Client Experiences of a Telephone-Delivered Intervention for Methamphetamine Use Disorder

Despite the significant harms associated with methamphetamine use both in Australia and globally, treatment uptake remains low. Telephone-delivered interventions have potential to overcome many barriers to help-seeking; however, their utility for treatment of methamphetamine use disorder is not well understood. This study explored the experiences and perceived impacts of a standalone, telephone-delivered cognitive and behavioural intervention, Ready2Change, for individuals with methamphetamine use disorder.

In-depth semi-structured telephone interviews were conducted and analysed using Framework Analysis.

Twenty-seven participants (mean age = 42.0 years, standard deviation = 10.7, range 27-63) completed an interview. Four major themes arose: (i) Therapeutic connection experienced via telephone; (ii) Telephone format promoting comfort; (iii) Accessing treatment anywhere, anytime; and (iv) Treatment gains via telephone.

Evidence of therapeutic relationships was found in participant accounts of experiencing non-judgemental support from counsellors. However, some participants reported in-person treatment would create a stronger therapeutic relationship. Many participants described a sense of comfort the telephone format afforded them, permitting anonymity and facilitating openness. Participants reported the telephone modality to be highly accessible and convenient, particularly for those with multiple commitments. Participants reported various benefits, including greater insight regarding their methamphetamine use and reduced methamphetamine use. Contrastingly, some participants felt their use was too severe and complex to be treated via telephone. Telephone-delivered interventions represent a potentially valuable initial step in the treatment trajectory for people with methamphetamine use disorder.