We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.
- Authors
Vederhus, John‐Kåre; Timko, Christine; Kristensen, Øistein; Hjemdahl, Bente; Clausen, Thomas
- Abstract
Aims To compare a motivational intervention ( MI) focused on increasing involvement in 12-Step groups ( TSGs; e.g. Alcoholics Anonymous) versus brief advice ( BA) to attend TSGs. Design Patients were assigned randomly to either the MI or BA condition, and followed-up at 6 months after discharge. Setting and participants One hundred and forty substance use disorder ( SUD) patients undergoing in-patient detoxification (detox) in Norway. Measurements The primary outcome was TSG affiliation measured with the Alcoholics Anonymous Affiliation Scale ( AAAS), which combines meeting attendance and TSG involvement. Substance use and problem severity were also measured. Findings At 6 months after treatment, compared with the BA group, the MI group had higher TSG affiliation [0.91 point higher AAAS score; 95% confidence interval ( CI) = 0.04 to 1.78; P = 0.041]. The MI group reported 3.5 fewer days of alcohol use (2.1 versus 5.6 days; 95% CI = −6.5 to −0.6; P = 0.020) and 4.0 fewer days of drug use (3.8 versus 7.8 days; 95% CI = −7.5 to −0.4; P = 0.028); however, abstinence rates and severity scores did not differ between conditions. Analyses controlling for duration of in-patient treatment did not alter the results. Conclusions A motivational intervention in an in-patient detox ward was more successful than brief advice in terms of patient engagement in 12-Step groups and reduced substance use at 6 months after discharge. There is a potential benefit of adding a maintenance-focused element to standard detox.
- Subjects
NORWAY; PATIENT education; CHI-squared test; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; MOTIVATION (Psychology); MULTIVARIATE analysis; RESEARCH funding; STATISTICAL sampling; SUPPORT groups; SUBSTANCE abuse treatment; DATA analysis; RANDOMIZED controlled trials; DESCRIPTIVE statistics
- Publication
Addiction, 2014, Vol 109, Issue 5, p766
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/add.12471