Brief Intervention in the Hospital May Reduce Prescription Drug Misuse
Although psychoactive prescription drug (PD) misuse in the general population has garnered more publicity, problematic use among hospitalized patients is more prevalent. German investigators randomized 126 inpatients with PD abuse or dependence (per DSM-IV criteria) or PD use on more than 60 days in the previous 3 months to receive either a booklet on health behavior (control) or a brief intervention (BI). The BI consisted of 2 counseling sessions based on principles of motivational interviewing and individualized written feedback conducted by psychologists with expertise in clinical treatment and research. Of the sample, 62% were women, the mean age was 55 years, and more than 56% misused opioids. At 3-month follow-up,
- 52% of subjects in the BI group had a clinically significant reduction (25% or more from baseline) in daily PD dosage compared with 30% in the control group (p<0.02).
- BI subjects tended toward greater reductions in PD use from baseline than controls (0.42 versus 0.12, respectively; p=0.08).
- BI subjects tended to discontinue PD use more than controls (18% versus 9%, respectively; p=0.17).