Do patient intervention ratings predict alcohol-related consequences?

Abstract

Little is known about treatment process for behavior change for brief interventions. Patient ratings of treatment process during a patient-centered brief intervention for alcohol were used to predict post-treatment alcohol use and consequences. We use data from a randomized clinical trial that compared the effects of BI (1 session) to BI and booster (BIB, 2 sessions) to reduce harmful drinking and alcohol consequences. Subjects were n=167 (BI) and n=82 (BIB). Five of the 12 ratings were rated significantly higher by those in the BIB condition compared to BI. The only predictor of reduced alcohol consequences at 12-months was higher ratings of, "I have obtained some new understanding," for BIB participants (t=−2.50, p < .05). Patient perspectives on treatment may have a role in patient outcomes and should be explored as a dimension of treatment process.

Preliminary findings on the association between clients’ perceived helpfulness of substance abuse treatment and outcomes: Does race matter?

“…This finding was unexpected given extant literature demonstrating a relationship between high perceived helpfulness ratings and positive substance abuse treatment outcomes (Lee et al, 2007; Zhiwei et al, 2008). There are some plausible explanations for this unexpected finding.…”

“…Findings from the NIDA CCTS revealed that treatment helpfulness ratings were positively associated with retention and therapeutic alliance, but were not associated with changes in drug use or psychiatric outcomes. Another study (Lee et al, 2007) also examined the relationship between perceived helpfulness of treatment components and outcomes among adults participating in a brief intervention for alcohol. The authors found that higher client ratings of “I have obtained some new understanding” was a significant predictor of reduced total number of alcohol consequences (e.g., hangovers, missed days from school or work) at a 12-month follow up among participants who received the brief alcohol intervention and a booster session.…”

Brief motivational interviewing as a clinical strategy to promote asthma medication adherence

“…This nonjudgmental approach helps to elicit positive statements about change, which have been shown to be associated with better treatment outcomes. 37,57 After the patient provides several reasons, the HCP asks, ''What would it take for you to get to a 9 or a 10?'' This approach helps to identify barriers and facilitators of adherence.…”

In college and in recovery: Reasons for joining a Collegiate Recovery Program

“…Moreover, few studies use a mixed methods approach although qualitative research is especially valuable when documenting new or previously unexamined topic as is the case here. In particular, while researchers have noted the importance of service users’ perspective on outcomes and argued it be included in scientific studies, 48 this recommendation has been largely ignored in addiction research. 49,50 Overall, this study explores an innovative and under-investigated topic and does so using an approach that seeks to maximize the usefulness of findings.…”