Supporting Addiction Affected Families Effectively: a feasibility randomised controlled trial of a psychosocial intervention delivered by lay counsellors in Goa, India.

Urvita Bhatia, Richard Velleman, Gill Velleman, Alison Garber, Alexander Catalano, Abhijit Nadkarni

Research output: Contribution to journalArticlepeer-review

Abstract

Background
Despite evidence of the burden of alcohol use on families, there is a lack of adequate and targeted support. We aimed to examine the feasibility, acceptability and impact of Supporting Addiction Affected Families Effectively (SAFE), a brief lay counsellor-delivered intervention for affected family members (AFMs).

Methods
Parallel arm feasibility randomised controlled trial [1:1 allocation to SAFE or enhanced usual care (EUC)]. The primary outcome was mean difference in symptom score assessed by the Symptom Rating Test and secondary outcomes were difference in coping, impact and social support scores measured by the Coping Questionnaire, Family Member Impact Questionnaire, and Alcohol, Drugs and the Family Social Support Scale. Process data examining feasibility and acceptability were also collected. The primary analysis was intention to treat at the 3-month endpoint.

Results
In total, 115 AFMs were referred to the trial, and 101 (87.8%) consenting participants were randomised to the two arms (51 SAFE arm and 50 EUC arm). Seventy-eight per cent completed treatment, with the mean number of sessions being 4.25 sessions and mean duration being 53 min. Ninety-five per cent completed outcome assessment. There were no statistically significant differences between SAFE and EUC on any of the outcome measures, except for the between-group adjusted mean differences for social support scores (AMD −6.05, 95% CI −10.98 to −1.12, p = 0.02).

Conclusion
Our work indicates that it is possible to identify AFMs through community networking, and have high rates of participation for lay counsellor-delivered psychosocial care. Nevertheless, there is a need for further intervention development to ensure its contextual relevance and appropriateness.
Original languageEnglish
Pages (from-to)448-459
JournalGlobal Mental Health
Volume9
Early online date26 Aug 2022
DOIs
Publication statusPublished - 31 Dec 2022

Bibliographical note

Financial support
This research was funded by a Wellcome Trust DBT India Alliance Research Training Fellowship grant to UB (IA/RTF/15/1/1018). The funder had no role in the study design, data collection, data analysis or writing of the manuscript. UB has full access to all the data collected in the study and had final responsibility for the decision to submit the manuscript for publication

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