Does sponsorship improve outcomes above Alcoholics Anonymous attendance? A latent class growth curve analysis.

ABSTRACT Aims To construct Alcoholics Anonymous (AA) attendance, sponsorship and abstinence latent class trajectories to test the added benefit of having a sponsor above the benefits of attendance in predicting abstinence over time. Design Prospective with 1-, 3-, 5- and 7-year follow-ups. Setting a...

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Publicado en:Addiction Vol. 107; no. 2; pp. 301 - 312
Autores principales: Witbrodt, Jane, Kaskutas, Lee, Bond, Jason, Delucchi, Kevin
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Feb2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2012
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/j.1360-0443.2011.03570.x
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        atl: Does sponsorship improve outcomes above Alcoholics Anonymous attendance? A latent class growth curve analysis.
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        au:
          Witbrodt, Jane
          Kaskutas, Lee
          Bond, Jason
          Delucchi, Kevin
        affil: Alcohol Research Group, Emeryville, CA, USA,; Karolinska Institutet, Stockholm, Sweden,
      sug:
        subj:
          Alcoholics Anonymous Methods
          Patient Compliance
          Treatment Outcomes
          Alcoholism Therapy
          Alcoholics Anonymous Evaluation
          Support, Psychosocial Methods
          Prospective Studies
          Human
          Probability Sample
          California
          Interviews
          Interview Guides
          Severity of Illness Indices
          Multiple Regression
          Data Analysis Software
          Models, Statistical
          Male
          Female
          Adult
          Bivariate Statistics
          Parametric Statistics
          Chi Square Test
          Odds Ratio
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: ABSTRACT Aims To construct Alcoholics Anonymous (AA) attendance, sponsorship and abstinence latent class trajectories to test the added benefit of having a sponsor above the benefits of attendance in predicting abstinence over time. Design Prospective with 1-, 3-, 5- and 7-year follow-ups. Setting and participants Alcoholic-dependent individuals from two probability samples, one from representative public and private treatment programs and another from the general population ( n = 495). Findings Individuals in the low attendance class (four classes identified) were less likely than those in the high, descending and medium attendance classes to be in high (versus low) abstinence class (three classes identified). No differences were found between the other attendance classes as related to abstinence class membership. Overall, being in the high sponsor class (three classes identified) predicted better abstinence outcomes than being in either of two other classes (descending and low), independent of attendance class effects. Although declining sponsor involvement was associated with greater likelihood of high abstinence than low sponsor involvement, being in the descending sponsor class also increased the odds of being in the descending abstinence class. Conclusions Any pattern of Alcoholics Anonymous attendance, even if it declines or is never high for a particular 12-month period, is better than little or no attendance in terms of abstinence. Greater initial attendance carries added value. There is a benefit for maintaining a sponsor over time above that found for attendance.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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