A Randomized Clinical Trial of a Therapeutic Workplace for Chronically Unemployed, Homeless, Alcohol-Dependent Adults
A Randomized Clinical Trial of a Therapeutic Workplace for Chronically Unemployed, Homeless, Alcohol-Dependent Adults
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DOI：
10.1093/alcalc/agr057
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发表时间：
2011-09-01
影响因子：
2.8
通讯作者：
Silverman, Kenneth
中科院分区：
文献类型：
--
作者：
Koffarnus, Mikhail N.;Wong, Conrad J.;Silverman, Kenneth
目的：评估“治疗工作场所”在促进无家可归酗酒者戒酒方面的效力，这是一种药物滥用干预措施，在促进戒酒的同时解决贫穷和缺乏工作技能的问题。研究方法：参与者（n = 124）被随机分配到需要戒酒以从事有偿工作技能培训（有偿培训组），提供有偿工作技能培训，没有禁欲应急（有偿培训组）或提供无偿工作技能培训，没有禁欲应急（无偿培训组）。结果如下：在社区随机安排的呼吸样本和每月评估期间收集的呼吸样本中，应急有偿培训组的参与者的阳性（血液酒精水平>= 0.004 g/dl）呼吸样本明显少于有偿培训组。无报酬培训组的呼气样本结果在绝对值上与应急付费培训组相似，这可能是由于该组的呼气样本采集率较低以及摄入时报告的每日饮酒量较少。结论：总体而言，结果支持实用的治疗工作场所的干预措施，以促进戒酒无家可归的酗酒者，并支持有偿培训，以增加参与培训计划的一种方式。
Aims: To assess the efficacy of the Therapeutic Workplace, a substance abuse intervention that promotes abstinence while simultaneously addressing the issues of poverty and lack of job skills, in promoting abstinence from alcohol among homeless alcoholics. Methods: Participants (n = 124) were randomly assigned to conditions either requiring abstinence from alcohol to engage in paid job skills training (Contingent Paid Training group), offering paid job skills training with no abstinence contingencies (Paid Training group) or offering unpaid job skill training with no abstinence contingencies (Unpaid Training group). Results: Participants in the Contingent Paid Training group had significantly fewer positive (blood alcohol level >= 0.004 g/dl) breath samples than the Paid Training group in both randomly scheduled breath samples collected in the community and breath samples collected during monthly assessments. The breath sample results from the Unpaid Training group were similar in absolute terms to the Contingent Paid Training group, which may have been influenced by a lower breath sample collection rate in this group and fewer reported drinks per day consumed at intake. Conclusion: Overall, the results support the utility of the Therapeutic Workplace intervention to promote abstinence from alcohol among homeless alcoholics, and support paid training as a way of increasing engagement in training programs.