Impact of structured group interventions on substance use in rural communities: evidence from a quasi-experimental study
Year: 2026
Type: article
Study design: Clinical Trial
Abstract: Background: Substance use disorders, particularly tobacco dependence, continue to be a major public health challenge globally and in India, contributing significantly to preventable morbidity and mortality. Rural populations experience a disproportionate burden due to limited access to cessation services, socioeconomic vulnerability, and social stigma. Community-based group interventions integrating peer support and behavioral strategies may provide a feasible and scalable solution in resource-limited settings.Materials and Methods: A quasi-experimental one-group pre-test post-test design was conducted among 450 adults attending community-based de-addiction clinics in rural Vadodara district, Gujarat. Participants received a structured 12-week group intervention incorporating peer support, cognitive-behavioral strategies, health education, stress management, and relapse prevention. Nicotine dependence was measured using the Fagerström Test for Nicotine Dependence (FTND). Paired t-tests and chi-square tests were applied.Results: Of 450 enrolled participants, 420 (93.3%) completed the post-test. Baseline FTND categories were: low 9.1%, low–moderate 8.0%, moderate 65.1%, high 17.8%. After intervention, low dependence increased to 33.8% and high dependence decreased to 15.6%. Mean FTND score declined from 2.90 (SD 1.31) to 2.23 (SD 1.11) following the intervention (paired t-test p
Institution: Parul University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7213638952