Overcoming Addictions, a Web-Based Application, and SMART Recovery, an Online and In-Person Mutual Help Group for Problem Drinkers, Part 1: Three-Month Outcomes of a Randomized Controlled Trial
Overcoming Addictions, a Web-Based Application, and SMART Recovery, an Online and In-Person Mutual Help Group for Problem Drinkers, Part 1: Three-Month Outcomes of a Randomized Controlled Trial
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DOI：
10.2196/jmir.2565
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发表时间：
2013-07-01
影响因子：
7.4
通讯作者：
Delaney, Harold D.
中科院分区：
文献类型：
--
作者：
Hester, Reid K.;Lenberg, Kathryn L.;Delaney, Harold D.
背景：克服成瘾（OA）是一个禁欲为导向的，认知行为，基于SMART恢复程序的Web应用程序。SMART Recovery是一个组织，它采用经验支持的治疗策略，通过面对面会议、在线会议、论坛和其他资源在互助框架中使用。目的：评估OA和SMART Recovery（SR）对SMART Recovery新出现的问题饮酒者的有效性。我们的实验假设是：（1）与基线水平相比，所有组在随访时都会减少他们的饮酒和酒精/药物相关后果，（2）OA条件会比对照组（SR）更多地减少他们的饮酒和酒精/药物相关后果，以及（3）OA+SR条件会比对照组（仅SR）更多地减少他们的饮酒和酒精/药物相关后果。我们主要通过SMART Recovery的网站和美国各地的面对面会议招募了189名重度问题饮酒者。我们将参与者随机分配到（1）单独的OA，（2）OA+参加智能恢复（SR）会议（OA+SR），或（3）仅参加SR。通过与研究助理（RA）和研究参与者的GoToMeeting会议进行基线和随访。我们采访了重要的其他人来证实参与者的自我报告。主要结果的措施包括百分之几天禁欲（PDA），平均饮酒日（DDD），酒精/药物相关的consequences.Results：意向治疗分析的3个月的结果支持第一个假设，但不是其他。所有组的参与者都显著增加了他们的禁欲天数百分比，从44%增加到72%（P
Background: Overcoming Addictions (OA) is an abstinence-oriented, cognitive behavioral, Web application based on the program of SMART Recovery. SMART Recovery is an organization that has adapted empirically supported treatment strategies for use in a mutual help framework with in-person meetings, online meetings, a forum, and other resources.Objective: To evaluate the effectiveness of OA and SMART Recovery (SR) with problem drinkers who were new to SMART Recovery. Our experimental hypotheses were: (1) all groups will reduce their drinking and alcohol/drug-related consequences at follow-up compared to their baseline levels, (2) the OA condition will reduce their drinking and alcohol/drug-related consequences more than the control group (SR), and (3) the OA+SR condition will reduce their drinking and alcohol/drug-related consequences more than the control group (SR only).Methods: We recruited 189 heavy problem drinkers primarily through SMART Recovery's website and in-person meetings throughout the United States. We randomly assigned participants to (1) OA alone, (2) OA+attend SMART Recovery (SR) meetings (OA+SR), or (3) attend SR only. Baseline and follow-ups were conducted via GoToMeeting sessions with a Research Assistant (RA) and the study participant. We interviewed significant others to corroborate the participant's self-report. Primary outcome measures included percent days abstinent (PDA), mean drinks per drinking day (DDD), and alcohol/drug-related consequences.Results: The intent-to-treat analysis of the 3-month outcomes supported the first hypothesis but not the others. Participants in all groups significantly increased their percent days abstinent from 44% to 72% (P