Beneficial effects of motivational interviewing case management: A latent class analysis of recovery capital among sober living residents with criminal justice involvement.
Beneficial effects of motivational interviewing case management: A latent class analysis of recovery capital among sober living residents with criminal justice involvement.
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DOI：
10.1016/j.drugalcdep.2019.03.017
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发表时间：
2019-07-01
影响因子：
4.2
通讯作者：
Li L
中科院分区：
文献类型：
--
作者：
Witbrodt J;Polcin D;Korcha R;Li L
这一次要分析使用了最近对居住在清醒生活屋（SLHs）的有物质使用障碍的缓刑犯和假释犯（N = 330）进行的临床试验的数据。治疗组接受动机性访谈病例管理（MICM），对照组接受SLH住院治疗。两种情况在多个领域都有所改善，尽管随机分配到MICM的居民在刑事司法结果方面的改善明显高于常规护理对照组。由于MICM旨在帮助前罪犯在多个领域获得更多的恢复资本（RC），我们假设MICM参与者已经拥有较高的RC，在随访中比具有较高RC的普通SLH居民表现出更大的改善。此外，MICM与低RC的普通SLH居民在1年随访时无差异。潜类分析（LCA）将参与者分为两种类型的RC：低RC和高RC。这些类别与研究条件相互作用，以预测随访时六个成瘾严重程度指数（ASI）的变化。MICM对RC等级较高的人更有效，参加至少三次MICM会议的人在药物、法律和精神方面的结果有更大的改善。对于低RC等级的患者，MICM并不比常规护理更有益。SLH营办商应考虑为拥有较多RC资源的居民推行MICM。那些康复资源较少的人，例如有精神问题或身体/性虐待历史的人，将受益于更深入的干预，以帮助他们提高康复的数量和质量。
This secondary analysis uses data from a recent clinical trial conducted with probationers and parolees with substance use disorders (N = 330) residing in Sober Living Houses (SLHs). The treatment condition received Motivational Interviewing Case Management (MICM), while controls received usual care SLH residency. Both conditions improved on multiple domains, though residents randomized to MICM improved significantly more than usual care controls on criminal justice outcomes. Because MICM is designed to help ex-offenders attain more recovery capital (RC) in multiple domains, we hypothesized MICM participants that already possessed higher RC would show significantly greater improvement at follow-up than usual SLH residents with higher RC. Moreover, MICM and usual SLH residents with low RC would show no differences at 1-year follow-up. A latent class analysis (LCA) grouped participants into two patterns of RC: those with low RC and those with high RC. These classes were interacted with study condition to predict change on six Addiction Severity Indices (ASI) at follow-up. MICM was more effective for the higher RC class, with greater improvement in drug, legal, and psychiatric outcomes for those who attended at least three MICM sessions. MICM was no more beneficial than usual care for those in a low RC class. SLH operators should consider implementation of MICM for residents with more RC resources. Those with fewer recovery resources, such as a history of psychiatric problems or physical/sexual abuse, would benefit from a more intensive intervention to assist them with improving the amount and quality of their RC.
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影响因子：
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作者：
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通讯作者：
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通讯作者：
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