Moment-by-Moment in Women's Recovery: Randomized controlled trial protocol to test the efficacy of a mindfulness-based intervention on treatment retention and relapse prevention among women in residential treatment for substance use disorder

Amaro, Hortensia; Black, David S.

doi:10.1016/j.cct.2017.09.004

Cited by 29 publications

(27 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data utilized in this paper were from baseline interviews conducted as part of a randomized controlled trial conducted between 2016 and 2018 (for parent study details, see [ 40 ]). In the current study, we did not focus on intervention effects; therefore, we controlled for group assignment in the analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Guided by prior empirical research, the primary purpose of this study is to examine differences in women’s residential SUD treatment retention (as measured by number of days in treatment) by referral status (CJ, CPS, and nonmandated). To address these limitations in research, this study used data from women admitted to a residential SUD treatment program who took part in a larger randomized clinical trial [ 39 , 40 ]. The goal of this study is to generate important insights for understanding retention differences among women entering residential SUD treatment via three primary treatment entry pathways.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Examination of referral source and retention among women in residential substance use disorder treatment: a prospective follow-up study

Rivera

Dueker

Amaro

2021

Subst Abuse Treat Prev Policy

Self Cite

View full text Add to dashboard Cite

Background Court-mandated substance use disorder (SUD) treatment, as compared to nonmandated treatment, has been associated with increased retention and completion. However, whether child protective services (CPS)-mandated women’s residential SUD treatment leads to improved treatment retention in comparison to criminal justice (CJ)-mandated and nonmandated treatment remains unclear. Purpose This study compared the number of days retained in residential SUD treatment among three referral sources (CPS, CJ, and nonmandated), while also examining whether having a co-occurring mental health disorder or increased stress, depression, anxiety, and PTSD symptomology contributed to decreased retention. This study tested the hypothesis that women mandated by the CPS and CJ systems would have improved residential SUD treatment retention compared with nonmandated women. Methods Multiple regression analyses were conducted on data for a diverse sample of 245 women (Hispanic: N = 141, Black: N = 50, White: N = 50) mandated or nonmandated (CJ: N = 114, CPS: N = 82, nonmandated: N = 49) into residential SUD treatment to determine each group’s treatment retention outcomes. Results: Women mandated to SUD residential treatment by the CPS system remained in treatment significantly longer (p = .046), compared to women not mandated, representing a 34.4% increase in retention. Findings further revealed a corresponding 2.3% decrease in retention (p = .048) for each one-unit increase in a patient’s stress score, whereas those with a co-occurring mental health diagnosis had a 43.6% decrease in SUD treatment retention (p < .001). Conclusions Policy and clinical considerations include (a) increasing case management support and wraparound services that meet the multiple service needs of women who are nonmandated to residential SUD treatment, and (b) incorporating a more nuanced treatment approach that manages mental health disorders and stress symptomology early in treatment when women are most vulnerable to relapse and treatment dropout. Trial registration ClinicalTrials.gov Identifier: NCT02977988 (first posted November 30, 2016; last update posted October 7, 2019); U.S. NIH Grant/Contract: 5R01DA038648.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Examination of referral source and retention among women in residential substance use disorder treatment: a prospective follow-up study

Rivera

Dueker

Amaro

2021

Subst Abuse Treat Prev Policy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Primary practice: how to continue down the path of mindfulness. N/A N/A Craving (+), abstinence from tobacco (+) Stress reactivity (+), positive/negative affect (−) Moment-by- Moment in Women’s Recovery (MMWR) [ 17 , 28 , 29 ] 8, 90-min group sessions and 1, 4-h “retreat day” Introduction to Mindfulness. Primary practice: meditation of triggers.…”

Section: Resultsmentioning

confidence: 99%

“…Moment-by-Moment in Women’s Recovery (MMWR) was developed as an adaptation of MBSR, specifically designed for low income, racially, and ethnically diverse women currently enrolled in residential SUD treatment [ 28 ]. MMWR is intended to be administered in a residential setting, a feature that distinguishes it from other MBIs [ 28 ].…”

