Making Alcoholics Anonymous Easier: A Group TSF Approach

让酗酒者匿名变得更容易：团体 TSF 方法

• 批准号: 7102676
• 负责人: Lee A Kaskutas
• 金额: $ 40.15万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-20 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7102676
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; attitude; behavioral /social science research tag; clinical research; clinical trials; drug /alcohol abstinence; group therapy; handbook; health care service planning; health services research tag; human subject; human therapy evaluation; interview; locus of control; longitudinal human study; outcomes research; outpatient care; self help organization; social cooperation; social group process; social support network; statistics /biometry; urinalysis

DESCRIPTION (provided by applicant): This grant application responds to NIAAA PA 02-167 seeking collaborative treatment and services studies of high priority to providers, and emphasizing group therapies effective for managed care and minority populations. The application proposes a health services trial to test a manual-guided, group-oriented 12-step facilitation intervention called MAAEZ (Making Alcoholics Anonymous Easier). Based on evidence that AA can potentiate treatment effects, this intervention aims to help group-oriented treatment programs engage clients in AA. To this point, no group format manual for 12-step facilitation has been tested and made available to treatment programs. MAAEZ is grounded in Ajzen's Theory of Planned Behavior, and focuses on influencing patient attitudes, subjective norms, and sense of control regarding AA involvement. MAAEZ's 6 sessions help participants to appreciate the diversity of people, opinions and meetings that they encounter at AA; find convenient meetings that they like; and make connections at AA, walking participants through the process of talking to AA members at meetings, calling them on the telephone, and asking someone to be a temporary sponsor. The proposed trial (n=630) will be undertaken in three Kaiser outpatient clinics. For the first 10 weeks of recruitment, participants at Sites 1, 2 and 3 will receive usual treatment (OFF condition). During the next 10 weeks, a new cohort at Sites 1 and 2 will receive 6 weekly MAAEZ sessions in place of 6 usual care sessions (ON), while OFF continues for the new Site 3 cohort so that the study can rule out historical accounts of MAAEZ's effects. New Site 3 participants will receive MAAEZ during a third 10-week recruitment period. Participants will be interviewed at baseline, and at 6 weeks, 6 months, and 12 months post-baseline. Survey measures include AA involvement; attitudes, subjective norms, perceived control, and intentions regarding AA involvement; and drinking outcomes (primarily abstinence). Self-reported alcohol and drug use will be validated by urine testing. The study aims to test whether MAAEZ increases AA involvement and abstinence, to identify subgroups for whom MAAEZ is most effective, and to evaluate mechanisms of action associated with MAAEZ's influence on AA involvement and drinking outcomes. Analyses will include mixed-model ANCOVA's and linear regressions. Consistent with the PA goals, Kaiser program directors and clinicians have been involved in the research questions and will actively collaborate from implementation through dissemination. If effective, MAAEZ should be of wide interest to providers, as it can be rapidly incorporated into existing programs, offering a succinct manual for brief interventions in group-oriented treatment.

描述(由申请人提供)：这项拨款申请响应了NIAAA PA 02-167的要求，寻求高度优先于提供者的合作治疗和服务研究，并强调对管理型护理和少数族裔人口有效的团体治疗。该应用程序提出了一项医疗服务试验，以测试一种名为MAAEZ(使酗酒者更容易)的手动指导、面向小组的12步促进干预措施。基于再生障碍性贫血可以增强治疗效果的证据，这种干预旨在帮助面向群体的治疗计划吸引客户参与再生障碍性贫血。到目前为止，还没有测试过12步促进的团体格式手册，并将其提供给治疗计划。MAAEZ以阿杰森的计划行为理论为基础，专注于影响患者对AA参与的态度、主观规范和控制感。MAAEZ的6个会议帮助参与者欣赏他们在AA遇到的人、观点和会议的多样性；找到他们喜欢的方便的会议；并在AA建立联系，引导参与者在会议上与AA成员交谈、打电话给他们，并要求某人成为临时赞助人。拟议的试验(n=630)将在三个Kaiser门诊诊所进行。在招募的头10周，地点1、地点2和地点3的参与者将得到通常的待遇(病假)。在接下来的10周内，站点1和站点2的新队列将接受每周6次MAAEZ疗程，而不是通常的6次护理疗程(ON)，而新站点3队列的OFF继续进行，以便研究可以排除MAAEZ影响的历史描述。新站点3的参与者将在第三个为期10周的招聘期内获得MAAEZ。参与者将在基线以及基线后6周、6个月和12个月接受访谈。调查测量包括戒酒参与；态度、主观规范、感知控制和参与戒酒的意图；以及饮酒结果(主要是禁欲)。自我报告的酒精和药物使用情况将通过尿检进行验证。这项研究的目的是测试MAAEZ是否增加了AA的参与和戒断，确定MAAEZ对哪些亚群最有效，并评估MAAEZ对AA参与和饮酒结果的影响的作用机制。分析将包括混合模型ANCOVA和线性回归。与PA的目标一致，Kaiser项目主任和临床医生一直参与研究问题，并将从实施到传播积极合作。如果有效，MAAEZ应该会引起提供者的广泛兴趣，因为它可以迅速纳入现有的计划，为面向群体的治疗提供一份简短的干预手册。