Please explain the purpose of these studies? What was anyone supposed to learn from these studies?
Brief Interventions in Primary Care Not Effective for Decreasing Problem Drug Use — Physician’s First Watch
Brief Interventions in Primary Care Not Effective for Decreasing Problem Drug Use
By Amy Orciari Herman
Edited by Lorenzo Di Francesco, MD, FACP, FHM
Brief interventions given in the primary care setting do not help reduce problem drug use, according to two JAMA studies.
In the first study, some 870 adults with problem drug use at safety-net primary care clinics were randomized to either a single, 30-minute intervention using motivational interviewing followed 2 weeks later by a telephone booster, or to usual care. The primary outcomes — days of drug use in the past 30 days and a drug use composite score — did not differ significantly between the groups during the 12-month follow-up.
In the second study, some 530 adults with drug use were randomized to one of two brief counseling interventions or no intervention at an urban primary care clinic. The interventions involved either a 10- to 15-minute interview with health educators that included creating a plan to change behavior, or 30 to 45 minutes of motivational interviewing, followed by a brief booster session, with counselors. At 6 months, the number of days of drug use did not differ significantly across the groups.
(Editors' note: The lead author of the first study is editor-in-chief of NEJM Journal Watch Psychiatry, and the lead author of the second is an associate editor for Physician's First Watch.)