Pretreatment changes in drinking: A test of a tailored treatment approach.
Background: Pretreatment reductions in drinking are well documented and have been demonstrated to predict posttreatment drinking outcomes. Making use of the predictive value of pretreatment change has great appeal in settings that place a premium on efficient clinical decisions regarding appropriate...
| Publicado en: | Alcohol, Clinical & Experimental Research Vol. 47; no. 3; pp. 549 - 566 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162707147&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162707147 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 29937175 NACB jtl: Alcohol, Clinical & Experimental Research issn: 29937175 maglogo: N pubinfo: dt: Mar2023 vid: 47 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 162707147 161913488 162707147 169935289 162707147 10.1111/acer.15022 162707147 ppf: 549 ppct: 17 formats: tig: atl: Pretreatment changes in drinking: A test of a tailored treatment approach. aug: au: Stasiewicz, Paul R. Bradizza, Clara M. Lucke, Joseph F. Zhao, Junru Dermen, Kurt H. Linn, Braden K. Slosman, Kim S. LaBarre, Charles affil: School of Social Work, University at Buffalo, Buffalo New York,, USA sug: subj: Alcohol Drinking Trends Alcohol-Related Disorders Therapy Recurrence Prevention and Control Cognitive Therapy Methods Preventive Health Care Methods Treatment Outcomes Evaluation Combined Modality Therapy Methods Motivational Interviewing Methods Human Algorithms Comparative Studies Pretest-Posttest Design Randomized Controlled Trials Alcohol Abstinence Binge Drinking Equivalence Trials Random Assignment Funding Source ab: Background: Pretreatment reductions in drinking are well documented and have been demonstrated to predict posttreatment drinking outcomes. Making use of the predictive value of pretreatment change has great appeal in settings that place a premium on efficient clinical decisions regarding appropriate type and intensity of treatment. Methods: This study investigates whether different types and intensities of treatment are appropriate and beneficial for individuals entering treatment for an alcohol use disorder (AUD; N = 201) who make more vs. less pretreatment change in their drinking during a 2‐month pretreatment period. Based on an algorithm derived from pilot research, we derived two independent pretreatment change arms that we called Substantial Change and Minimal Change. Each arm was a parallel, sequentially randomized design consisting of a treatment group and an active control. The Substantial Change arm compared six sessions of relapse prevention treatment (RPT) with 12 sessions of cognitive behavioral therapy for AUD (CBT) as an active control. Both CBT and RPT occurred over a 12‐week period. The Minimal Change arm compared 12 sessions of an integrated motivational intervention combined with CBT (MI/CBT) with 12 sessions of CBT as an active control. The outcome variables were changes in number of days abstinent (NDA) and number of days heavy drinking (NDH) per week. Results: For the Substantial Change arm, a noninferiority analysis revealed that six sessions of RPT were noninferior to 12 sessions of CBT at each posttreatment assessment for both NDA and NDH. For the Minimal Change arm, a superiority analysis failed to detect that MI/CBT was superior to CBT at any posttreatment assessment for both NDA and NDH. Conclusions: In the substantial change arm, results suggest that offering a less intensive initial treatment, like RPT, may lower costs and conserve clinical resources. In the Minimal Change arm, results indicate the need to continue searching for a treatment or treatment enhancements to improve alcohol outcomes. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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