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Table 1 Modules for the text-message intervention

From: Feasibility, acceptability and preliminary efficacy of a cognitive behavior therapy text-message intervention among individuals with opioid use disorder in Kenya: a randomized feasibility trial

Week

Module

Objective

Content

1

Functional analysis

Establish treatment goals and explain the psychosocial skills to be gained

Identify the motivation to change

Identify the triggers to substance use

Identify the client’s strengths and treatment goals

2

Coping with craving

To develop skills to recognize and cope with cravings for substance use

Identify high risk situations and

develop a personal coping plan

3

Shoring up motivation and commitment to stop

Clarify and prioritize treatment goals and address any ambivalence

Assess current readiness for change and ambivalence

Revisit and clarify targets/goals

Identify and cope with thoughts about substance use

4

Drug refusal

To develop drug refusal skills

Learning drug refusal skills and strategies to avoid contacts with people who use substances

Application of assertiveness skills

5

Decision making skills

To identify and change thoughts commonly associated with substance use and develop decision making skills

How to identify seemingly irrelevant decisions that put one closer to using substances

How to make decisions when confronted with a high-risk situation

6

Problem-solving skills

To develop and apply problem-solving strategies

Develop a concrete support plan to address the problem

Identify the common problems

Consider various approaches that do not involve substance use

Termination of therapy