Adolescent Treatment and 12-step Mutual-help Involvement

青少年治疗和十二步互助参与

• 批准号: 7038540
• 负责人: JOHN F. KELLY
• 金额: $ 31.5万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-10 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7038540
• 关键词: adolescence (12-20); age difference; alcoholism /alcohol abuse; behavioral /social science research tag; belief; child behavior; child mental disorders; child psychology; clinical research; comorbidity; coping; drug addiction; health behavior; health care referral /consultation; health care service utilization; human subject; human therapy evaluation; longitudinal human study; mental health services; motivation; outpatient care; parent offspring interaction; parents; peer group; self help organization; substance abuse related disorder

DESCRIPTION (provided by applicant): The majority of treatment programs targeting youth are based on a "12-step" model, a central aim of which, is to facilitate involvement in 12-step mutual-help groups, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). Research indicates that youth who attend AA/NA meetings have significantly better treatment outcomes. Furthermore, because AA and NA community networks are widely available and flexible enough to provide "acute" abstinence-specific support (e.g., through a sponsor) at times of high risk (e.g., evenings, weekends) as well as function as ongoing support systems at no cost, they hold promise as a useful adjunct to professional services in an increasingly cost-constricting, managed-care environment. However, little is known about youth AA/NA participation, in general, and what is known is derived solely from inpatient settings, which may not reflect current treatment reality as the system has transitioned to mostly outpatient care. Further, little is known about factors that influence AA/NA participation, or the specific change processes youth undergo during professional 12-step treatment. A prospective, process-oriented, design will be utilized to assess: 1) the extent to which youth (N=162; 14-18 yrs) recruited from 12-steporiented outpatient treatment, attend, become involved in, and benefit from, AA/NA during a 12-month follow-up period; 2) factors that influence adolescent AA/NA participation and related benefits; and, 3) the influence of treatment involvement on 12-step (e.g., disease-model beliefs), and common (e.g., self-efficacy, coping), processes of change and how these, in turn, relate to proximal (i.e., AA/NA involvement) and distal (i.e., substance use) outcomes. A secondary aim is to investigate staff 12-step referral practices and staff and parent attitudes toward AA/NA attendance for youth. Results will provide new information about the effectiveness of treatment as delivered to youth in current treatment contexts and supply developmentallyspecific knowledge that will inform 12-step facilitation efforts targeting youth.

描述（由申请人提供）：针对青年的大多数治疗计划都是基于“ 12步”模型，其中一个核心目的是促进参与12步的共同助手组，例如匿名酒精（AA）和麻醉品匿名（NA）。研究表明，参加AA/NA会议的年轻人的治疗结果明显更好。此外，由于AA和NA社区网络在高风险（例如，通过赞助商）（例如，通过赞助商）（例如，晚上，周末）的功能以及持续的支持系统的功能，无需成本提供“急性”戒酒特定支持（例如，通过赞助商）提供“急性”的节制支持（例如，通过赞助商），它们可以在越来越多的成本限制的环境中提供有效的综合服务。 但是，一般来说，对于青年AA/NA的参与知之甚少，而已知的仅来自住院环境，这可能不会反映当前的治疗现实，因为该系统已经过渡到大多数门诊护理。此外，关于影响AA/NA参与的因素或在专业12步中接受的特定变化过程的因素知之甚少。将利用一种前瞻性，面向过程的设计来评估：1）从12个居住的门诊治疗中招募的年轻人（n = 162; 14-18年）在12个月的随访期间招募，参加，参与和受益于AA/NA； 2）影响青少年AA/NA参与和相关收益的因素； 3）治疗参与对12步（例如疾病模型信念）的影响以及常见（例如自我效能，应对），变化过程以及这些过程又如何与近端（即AA/NA的参与）和远端（即药物使用）相关。次要的目的是调查员工12步的推荐惯例，员工以及对年轻人的AA/NA出勤率的态度。结果将提供有关治疗在当前治疗环境中交付给年轻人的有效性的新信息，并提供了发育特异性的供应 知识将为针对青年的12个步骤促进努力提供信息。