None listed
Conditions
Brief summary
This study will determine whether administering a healthy lifestyle intervention targeting multiple cancer risk factors, namely smoking, poor diet and physical inactivity, will change behaviours among people attending residential substance abuse treatment. The study will be conducted with people who are attending The Salvation Army Recovery Service Centres located in New South Wales and the Australian Capital Territory, Australia. You may be eligible to join this study if you are aged 18 years or above, have an alcohol or other substance abuse dependence disorder and are attending The Salvation Army Recovery Service Centre. Study details: Cardiovascular disease and cancer are leading causes of mortality for people with a history of substance abuse problems and it requires prevention strategies that address primary risk factors such as smoking, poor diet, and physical inactivity. The current project will trial the Healthy Recovery Program, a group based intervention that targets multiple cancer risk factors. Each service centre will be randomly allocated (by chance) to one of two programs: a Healthy Recovery program or the usual residential substance abuse treatment program provided by the Salvation Army. The Healthy Recovery program focuses on helping participants to reduce their smoking, improve their diet and increase their level of physical activity in a group setting. The intervention involves a combination of health focused psycho-education, goal setting, monitoring, motivational interviewing, and cognitive behavioural therapy. Participants will be asked to complete a number of questionnaires at 8-weeks, 3-months and 6 months post-intervention to assess frequency of smoking, fruit and vegetable consumption, physical activity, alcohol and substance use, quality of life and mental health. Results from this study will inform the development and implementation of multiple health behaviour change interventions for other marginalised populations.
Interventions
In addition to completing treatment as usual, participants in the Treatment condition will complete the Healthy Recovery program. The Healthy Recovery program is an 8-session group based healthy lifestyle intervention that was development for people attending residential substance abuse treatment. It is delivered over 5-week period, with two groups being conducted each week for the first 3-weeks, and then 1-group a week conducted during the next two weeks. The first group session is completed ov
In addition to completing treatment as usual, participants in the Treatment condition will complete the Healthy Recovery program. The Healthy Recovery program is an 8-session group based healthy lifestyle intervention that was development for people attending residential substance abuse treatment. It is delivered over 5-week period, with two groups being conducted each week for the first 3-weeks, and then 1-group a week conducted during the next two weeks. The first group session is completed over 90 minutes, with subsequent group sessions completed over 60 minutes. The group focuses on helping participants to reduce their smoking, improve their diet and increase their level of physical activity. The intervention involves a combination of health focused psycho-education, goal setting, monitoring, motivational interviewing, and cognitive behavioural therapy. Participants are provided with pedometers to monitor their steps and these are used as a motivational tool for participants. Contingency management is also used to promote reductions in smoking. Where clinically indicated, participants are recommended to commence nicotine replacement therapy (NRT). The group sessions are co-facilitated by a Salvation Army Recovery Service Centre drug and alcohol worker and a member of the research team (i.e. Intern Psychologist or Clinical Psychologist). To track adherence to the intervention, group attendance logs are maintained. Participants are also asked to log of their health behaviours each day (i.e. number of cigarettes, servings of fruit and vegetables, steps walked, minutes of exercise). These logs are photocopied by the research staff and kept to monitor adherence.
Sponsors
University of Wollongong
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
(i) a current smoker, and (ii) attending The Salvation Army Recovery Service Centre and expected to be a client of the facility for the duration of the 5-week program.
Exclusion criteria
(i) people not meeting the eligibility criteria.
Outcome results
None listed