Funding: NIDA R01DA038648

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 determine MMWR effects on residential treatment retention.

We used clinical staff-determined discharge status and 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%). Study findings will inform us of the clinical relevance of adding MMWR to an all-women’s, mixed race/ethnicity, SUD residential treatment center.

References:

Amaro, H., Spear, S., Vallejo, Z., Conron, K., & Black, D.S. (2014). Feasibility, acceptability, and preliminary outcomes of a mindfulness-based relapse prevention intervention for culturally-diverse, low-income women in substance use disorder treatment. Substance Use & Misuse, 49(5): 547-559.

Amaro, H. & Black, D.S. (2017). 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, 62:146-52.

Black, D.S., Amaro, H. (2019). Moment-by-Moment in Women’s recovery: Mindfulness-based intervention effects on residential substance use disorder treatment retention in a randomized controlled trial. Behavioural Research and Therapy. Under review.