Alcohol treatment research follow-up interviews and drinking behaviors.

Clifford, Patrick R.; Maisto, Stephen A.; Franzke, Laura; Longabaugh, Richard; Beattie, Martha

doi:10.15288/jsa.2000.61.736

Cited by 25 publications

(19 citation statements)

References 24 publications

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“…Unlike randomized trials, patients in our clinic freely accepted treatment but did not “volunteer” for research and they were not paid for participation. There were no exclusion criteria so patients were not interviewed by research staff, which can confound results of clinical trials (Clifford et al, 2000). Finally, by including all patients, our findings are likely to be quite generalizable to the population of patients with moderate-severe dual disorders in public clinics.…”

Section: Discussionmentioning

confidence: 99%

Contingency Management for Patients With Dual Disorders in Intensive Outpatient Treatment for Addiction

Kelly

Daley

Douaihy

2014

Journal of Dual Diagnosis

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Objective This project investigated the effectiveness of contingency management for improving retention in treatment and positive outcomes among patients with dual disorders in intensive outpatient treatment for addiction. Methods The effect of contingency management was explored among a group of 160 patients exposed to contingency management (n = 88) and not exposed to contingency management (no contingency management, n = 72) in a partial hospitalization program. Patients referred to the partial hospitalization program for treatment of substance use and comorbid psychiatric disorders were diagnosed by psychiatrists and specialist clinicians according to the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM-IV-TR). A unique application of the contingency management “fishbowl” method was used in the to improve consistency of attendance at treatment sessions, which patients attended five days a week. Days attending treatment and drug-free days were the main outcome variables. Other outcomes of interest were depression, anxiety and psychological stress, coping ability, and intensity of drug cravings. Results Patients in the contingency management group attended more treatment days compared to patients in the no contingency management group; M = 16.2 days (SD = 10.0) vs. M = 9.9 days (SD = 8.5), respectively; t = 4.2, df = 158, p<.001. No difference was found between the treatment groups on number of drug-free days. Psychological stress and drug craving were inversely associated with drug-free days in bivariate testing (r =−.18, p<.02; r = −.31, p<.001 respectively). Treatment days attended and drug craving were associated with drug-free days in multivariate testing (B = .05, SE =.01, β = .39, t =4.9, p <.001; B = −.47 SE = .12, β = −.30, t =−3.9, p <.001; respectively; Adj. R2 = .21). Days attending treatment partially mediated the relationship between exposure to contingency management and self-reported drug-free days. Conclusions Contingency management is a valuable adjunct for increasing retention in treatment among patients with dual disorders in partial hospitalization treatment. Exposure to contingency management increases retention in treatment, which in turn contributes to increased drug-free days. Interventions for coping with psychological stress and drug cravings should be emphasized in intensive dual diagnosis group therapy.

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Section: Discussionmentioning

confidence: 99%

Contingency Management for Patients With Dual Disorders in Intensive Outpatient Treatment for Addiction

Kelly

Daley

Douaihy

2014

Journal of Dual Diagnosis

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“…The first (Ogborne & Annis 1988) found no differences between the follow-up frequency groups. In the second study (Clifford, Maisto, Franzke, Longabaugh, & Beattie, 2000), the intensive follow-up group had significantly more abstinent days, a lower percentage of heavy drinking days, and a lower number of standard drinks consumed on drinking days than individuals in the nonintensive follow-up group.…”

Section: Introductionmentioning

confidence: 87%

Assessment reactivity to follow-up in a study of women's treatment for alcohol dependence

Worden

McCrady

Epstein

2008

Addictive Behaviors

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Little research has been conducted on symptom reductions in response to assessments in clinical trials, despite the impact such reactivity may have on interpretation of outcomes. Reactivity to data collection procedures during post-treatment follow-up may obscure treatment effects. The current study examined whether female participants (n=102) in a trial of cognitive-behavioral treatment for alcohol dependence had lower drinking quantity and frequency immediately after participating in follow-up assessments. Repeated measures ANOVAs were used to compare each participant's drinking among two-week time periods immediately before the follow-up, directly after the follow-up, and between follow-ups. No assessment reactivity was found for 9 or 15 month follow-up interviews, but was suggested at a 12 month in-person interview.

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“…Research on reactivity to assessment procedures has shown that assessment exposure, duration, and follow-up frequency are related to subsequent changes in substance use (Clifford, Maisto, Franzke, Longabaugh, & Beattie, 2000; Clifford, Maisto, & Davis, 2007). Gender-specific research has also found assessment reactivity; female clinical trial participants demonstrated a roughly 40% reduction in frequency of alcohol use prior to receiving any treatment (Epstein et al, 2005).…”

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confidence: 99%

Do research assessments make college students more reactive to alcohol events?

Magill¹,

Kahler²,

Monti³

et al. 2012

Psychology of Addictive Behaviors

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This study examines possible synergistic effects of alcohol-related events and post-event assessments on changes in college student readiness to change alcohol use, frequency of alcohol use, and negative consequences. Students were participants in a longitudinal study of drinking behavior. A portion of those reporting negative alcohol events/consequences (e.g., injury, vomiting, memory loss) during the parent study were randomly selected to participate in the present study (n = 492) and randomized to a post-event assessment (n = 296) or a no-assessment control (n = 196). Participants in the post-event assessment group were interviewed soon after their event, and participants in both conditions were interviewed three months after their event. Linear regression models showed higher 3-month readiness to change alcohol use in participants who received a post-event assessment than those who did not. There were reductions in drinking days, heavy drinking days, and further consequences post-event, but no differences by assessment group. However, female participants showed greater reductions in drinking days and heavy drinking days if they were assigned to assessment compared to control. There also was greater post-event reduction in drinking days among assessment group participants with high pre-college alcohol severity compared to low pre-college alcohol severity. Conversely, participants who reported high aversiveness of their event and were in the control group showed greater reduction in heavy drinking days than those assigned to the assessment group. Findings suggest that college student heavy drinking is reactive to alcohol events, whereas reactivity to post-event assessments may depend on gender, alcohol severity, and event aversiveness. This work highlights the importance of considering possible interactions among extra-therapeutic factors in clinical outcome research.

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Alcohol treatment research follow-up interviews and drinking behaviors.

Cited by 25 publications

References 24 publications

Contingency Management for Patients With Dual Disorders in Intensive Outpatient Treatment for Addiction

Contingency Management for Patients With Dual Disorders in Intensive Outpatient Treatment for Addiction

Assessment reactivity to follow-up in a study of women's treatment for alcohol dependence

Do research assessments make college students more reactive to alcohol events?

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