Section: Resultsmentioning

confidence: 99%

Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments

Korecki

Schwebel

Votaw

et al. 2020

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

Background: Substance use disorders are prevalent and returning to substance use (i.e., relapse) following treatment is common, underscoring the need for effective treatments that will help individuals maintain long-term reductions in substance use. Mindfulness-based interventions (MBIs) have been increasingly developed and evaluated for the treatment of substance use disorders. The aim of this article was to update a systematic review conducted by Li et al. in 2017 on the outcomes of randomized control trials of MBIs for substance use disorders. In addition, we provided a session-by-session examination of the most widely used MBI protocols. Methods: We conducted a comprehensive literature search of the PubMed, PsycINFO, and Web of Science databases from January of 2016 through April of 2020. Studies were included based on the following criteria: 1) examined the effects of an MBI, 2) employed a randomized controlled trial design with repeated measures, including secondary data analyses of randomized controlled trials, and 3) enrolled participants seeking treatment for substance use disorders. Results: The search identified 902 publications and 30 studies were eligible for inclusion and data extraction. MBIs appear to be as effective as existing evidence-based treatments for substance use disorders at reducing the frequency and quantity of alcohol and drug use, substance-related problems, craving for substance use, and at increasing the rate of abstinence. Conclusions: Future directions include additional large scale randomized controlled trials, investigation of the most suitable settings and protocols, examination of patient populations that may benefit most from MBIs, and dissemination and implementation research.

show abstract

“…FMRI data were acquired during the baseline period (pre-randomization) from a subset of patients participating in a clinical trial of Moment-by-Moment in Women's Recovery (MMWR). MMWR is a trauma-informed, mindfulness-based adjunct intervention for low-income, ethnically and racially diverse women in residential treatment for SUDs (Amaro and Black, 2017). If interoception is indeed a critical factor in SUD and SUD treatment response, and if interoception is compromised among those with comorbid PTSD, then characterizing that compromise is an important step towards developing tailored treatment approaches for this subgroup.…”

Section: Introductionmentioning

confidence: 99%

Sexual trauma history is associated with reduced orbitofrontal network strength in substance-dependent women

Poppa

Droutman

Amaro

et al. 2019

NeuroImage: Clinical

Self Cite

View full text Add to dashboard Cite

Aim Substance use disorders (SUDs) are highly comorbid with post-traumatic stress disorder (PTSD). PTSD-SUD comorbidity is associated with greater functional impairments and relapse risk. Women with SUDs experience markedly higher rates of trauma and PTSD compared to men with SUDs, particularly due to sexual and domestic abuse. Despite the strong association between trauma exposure and SUDs, the neurobiological correlates are understudied, particularly among females with SUDs. However, there is indication of abnormal somatic and interoceptive processing in women with PTSD. The present study examines interoception-linked differences in intrinsic brain networks in a group of women with SUDs and varying histories of trauma exposure, some of whom have a current PTSD diagnosis. Methods Pre-intervention data were analyzed from a subset ( N = 43) of women in SUD residential treatment recruited for a mindfulness-based intervention efficacy clinical trial. Participants diagnosed with PTSD ( n = 14) or not ( n = 29) performed a task which involved attending to the somatic and visceral sensations of the breathing cycle (interoception) while undergoing a functional MRI (fMRI) scan. FMRI analysis employed independent components analysis and dual regression. First, we assessed differences in functional connectivity of interoception-modulated functional networks among those with and without PTSD. Second, we tested associations between network strength and lifetime sexual violence exposure across all participants on networks that showed significant group differences. Results PTSD diagnosis was associated with reduced functional connectivity of an orbitofrontal network with the precuneus, mid-posterior insula, lateral prefrontal cortex and angular gyrus. OFC network strength was inversely associated with sexual violence exposure over-and-above the contribution of PTSD status alone. Conclusions Our findings provide a novel network-level account of brain activity associated with PTSD among women with SUDs, which may inform treatment response in this subpopulation.

show abstract

Moment-by-Moment in Women's Recovery: Randomized controlled trial protocol to test the efficacy of a mindfulness-based intervention on treatment retention and relapse prevention among women in residential treatment for substance use disorder

Cited by 29 publications

References 53 publications

Examination of referral source and retention among women in residential substance use disorder treatment: a prospective follow-up study

Examination of referral source and retention among women in residential substance use disorder treatment: a prospective follow-up study

Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments

Sexual trauma history is associated with reduced orbitofrontal network strength in substance-dependent women

Contact Info

Product

Resources

About