Participation in Alcoholics Anonymous: Intended and Unintended Change Mechanisms

Owen, Patricia L.; Slaymaker, Valerie; Tonigan, J. Scott; McCrady, Barbara S.; Epstein, Elizabeth E.; Kaskutas, Lee Ann; Humphreys, Keith; Miller, William R.

doi:10.1097/01.alc.0000057941.57330.39

Cited by 61 publications

(60 citation statements)

References 33 publications

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“…There is a large body of literature documenting the links between beliefs regarding religion or spirituality, drinking self-effi cacy, and purpose in life with AA involvement (Carroll, 1993;Connors et al, 2001;Morgenstern et al, 1997;Owen et al, 2003;Project MATCH Research Group, 1997;Timko et al, 2006;Tonigan et al, 2002). Thus, we expected higher participation in faith-based practices, confi dence in one's ability to resist drinking, and purpose in life to predict initial AAH.…”

Section: Predictors Of Aa Involvementmentioning

confidence: 95%

Predictors of Initial AA-Related Helping: Findings From Project MATCH

Pagano

Zemore

Onder

et al. 2009

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The purpose of this article is to identify the factors that predict initial Alcoholics Anonymous (AA)-related helping following treatment admission. Method: Data were derived from Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), a longitudinal investigation of the effi cacy of three behavioral treatments for alcohol abuse and dependence. Cox proportional hazard regressions were performed to determine the extent to which demographic, clinical, belief, and AA factors predicted initial AA-related helping. Results: Demographic characteristics, drinking severity, antisocial personality, and purpose in life were not associated with initial AA-related helping. Increased self-effi cacy, faith-based practices, meeting attendance, number of steps worked, having a sponsor, and length of sobriety predicted initial AA-related helping. Alcoholics reported elevated depressive symptoms before initial AA-related helping, lowered depressive symptoms at the start of AA-related helping, and similarly lowered depressive symptoms in the interval following initial AA-related helping. Conclusions: The profi le of prospective helpers in AA is not limited to alcoholics from certain backgrounds or higher functioning in terms of drinking or clinical severity. To increase participation in AA-related helping, and hence outcomes, results suggest strengthening self-effi cacy and progress in other AA programmatic components. (J. Stud. Alcohol Drugs 70: [117][118][119][120][121][122][123][124][125] 2009)

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Section: Predictors Of Aa Involvementmentioning

confidence: 95%

Predictors of Initial AA-Related Helping: Findings From Project MATCH

Pagano

Zemore

Onder

et al. 2009

J. Stud. Alcohol Drugs

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“…The results of Project MATCH suggested that TSF was comparable with cognitive-behavioral therapy and motivational enhancement therapy on most outcomes of several indicators of measures of abstinence and superior to the others at the 3-year follow-up (Project MATCH Research Group, 1998). TSF has also been associated with higher rates of self-help involvement, which in turn has been associated with less alcohol use (Brown et al, 2002;Connors et al, 2001;Humphreys et al, 2004;Owen et al, 2003). TSF and closely related approaches have also been demonstrated to be as effective as, or more effective than, other approaches among several samples of drug users (Carroll et al, 1998b;Crits-Christoph et al, 1999;Wells et al, 1994).…”

mentioning

confidence: 99%

One Small Step for Manuals: Computer-Assisted Training in Twelve-Step Facilitation

Sholomskas

Carroll

2006

J. Stud. Alcohol

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ABSTRACT.Objective: The burgeoning number of empirically validated therapies has not been met with systematic evaluation of practical, inexpensive means of teaching large numbers of clinicians to use these treatments effectively. An interactive, computer-assisted training program that sought to impart skills associated with the Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity) Twelve-Step Facilitation (TSF) manual was developed to address this need. Method: Twenty-five community-based substance use-treatment clinicians were randomized to one of two training conditions: (1) access to the computer-assistcd training program plus the TSF manual or (2) access to the manual only. The primary outcome measure was change from preto posttraining in the clinicians' ability to demonstrate key TSF skills. Results: The data suggested that the clinicians' ability to implement TSF, as assessed by independent ratings of adherence and skill for the key TSF interventions, was significantly higher after training for those who had access to the computerized training condition than those who were assigned to the manual-only condition. Those assigned to the computerassisted training condition also demonstrated greater gains in a knowledge test assessing familiarity with concepts presented in the TSF manual. Conclusions: Computer-based training may be a feasible and effective means of training larger numbers of clinicians in empirically supported, manual-guided therapies. (J. Stud. Alcohol 67: 939-945, 2006)

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“…There is still little understanding, moreover, of what involvement in AA specifically entails. This involvement has been determined to be a multidimensional construct, one component of which is AA meeting attendance (Allen, 2000;Caldwell and Cutter, 1998;Gilbert, 1991;Morgenstern et al, 1997;Owen et al, 2003;Snow et al, 1994;Tonigan et al, 1995). Other identified components are faith development (Horstmann and Tonigan, 2002), social networks (Kaskutas et al, 2002;Longabaugh et al, 1998) and several AA-related practices, such as declaring a Home Group and engaging in conversations with AA members both before and after meetings (Caldwell and Cutter, 1998).…”

mentioning

confidence: 99%