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No significant effects were found on substance use frequency, attrition, abstinence rates, wellbeing, and substance use symptoms when compared with individual therapy, which in part was due to the small number of studies for each comparison. Significant, but small, effects of group therapy were found on abstinence compared to individual therapy, indicating that group therapy may be a little more effective than individual therapy in relation to abstinence. In a recent meta analytical review of group therapy for substance abuse disorder in adults, thirty-three studies with measures of group therapy outcomes were included. Also, a large observational study that examined treatment results from 7800 patients concluded that a larger proportion of patients in group therapy had increased likelihood for improved measures of treatment performance compared to patients in individual therapy. In a study examining the effects of group and individual counselling, Weiss and colleagues concluded that “…treatment outcome studies did not demonstrate differences between group and individual modalities, and no single type of group therapy reliably demonstrated greater efficacy than others.”. Further, a number of studies have shown that group counselling is equally or more effective compared with individual counselling. Firstly, there are indications that group treatment is more cost-effective than individual treatment, which means that treatment providers could save time and money by implementing this treatment form. There is, however, increasing knowledge that supports the use of group therapy in substance use disorder treatment. Individual therapy is still the most used form of treatment for substance use disorders. Due to established negative consequences in a range of areas such as academic performance, physical health, mental health, family relations, social and economic consequences, and delinquency, delivering high quality treatment for substance use disorders is of crucial importance. While opioid use disorders have recently been the focus of substantial attention, alcohol and other non-opioid drugs of abuse present their own challenges. Substance use disorders contribute substantially to the global burden of illness, including alcohol use disorders, cannabis use disorders, and stimulant use disorders. The present study will examine the potential and efficacy of combined groups (patients with alcohol and drug disorders in the same group) versus individually based treatment both based on the treatment method MOVE (Pedersen et al., Drug Alcohol Depend 218:108363, 2020). The main outcome measures are drug and alcohol intake at 9 months follow-up, number of sessions attended, and dropout from treatment. In addition, patients’ use of drugs and alcohol, and patients’ wellbeing will be measured in all sessions. Follow-up assessments will be conducted at 9 months post-randomization. A thorough baseline assessment will be conducted approximately 1 week after randomization. Hereafter, participants will be randomized to the two treatment arms. A short screening will determine eligibility and randomization status. Participants ( n = 300) will be recruited over a one-year period at four public treatment centers in four Danish municipalities. All participants will receive treatment based on cognitive behavioral therapy and motivational interviewing, vouchers for attendance and text reminders, as well as medication as needed (MOVE). The primary objective is to examine whether MOVE-G is non-inferior to MOVE-I in relation to abstinence from drug and/or alcohol, number of sessions received, and completion of treatment as planned. MethodsĪ two-arm non-inferiority trial comparing MOVE-I (Pedersen et al., Drug Alcohol Depend 218:108363, 2020) with MOVE-G a combined group treatment for both alcohol use disorder and drug use disorder. The COMDAT (Combined Drug and Alcohol Treatment) trial evaluates the feasibility, acceptability, and cost effectiveness of MOVE group (MOVE-G) treatment versus MOVE individual (MOVE-I) treatment in four community-based outpatient treatment centres in Denmark. However, whether treatment is best delivered in a group format or an individual format has only been studied to a very limited degree. The majority of people with substance use disorders do not receive any treatment for their problems, and developing treatments that are attractive and effective to patients should be a priority. How do I send to the Apple server that the user chose a free-trial subscription? For auto-renewable subscription I just call: iapManager.Alcohol and other drug use disorders contribute substantially to the global burden of illness. Public func setupPurchases(callback: -> ())
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I added the introductory offers free-trial - 1 week.