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Pensar Enfermagem / v.28 n.sup / October 2024

DOI: 10.71861/pensarenf.v28iSup.390

Abstract

Introduction

Millions of people have their health and social status impacted because of the harmful use

of alcohol and drugs.1

Objective

To evaluate the effectiveness of a training program for self-management for substance

addiction consequences.

Methods

Adults integrated in a minimum of 5 weeks on a medication-based programs for alcohol

and other drugs were randomly selected on this pilot trial conducted in a single outpatient

addiction center, during 2023. Parallel group design comparing patients receiving the Self-

Management Substance Addiction Consequences Program (ADSProgram),2 with others

receiving treatment as usual (TAU), was undertaken to effectiveness evaluation and to

identify possible adjustment on the program or in trial design. Data was collected at

assessment (T0) and after 8 to 21 weeks (T1) on substance addiction consequences3 (SAC)

and positive mental health (PMH) scales and the rate of nursing diagnoses.

Results

236 patients were screened and 72 were randomized, 38 to ADSProgram and 34 to TAU.

Those on ADSProgram have been to more consultations (6 versus 2). Patients who have

finalized the ADSProgram (n=25) improve their value on SAC Scale mean=35.64

(SD=6.18) to 47.60 (SD=9.02) (t test to paired samples p=<0.001), but, patients on TAU

(n=16) also improve their value from mean=37.56 (SD=7.05) to 52.50 (SD=11.78)

(p=<0.001).

Those on ADSProgram improve their value on the PMH Scale mean=51.52 (SD=8.23) to

55.24 (SD=7.94) (p<0.001) (n=21), and patients on TAU also improve their value

mean=55.17 (SD=7.39) to 57.17 (SD=6.82) (p=0.0.54) (n=12). There was a 48.8%

reduction of the number of diagnostics in all patients under ASDProgram.

Conclusion

This pilot trial demonstrate that program is applicable and could be effective to improve

self-management of SAC. The program must be adapted to an application between 6 to

18 weeks, because of the achievable number of nursing consultations. Future larger

randomized clinical trial is needed.

Keywords

Effectiveness; Addictive behavior; Randomized Control Trials; Self-management;

Substance Addiction Consequences.

Bibliography

1. United Nations Office on Drugs and Crime. World Drug Report: Special Points of

Interest [Internet]. Viena: UNODC; 2023 [cited 2024 jun 14]. Available from:

https://www.unodc.org/unodc/en/data-and-analysis/wdr-2023_Special_Points.html

2. Seabra P, Nunes I, Sequeira R, Sequeira A, Simões A, Filipe F, et al. Designing a nurse-

led program for self-management of substance addiction consequences: A modified e-

Delphi Study. Int. J. Environ. Res. Public Health [Internet]. 2023 [cited 2024 Jun 12];

20:2137. Available from: https://doi.org/10.3390/ijerph20032137

Program for Self-Management of Substance

Addiction Consequences: A pilot randomized

controlled trial

Paulo Seabra1

orcid.org/0000-0001-8296-1021

Rui Sequeira2

orcid.org/0000-0002-7573-2279

Ana Sequeira3

orcid.org/0000-0003-1994-1495

Fernando Miguel4

orcid.org/0000-0003-2427-7111

Paula Amaral5

orcid.org/0000-0003-3653-1949

Carlos Sequeira6

orcid.org/0000-0002-5620-3478

1 Nursing School of Lisbon (ESEL); Nursing Research,

Innovation and Development Centre of Lisbon

(CIDNUR).

2 Equipa Técnica Especializada do Barreiro, ICAD.

3 Equipa Técnica Especializada do Barreiro, ICAD.

4 Equipa Técnica Especializada do Barreiro, ICAD.

5 Equipa Técnica Especializada do Barreiro, ICAD.

6 Escola Superior de Enfermagem do Porto; Center for

Health Services and Technology Research (CINTESIS

– NursID)

Corresponding author:

Paulo Seabra

E-mail: pauloseabra@essel.pt