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: 7267107
• 负责人: Lee A Kaskutas
• 金额: $ 43.34万
• 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 2010-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7267107
• 关键词: Abstinence; Accounting; Adoption; Aftercare; Alcoholics Anonymous; Alcohols; Ambulatory Care Facilities; Appendix; Applications Grants; Area; Attitude; Behavior; Caring; Client; Clinical; Clinical Trials; Color; Condition; Depth; Drug usage; Effectiveness; Effectiveness of Interventions; Evaluation; Funding; Goals; Grant; Group Therapy; Health Maintenance Organizations; Health Services; Individual; Intention; Intervention; Interview; Linear Regressions; Managed Care; Manuals; Measures; Mediating; Minority; Modeling; Monitor; NIH Program Announcements; Narcotics; National Institute on Alcohol Abuse and Alcoholism; Nature; Numbers; Outcome; Outpatients; Participant; Patient Self-Report; Patients; Planning Theory; Population; Process; Professional counselor; Protocols documentation; Provider; Rate; Recording of previous events; Recruitment Activity; Research; Role; Services; Severities; Site; Social support; Stress; Subgroup; Surveys; Techniques; Telephone; Testing; Training; Treatment Effectiveness; Treatment outcome; Urine; Videotape; Walking; Week; Woman; Work; alcohol abuse therapy; base; cohort; day; design; drinking; early /brief intervention /therapy; effectiveness trial; follow-up; improved; interest; member; men; programs; psychologic; theories; tool; tool development; treatment effect; treatment program; trend

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）：本赠款申请响应NIAAA PA 02-167寻求合作治疗和服务研究的高度优先提供者，并强调团体治疗有效的管理式护理和少数民族人口。该申请提出了一项健康服务试验，以测试一种手动引导的、面向群体的12步促进干预措施，称为MAAEZ（使酗酒者匿名戒酒）。基于证据表明AA可以增强治疗效果，这种干预旨在帮助以群体为导向的治疗计划参与AA客户。到目前为止，还没有12步促进的团体格式手册经过测试，并提供给治疗计划。MAAEZ基于Ajzen的计划行为理论，专注于影响患者的态度，主观规范和对AA参与的控制感。MAAEZ的6个会议帮助参与者欣赏他们在AA遇到的人，意见和会议的多样性;找到他们喜欢的方便会议;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商。拟定试验（n=630）将在三家Kaiser门诊诊所进行。在招募的前10周，研究中心1、2和3的受试者将接受常规治疗（关闭状态）。在接下来的10周内，研究中心1和2的新队列将接受6次每周一次的MAAEZ治疗，以代替6次常规治疗（ON），而新的研究中心3队列将继续关闭，以便研究可以排除MAAEZ影响的历史记录。新的研究中心3受试者将在第三个10周招募期内接受MAAEZ。将在基线时以及基线后6周、6个月和12个月时对参与者进行访谈。调查措施包括AA参与;态度，主观规范，感知控制，并打算AA参与;和饮酒的结果（主要是禁欲）。自我报告的酒精和药物使用将通过尿液检测进行验证。该研究旨在测试MAAEZ是否增加AA参与和禁欲，以确定MAAEZ最有效的亚组，并评估与MAAEZ对AA参与和饮酒结果的影响相关的作用机制。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，并将积极合作，从实施到传播。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项目，为群体导向治疗的简短干预提供简洁的手册。

项目成果

Involvement in 12-step activities and treatment outcomes.

• DOI: 10.1080/08897077.2012.691452
• 发表时间: 2013
• 期刊: Substance abuse
• 影响因子: 3.5
• 作者: Zemore SE;Subbaraman M;Tonigan JS
• 通讯作者: Tonigan JS

Development and validation of the Alcoholics Anonymous Intention Measure (AAIM).

戒酒匿名意向测量 (AAIM) 的开发和验证。

• DOI: 10.1016/j.drugalcdep.2009.04.019
• 发表时间: 2009
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Zemore,SarahE;Kaskutas,LeeAnn
• 通讯作者: Kaskutas,LeeAnn

Social support and comfort in AA as mediators of "Making AA easier" (MAAEZ), a 12-step facilitation intervention.

AA 中的社会支持和舒适度作为“让 AA 更容易”(MAAEZ) 的中介，这是一项 12 步促进干预措施。

• DOI: 10.1037/a0028544
• 发表时间: 2012
• 期刊: Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
• 作者: Subbaraman,MeenakshiSabina;Kaskutas,LeeAnn
• 通讯作者: Kaskutas,LeeAnn