Effectiveness of two psychological intervention techniques for de-addiction among patients with addiction to tobacco and alcohol – A double-blind randomized control trial

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dc.contributor.authorGanavadiya, Rahulen_US
dc.contributor.authorShekar, B R Chandraen_US
dc.contributor.authorS, Sumaen_US
dc.contributor.authorSingh, Pallavien_US
dc.contributor.authorGupta, Ruchikaen_US
dc.contributor.authorRana, Poonam Tomaren_US
dc.contributor.authorJain, Shubhamen_US
dc.date.accessioned2020-01-02T06:28:03Z
dc.date.available2020-01-02T06:28:03Z
dc.date.issued2018-10
dc.description.abstractObjective: The objective of this study was to evaluate effectiveness of two psychological intervention techniques (reading – writing therapy vs. games – narrative therapy) using motivational intervention alone as a control among tobacco addicts. Materials and Method: This randomized control trial was conducted over a period of 6 months from April to September 2013 at a de-addiction center in Madhya Pradesh, India. Patients with moderate-to-high levels of dependence as determined by Fagerstrom Test for Nicotine Dependence (FTND) admitted for treatment in a de-addiction center were recruited. A cluster randomization technique was used for allocation of participants to three different groups. Group allocation was concealed from investigator and done by coordinator. Three interventions were group A – motivational intervention alone, group B – games and story therapy along with motivational intervention, and group C – reading and writing therapy along with motivational intervention. Interventions were applied for 1 month. Two postintervention follow-ups (one at the time of discharge and one after 1 month following discharge) were done to assess level of dependence using FTND besides undertaking urine cotinine analysis among three randomly selected participants in each group. Results: A total of 82 participants (28 in group A, 27 each in groups B and C) completed the study. Eighty-one (98.8%) participants had complete abstinence at the end of 1 month with no significant difference in the success rate between different categories (P = 0.357). At the end of 1 month following discharge from center, only 7 participants (8.5%) had complete abstinence and 51 participants (62.2%) had partial reduction and remaining 24 participants (29.3%) were considered failures with no difference between three groups (P = 0.768). Conclusion: Although overall abstinence was low (8.5%), all intervention techniques were equally effective in at least reducing level of dependence with no significant difference in their efficacy.en_US
dc.identifier.affiliationsDepartment of Public Health Dentistry, Index Institute of Dental Sciences, Indore, Madhya Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Public Health Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, JSS Medical Institutions Campus, SS Nagar, Mysore, Bangalore, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Orthodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, JSS Medical Institutions Campus, SS Nagar, Mysore, Bangalore, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Periodontics, Index Institute of Dental Sciences, Indore, Madhya Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Public Health Dentistry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, Indiaen_US
dc.identifier.affiliationsDepartment of Public Health Dentistry, People's Dental Academy, Bhanpur, Bhopal, Madhya Pradesh, Indiaen_US
dc.identifier.citationGanavadiya Rahul, Shekar B R Chandra, S Suma, Singh Pallavi, Gupta Ruchika, Rana Poonam Tomar, Jain Shubham. Effectiveness of two psychological intervention techniques for de-addiction among patients with addiction to tobacco and alcohol – A double-blind randomized control trial. Indian Journal of Cancer. 2018 Oct; 55(4): 382-389en_US
dc.identifier.issn0019-509X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/190395
dc.languageenen_US
dc.publisherIndian Cancer Societyen_US
dc.relation.issuenumber4en_US
dc.relation.volume55en_US
dc.source.uriDOI:10.4103/ijc.IJC_650_17en_US
dc.titleEffectiveness of two psychological intervention techniques for de-addiction among patients with addiction to tobacco and alcohol – A double-blind randomized control trialen_US
dc.typeJournal Articleen_US
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