reaching individuals who might not otherwise seek care.
  • Successful implementation can prevent future harms and reduce healthcare and community costs.