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Healthy recovery: A stepped wedge cluster randomised controlled trial of a healthy lifestyle intervention for people attending residential alcohol and other drug treatment
journal contribution
posted on 2021-10-14, 23:10 authored by Peter J Kelly, Amanda L Baker, Frank P Deane, Robin Callister, Clare E Collins, Christopher Oldmeadow, Kerrin L Palazzi, Camilla J Townsend, Isabella Ingram, Carol Keane, Anisse Penning, Jessica L Hazelton, Alison K BeckBackground: Unhealthy lifestyle behaviours contribute to the poor health of people attending alcohol and other drug (AOD) treatment. Healthy Recovery is an 8-session group-based intervention that targets smoking, diet and physical inactivity as part of an integrated healthy lifestyle approach. The current study aimed to examine the effectiveness of Healthy Recovery when delivered within residential AOD treatment settings. Methods: The study design was a stepped-wedge cluster randomised trial. Participants were 151 current smokers attending residential AOD programs provided by the Australian Salvation Army (n = 71, Control condition; n = 80, Intervention condition). The primary outcome was number of cigarettes smoked per day. Secondary outcomes examined other smoking behaviours (7-day point prevalence, use of nicotine replacement therapy [NRT]), diet (servings and variety of fruit and vegetables), and physical activity. Results: The mean number of cigarettes smoked per day was significantly lower in the Intervention condition at 2-, 5-, and 8-month follow-up. There were also significant differences in favour of the Intervention condition for number of quit attempts, use of NRT and variety of fruit. There were no other significant differences for other dietary or physical activity variables. Conclusions: Healthy Recovery had a positive impact on smoking behaviours. Future research should consider strategies to further promote smoking cessation (e.g. promoting longer-term use of NRT), as well as addressing physical activity and dietary behaviours. The introduction of broader organisational approaches (e.g. smoke free policies, organised group exercise and cooking activities) might help to enhance healthy lifestyle approaches within AOD treatment settings.
History
Volume
221Start Page
1End Page
9Number of Pages
9eISSN
1879-0046ISSN
0376-8716Location
IrelandPublisher
ElsevierPublisher DOI
Full Text URL
Language
engPeer Reviewed
- Yes
Open Access
- No
Acceptance Date
2020-12-28External Author Affiliations
University of Newcastle; University of Sydney; University of WollongongEra Eligible
- Yes
Medium
Print-ElectronicJournal
Drug and Alcohol DependenceArticle Number
108557Usage metrics
Categories
Keywords
residential substance abuse treatmentsmokingtobaccodietphysical activityHealthy lifestylesAdultAlcoholismAustraliaBehavior TherapyExerciseFemaleHealth StatusHealthy LifestyleHumansMaleMiddle AgedPharmaceutical PreparationsResearch DesignResidential TreatmentSmoking CessationTobacco Use Cessation DevicesSubstance AbuseMedical and health sciencesPsychology and cognitive sciencesHealth, Clinical and Counselling Psychology