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.
Hortensia Amaro, David S Black
Contemporary Clinical Trials September 14, 2017 DOI: 10.1016/j.cct.2017.09.004 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Randomized controlled trial Peer reviewed |
|---|---|
| Population | Women in residential substance use disorder treatment at a community-based site, mainly low-income and racially and ethnically diverse |
| Duration | 12 sessions |
| Topics | Addiction Meditation |
| Keywords | Humans Substance-related disorders Residential treatment Research design Minority groups Adolescent Middle aged Female Secondary prevention Young adult Women Relapse Race/ethnic minorities |
| Key findings | The trial aims to test whether the 12-session MMWR mindfulness program improves residential treatment retention and reduces substance use relapse among racially and ethnically diverse women, and to identify psychosocial and neural mechanisms of action. A subgroup undergoes functional and structural neuroimaging before and after the intervention to explore brain correlates of change. |
Abstract
Although therapeutic treatments exist for substance use disorder (SUD), about half of individuals who enter treatment leave early and relapse to substance use. Early dropout from residential treatment places individuals at risk of relapse, and women in SUD residential treatment represent a vulnerable population. Evidence gaps persist for the use of mindfulness-based interventions (MBIs) among racially and ethnically diverse women with SUDs, especially regarding the efficacy of MBIs adapted to prevent residential dropout and relapse. We previously developed and pilot tested an MBI, Moment-by-Moment in Women's Recovery (MMWR), adapted to support women with SUD during residential treatment. The 12-session MMWR program tested in the present study integrates relapse prevention, addresses literacy level and trauma experiences and mental health problems, and is relevant to issues surrounding treatment- and relapse-related stressors among women. The primary objective of the current Phase II randomized controlled trial is to adequately test the efficacy of MMWR on residential treatment retention and substance use relapse and determine psychosocial and neural mechanisms of action underlying MMWR. Participants are women in residential SUD treatment from a community-based residential site that serves mainly women who are low-income and racially and ethnically diverse. A subgroup of participants from each treatment group also completes functional and structural neuroimaging assessments before and after the intervention to explore possible structural and functional brain correlates of change associated with participation in the MMWR program. Findings are expected to inform the utility of adapting MBIs to improve treatment success among vulnerable women in SUD residential treatment.
Comparable studies
Other randomized controlled trials on addiction, most cited first.
Citations in the library
Cited by 8
- Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments Substance Abuse Treatment, Prevention, and Policy July 29, 2020
- Psychometric Assessment of the Applied Mindfulness Process Scale (AMPS) Among a Sample of Women in Treatment for Substance Use Disorder Mindfulness May 20, 2023
- A Comprehensive Descriptive Analysis of Out-of-Session Meditation in a Residential Treatment Setting: Duration, Frequency, and Type of Practice Mindfulness January 13, 2024
- Mindfulness-based interventions for substance use disorders. Cochrane Database of Systematic Reviews October 20, 2021
- Initial Efficacy of a Community-Derived Mindfulness-Based Intervention for Latinx Parents and their Children. Journal of immigrant and minority health October 1, 2021
and 3 more in the library
Cites 8
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- What defines mindfulness-based programs? The warp and the weft Psychological Medicine December 29, 2016
- Mindfulness Meditation for Substance Use Disorders: A Systematic Review Substance Abuse October 1, 2009
- The Applied Mindfulness Process Scale (AMPS): A process measure for evaluating mindfulness-based interventions. Personality and Individual Differences April 1, 2016
- Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance Use & Misuse April 1, 2014
and 3 more in the library