Moment-by-Moment in Women's Recovery (MMWR): Mindfulness-based intervention effects on residential substance use disorder treatment retention in a randomized controlled trial.
David S Black, Hortensia Amaro
Behaviour Research and Therapy July 7, 2019 DOI: 10.1016/j.brat.2019.103437 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Sample size | 200 |
| Population | Women in residential treatment for substance use disorder; majority amphetamine/methamphetamine users (76%), Hispanic (58%), with a history of incarceration (62%) |
| Intervention | Moment-by-Moment in Women's Recovery (MMWR) |
| Duration | 150-day analytic timeframe from intervention start date |
| Topics | Addiction Meditation |
| Keywords | Humans Substance-related disorders Alcoholism Amphetamine-related disorders Cocaine-related disorders Marijuana abuse Residential treatment Patient dropouts Female Young adult Retention in care Hispanic or latino White people Women |
| Key findings | The risk of non-completion of residential treatment without improvement was lower in the MMWR group than the control group (adjusted hazard ratio 0.42, 95% CI 0.16-1.08, p = .07), a medium-to-large effect that did not reach statistical significance. Both groups improved on some self-reported mechanism measures, but only in the MMWR group was class attendance correlated with improved mindfulness (r = .61), distress tolerance (r = 0.55), and positive affect (r = 0.52). |
Abstract
In this study we test the efficacy of Moment-by-Moment in Women's Recovery (MMWR), a mindfulness-based intervention adapted to support women with substance use disorder (SUD) while in residential treatment. We use a parallel-group randomized controlled trial with a time-matched psychoeducation control to test MMWR effects on residential treatment retention. We used clinical staff-determined residential site discharge status and discharge date from the SUD treatment site record to determine retention. We tested for study group differences in retention defined as time to treatment non-completion without improvement (i.e., patient left treatment before completion of the treatment plan and made little or no progress toward achieving treatment goals based on clinical team determination), as well as differences in self-report of study intervention mechanisms of action (i.e., mindfulness, perceived stress, distress tolerance, emotion regulation, distress, affect, and drug and alcohol craving). The analytic timeframe for the survival analysis was from study intervention start date to 150 days later. The sample (N = 200) was female, majority amphetamine/methamphetamine users (76%), Hispanic (58%), with a history of incarceration (62%). By the 150-day analytic endpoint, the sample had 74 (37%) treatment Completers, 42 (21%) still In-residence, 26 (13%) Non-completers with satisfactory progress, and 58 (29%) Non-completers without satisfactory progress. Survival analysis of the intent-to-treat sample showed the risk of non-completion without improvement was lower in MMWR as compared to the control group (adjusted hazard ratio = 0.42, 95% CI: 0.16-1.08, p = .07). Both groups improved on select self-reported mechanism measure scores at immediate post-intervention, but only in the MMWR group did class attendance (dosage) have a large-size correlation with improved mindfulness (r = .61, p < .01), distress tolerance (r = 0.55, p < .01) and positive affect (r = 0.52, p < .01) scores. The hazard ratio for retention was of medium-to-large effect size, suggesting the clinical relevance of adding MMWR to an all-women's, ethnoracially diverse, SUD residential treatment center. An extended curriculum may be helpful considering the protective benefits of class attendance on psychological health indicators.
Comparable studies
Other randomized controlled trials on addiction, most cited first.
Citations in the library
Cited by 11
- Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments Substance Abuse Treatment, Prevention, and Policy July 29, 2020
- The Longitudinal Mediating Effect of Distress Tolerance in a Mindfulness-Based Intervention: A Randomized Controlled Trial Journal of Evidence-Based Psychotherapies September 1, 2023
- Efficacy of mindfulness-based relapse prevention in a sample of veterans in a substance use disorder aftercare program: A randomized controlled trial. Journal of Substance Use and Addiction Treatment September 1, 2023
- Psychometric Assessment of the Applied Mindfulness Process Scale (AMPS) Among a Sample of Women in Treatment for Substance Use Disorder Mindfulness May 20, 2023
- The role of mindfulness and resilience in Navy SEAL training. Military psychology : the official journal of the Division of Military Psychology, American Psychological Association May 3, 2024
and 6 more in the library
Cites 10
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- Reporting of Treatment Fidelity in Mindfulness-Based Intervention Trials: A Review and New Tool using NIH Behavior Change Consortium Guidelines. Mindfulness February 2019
- 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. Contemporary Clinical Trials September 14, 2017
- A Randomized Controlled Trial of a Mindfulness and Acceptance Group Therapy for Residential Substance Use Patients. Substance Use & Misuse April 21, 2017
- Mindfulness-oriented recovery enhancement for chronic pain and prescription opioid misuse: results from an early-stage randomized controlled trial. Journal of Consulting and Clinical Psychology February 3, 2014
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