A. Narrowed Topic: Substance Abuse Among Adults in Rehabilitation Centers B. Problem Statement Substance abuse remains a critical public health issue, impacting individuals, families, and communities. This paper seeks to explore behavioral interventions in the context of adults undergoing rehabilitation for substance abuse. Understanding the effectiveness of these interventions is crucial as they are integral to the recovery process, aiming to reduce relapse rates and promote sustainable recovery. The significance of this topic in nursing and evidence-based practice lies in the role nurses play in managing and implementing care plans for substance abusers in rehabilitation settings. Nurses are often at the forefront of delivering behavioral therapies and monitoring patient progress, making it essential to identify the most effective interventions. Despite the prevalent nature of substance abuse, there is a continuous debate about the most effective treatment methodologies. Quantitative studies, such as Carroll and Kiluk (2018), who studied the effectiveness of behavioral therapies in substance abuse treatment, provide evidence that supports the use of specific interventions like Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI). These studies highlight significant improvements in patient outcomes, underscoring the need for ongoing research in this area. C. PICOT Question Patient/Problem: Adults in rehabilitation centers dealing with substance abuse. Intervention: Implementation of Cognitive Behavioral Therapy (CBT). Comparison Intervention: Standard counseling practices without specific behavioral frameworks. Outcome: Reduction in relapse rates and improvement in long-term sobriety. Time: 6 months post-intervention follow-up. Therefore, the PICOT question is: In adults in rehabilitation centers dealing with substance abuse (P), how does the implementation of Cognitive Behavioral Therapy (CBT) (I) compared to standard counseling practices without specific behavioral frameworks (C) affect the reduction in relapse rates and improvement in long-term sobriety (O) within a 6 months postintervention follow-up (T)? Method Summary In selecting the evidence for main question on the effectiveness of CBT in comparison to general counseling in adults in rehabilitation facilities for substance abuse, a systematic literature search was performed. The search engines used for retrieval of the data included PubMed, PsycINFO and Google Scholar. Keywords searched were “substance abuse,” “rehabilitation,” “Cognitive Behavioral Therapy,” “standard counseling,” “relapse rates,” and “long-term sobriety.” Sources were selected based on publication dates in the last five years to make sure that the research data obtained is current. Limitations were set to use the publications of the sources, meeting the criteria of peer-reviewed articles and studies involving only adults, and also, publications that are not published in English were also excluded Journal 1 Srivastava, K., Chatterjee, K., Prakash, J., Yadav, A., & Chaudhury, S. (2024). Comparative efficacy of cognitive behavior therapy and interpersonal therapy in the treatment of depression: A randomized controlled study. Industrial Psychiatry Journal, 33(1), 160167. doi:10.4103/ipj.ipj_294_23 This systematic review which can be retrieved from the Industrial Psychiatry Journal compares the effectiveness of CBT and IPT in managing MDD. In the experimental research, patients’ MDD was diagnosed, and 52 of them were randomly divided into two – CBT and IPT. IPT was found to be less beneficial than CBT, but both therapies significantly reduced the severity of the patients’ depression as well as their scores on the MADRS at the end of the eight weeks assessment. The study also finds relevance in underlining the effectiveness of these therapies in enhancing the psychological well-being of the patients and alleviating issues of depression. This article is applicable to the PICOT question because it compares CBT to regular counseling, which is right in line with what is being asked in the question. For the quantitative aspect of the study, the maximisation of CBT in adult rehabilitation programs revealed an evaluation of relapse rates and consequently the long-term sobriety of patients, directly answering the intervention and evaluate aspects of your PICOT question. One of the benefits of using this study is that its methodology is sound and that has been published recently hence its. data is relevant and can be included in your EBP project. Journal 2 Nurlita, S. I., Desiningrum, D. R., & Ediati, A. (2023). The Application of Cognitive Behavioral Therapy (CBT) in Drug Abuse Victims. Proceedings of International Conference on Psychological Studies (ICPsyche), 2023, 271-278 The study done by Nurlita et al. , in “The Application of Cognitive Behavioral Therapy (CBT) in Drug Abuse Victims” stresses its centrality to the general treatment of drug abuse where the emphasis is laid on modifying dealing with the thoughts and behavior in order to adopt constructive modes of thinking and avoid returning to drug use. The paper is a review of different works that have been conducted in the past and has revealed that CBT has within a short span of time produced effective results in terms of recovery rates and substance use. These enhancements are especially observable in the areas of treatment for symptoms of depression and anxiety, which are known to be links to substance use. Robust relatability to the PICOT question exists as it highlights CBT better in reducing the relapse rate and enhancing the clients’ likelihood of continuous sobriety than regular counseling. This is especially evident in rehabilitation facilities as CBT has a clear and highly structured approach to the cognitions, which helps greatly in maintaining recovery and effectively dealing with the relapse triggers within the period of six months after active treatment. References Carroll, K. M., & Kiluk, B. D. (2018). Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again. Psychology of Addictive Behaviors, 31(8), 847–861. NCBI. https://doi.org/10.1037/adb0000311 Nurlita, S. I., Desiningrum, D. R., & Ediati, A. (2023). The Application of Cognitive Behavioral Therapy (CBT) in Drug Abuse Victims. Proceedings of International Conference on Psychological Studies (ICPsyche), 2023, 271-278 Srivastava, K., Chatterjee, K., Prakash, J., Yadav, A., & Chaudhury, S. (2024). Comparative efficacy of cognitive behavior therapy and interpersonal therapy in the treatment of depression: A randomized controlled doi:10.4103/ipj.ipj_294_23 study. Industrial Psychiatry Journal, 33(1), 160-167.
