Dropout from 12-step self-help groups: Prevalence, predictors, and counteracting treatment influences

Kelly, John F.; Moos, Rudolf H.

doi:10.1016/s0740-5472(03)00021-7

Cited by 132 publications

(110 citation statements)

References 28 publications

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“…Rigorously conducted research studies with adults and adolescents have shown that use of these free and widely available community resources can help individuals maintain recovery and also reduce the fi nancial burden on the health care system (Chi et al, 2009;Humphreys andMoos, 2001, 2007;. Importantly, 12-step participation during treatment has been shown to increase the likelihood of continued 12-step participation and better outcomes not only for adults Kelly and Moos, 2003;Litt et al, 2009;Walitzer et al, 2009) but also for adolescents (Alford et al, 1991;Chi et al, 2009;Kelly et al, 2000Kelly et al, , 2002Kelly et al, , 2010Kennedy and Minami, 1993).…”

Section: Twelve-step Participationmentioning

confidence: 99%

Influence of Religiosity on 12-Step Participation and Treatment Response Among Substance-Dependent Adolescents

Kelly¹,

Pagano²,

Stout³

et al. 2011

J. Stud. Alcohol Drugs

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Section: Twelve-step Participationmentioning

confidence: 99%

Influence of Religiosity on 12-Step Participation and Treatment Response Among Substance-Dependent Adolescents

Kelly¹,

Pagano²,

Stout³

et al. 2011

J. Stud. Alcohol Drugs

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“…Mutual aid seems to function as an 'adjunct' to professional treatment. Kelly and Moos (2003) found that patients who initiated 12-step behaviours during treatment were less likely to drop out of such groups. Most importantly, both self-help and formal substance abuse treatment are independently associated with reduced alcohol and drug use (Kissin, McLeod, & McKay, 2003).…”

Section: Are There Models For Effective Partnerships Between Psychiatmentioning

confidence: 95%

Mutual aid groups in psychiatry and substance misuse

Baldacchino

Caan

Munn‐Giddings

2008

Mental Health and Substance Use

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“…Contrary to predictions, ambivalence levels slightly increased and taking steps slightly decreased throughout the course of all three treatments (Miller and Tonigan, 2001). Additionally, Kelly and Moos (2003) found that individuals higher in RC were less likely to drop out from AA following treatment, and McKellar et al (2003) found that less ambivalence was associated with more AA involvement. However, SOCRATES scale scores did not explain the relationship between AA attendance and alcohol outcomes (McKellar et al, 2003).…”

mentioning

confidence: 99%

Longitudinal Trajectories of Readiness to Change: Alcohol Use and Help-Seeking Behavior

Rice

Hagler

Tonigan

2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Pre-post changes in readiness for change (RC) are commonly assessed in treatment outcome studies, often with contradictory results. Little is known about 12-month RC trajectories among those initiating change or about the association between RC and either within-or between-person alcohol use or time-lagged help-seeking behavior. Method: This observational longitudinal study measured RC as ambivalence, problem recognition, and taking steps. Participants (N = 253; 66.4% male) diagnosed with alcohol use disorders were recruited from treatment sites, Alcoholics Anonymous (AA) groups, and other community sources when fi rst initiating change and assessed at baseline and 3, 6, 9, and 12 months. Results: Support for signifi cant participant heterogeneity as well as linear and quadratic change in RC trajectories was found, although results differed across the three aspects of RC. Independent associations of both within-and between-person percentage of days abstinent were found for ambivalence and taking steps. Lagged, time-specifi c fl uctuations in prior help-seeking behaviors within an individual predicting subsequent RC showed that both AA (B = -1.650, p < .05) and treatment attendance (B = 2.914, p < .01) were associated with subsequent ambivalence. Prior increases in taking steps within individuals were predictive of subsequent AA but not treatment attendance. Conclusions: Results inform treatment providers about how RC trajectories vary depending on alcohol use, both within and between individuals, and how individuals may mobilize change attitudes and behaviors, especially in relation to AA attendance. Future research should investigate additional predictors of RC trajectories and the causal direction between RC and help seeking. (J. Stud. Alcohol Drugs, 75, 486-495, 2014)

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Dropout from 12-step self-help groups: Prevalence, predictors, and counteracting treatment influences

Cited by 132 publications

References 28 publications

Influence of Religiosity on 12-Step Participation and Treatment Response Among Substance-Dependent Adolescents

Influence of Religiosity on 12-Step Participation and Treatment Response Among Substance-Dependent Adolescents

Mutual aid groups in psychiatry and substance misuse

Longitudinal Trajectories of Readiness to Change: Alcohol Use and Help-Seeking Behavior

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