- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- Cannabis and Cannabinoid Research
- Alcohol Consumption and Health Effects
- Schizophrenia research and treatment
- Gambling Behavior and Treatments
- Homelessness and Social Issues
- Muscle metabolism and nutrition
- Mental Health Research Topics
- Prenatal Substance Exposure Effects
- Eating Disorders and Behaviors
- Nutrition and Health in Aging
- Neurotransmitter Receptor Influence on Behavior
- Mental Health and Patient Involvement
- Community Health and Development
- Behavioral Health and Interventions
- Child and Adolescent Psychosocial and Emotional Development
- Mental Health Treatment and Access
- Smoking Behavior and Cessation
- Muscle Physiology and Disorders
- HIV, Drug Use, Sexual Risk
- Health Policy Implementation Science
- Genetics and Physical Performance
- Digital Mental Health Interventions
- Indigenous Health, Education, and Rights
University of Dundee
2022-2024
Ninewells Hospital
2023-2024
University of Otago
2014-2023
American Institute of Ultrasound in Medicine
2023
NHS Tayside
2022
Christchurch Clinical Studies Trust
1998-2021
Medical University of South Carolina
2014
UNSW Sydney
2014
Curtin University
2014
Royal Australian and New Zealand College of Psychiatrists
2005
Abstract The Cannabis Use Disorders Identification Test (CUDIT) was used for the first time as part of a randomized controlled trial brief interventions in mild to moderate alcohol‐dependent out‐patients. This sample may be seen population at increased risk cannabis use disorder. CUDIT developed by modifying Alcohol (AUDIT). ability accurately screen abuse or dependence examined portion who reported some over preceding 6 months (n = 53), self‐reported frequency months. superior measure,...
Aims: To compare treatment outcomes between clients preferring abstinence and those non-abstinence at the screening stage of a randomized controlled trial for alcohol problems (the United Kingdom Alcohol Treatment Trial) to interpret any differential outcome in light baseline differences goal preference groups outlined an accompanying paper. Methods: Outcomes 3 12 months' follow-up were recorded both categorical terms (abstinence/non-problem drinking/much improved/somewhat...
Aims: The harms arising from psychoactive drug use are complex, and harm reduction strategies should be informed by a detailed understanding of the extent nature that harm. Drug is also context specific, so any comprehensive assessment relevant to characteristics population in question. This study aimed evaluate rank within Aotearoa New Zealand using multi-criteria decision analysis (MCDA) framework, separately consider total population, among youth. Methods: Two facilitated workshops...
Aims: To compare baseline characteristics of clients initially preferring abstinence with those non-abstinence at the screening stage a randomized controlled trial treatment for alcohol problems (UKATT) and to identify predictors goal preference from client present before was stated. Methods: From discussions entering (N = 742), screeners noted whether were aiming 'probably yes' or no'. Differences between two groups thus formed explored by univariate comparisons among recorded assessment...
Introduction: Rates of cannabis use disorder (CUD) among vulnerable populations have increased in recent years, highlighting a need to equip providers with an efficient screening tool. Materials and Methods: A short form the Cannabis Use Disorder Identification Test-Revised (CUDIT-R) was developed by using item response theory traditional statistical methods, data from two community samples users representing countries. Four selection methods (Rasch regression, test characteristic curve,...
Objective: This study was designed to conduct a randomized controlled trial of motivational enhancement therapy (MET) with two control conditions: nondirective reflective listening (NDRL) and no further counseling (NFC); this in sample patients primary diagnosis mild moderate alcohol dependence, "real-life" clinical setting. Method: Patients dependence were recruited, assessed treated at the Community Alcohol Drug Service Christchurch, New Zealand. All received feedback/education session...
Despite the high rate of co-occurrence major depression and alcohol dependence, role pharmacotherapy in their treatment remains unclear. In new era naltrexone for it is notable that only 1 study to date has examined efficacy antidepressant medication prescribed concurrently with naltrexone. We aimed determine whether combining citalopram produced better outcomes than alone patients co-occurring dependence depression, investigate either sex or type (independent substance-induced depression)...
Objective: To describe the extent of psychiatric disorder and mental health service utilization in a representative outpatient alcohol other drug (AOD) treatment sample New Zealand. Method: A total 105 patients were randomly recruited from two AOD services Zealand completed diagnostic interview within first 2 months treatment. Axis I diagnoses made using computerized Composite International Diagnostic Interview (CIDI-Auto), supplemented by South Oaks Gambling Scale (SOGS) conduct antisocial...
This study investigated the health status of a representative sample clients (35 Maori, 72 non-Maori) receiving methadone maintenance treatment in New Zealand, using SF-36 survey. The publication Zealand norms 1999 enabled comparisons Methadone Treatment Programme participants with that population. Although over 50% rated their as good, very good or excellent, 44% fair poor and compared population norms, was significantly poorer on all eight scales. Male female similarly to male attending...
Background: The exact link between the process engaged in during Motivational Interviewing based interventions, such as Enhancement Therapy (MET), and outcome is yet to be fully understood. Aims: This preliminary study examined Client Language MET outcome. Method: A modified Skills Code Version 2.0 was used code 106 audiotaped sessions from 28 participants who received 3–4 of within context a randomized controlled trial for mild-moderate alcohol dependence. analyzed (categorized into Early,...
Abstract Selection of drinking goal is examined at baseline, post‐treatment and 6 months follow‐up for a sample mild‐moderate alcohol‐dependent out‐patients. Drinking identified as abstinent or controlled drinking, with the latter group being asked to further specify per session week limits. Group comparisons show those who were not assigned motivational enhancement therapy, had more days lower scores on Alcohol Problems Questionnaire Internal Motivation likely choose drinking. The only...
Abstract Sixty‐four patients on the Christchurch Methadone Treatment Programme waiting list were questioned their drug‐use behaviour, criminal activity and sources of income, both legal illegal, for preceding 7 days. Opioids used included morphine sulphate tablets, methadone opium poppies, while other drugs tranquillizers, cannabis alcohol. A significant minority prescribed opioids. The mean cost in days across all subjects was $882. financial gain from same period $1079 derived drug‐related...
To evaluate the role of personality dimensions as predictors drinking outcomes in depressed alcohol-dependent patients. Temperament and character inventory (TCI) scores were obtained at baseline a 24-week study 127 patients who received open-label naltrexone randomized to citalopram or placebo. The association between TCI alcohol during follow-up was examined using general linear mixed models. Low novelty seeking, high self-directedness cooperativeness predicted less consumption on days...
The Brief Treatment Programme for Alcohol Dependence allocated 122 clients randomly to three different forms of brief therapy. Prior allocation were asked what their preference would have been had not random. This study posed the question: did receiving preferred treatment a better outcome than those who not? Also examined differences in process variables perceived effectiveness, satisfaction, rapport, engagement and number sessions attended. results that there was no difference either or...
Foulds J, Wells JE, Lacey C, Adamson S, Mulder R. Harmful drinking and talking about alcohol in primary care: New Zealand population survey findings. Objective: Existing evidence suggests low recognition of problems care. This study aimed to determine the 12‐month prevalence harmful or hazardous (HHD) a sample measure relationship between HHD care consultations that period. Method: A 12 488 adults. Alcohol use past months was assessed by Use Disorders Identification Test (AUDIT), with...