Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling

在团体咨询中实施 12 步恢复概念的多媒体工具包

• 批准号: 7730819
• 负责人: KIMBERLY C KIRBY
• 金额: $ 61.64万
• 依托单位: TREATMENT RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7730819
• 关键词: Address; Adherence; Aftercare; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Americas; Audiotape; Behavior; Calendar; Client; Client satisfaction; Clinical; Collaborations; Communities; Competence; Complex; Counseling; Data; Development; Dose; Education; Educational Curriculum; Educational process of instructing; Effectiveness; Elements; Engineering; Environment; Equilibrium; Evaluation; Evidence based practice; Exercise; Exhibits; Exposure to; Follow-Up Studies; Fostering; Funding; Goals; Grant; Group Homes; Hand; Individual; Inpatients; Instruction; Intervention; Learning; Literature; Manuals; Measurement; Measures; Methods; Mission; Modeling; Multimedia; Names; National Institute on Alcohol Abuse and Alcoholism; Outcome; Outpatients; Participant; Patient Self-Report; Patients; Pharmaceutical Preparations; Plastics; Professional counselor; Protocols documentation; Randomized; Reaction; Reading; Records; Recovery; Relative (related person); Reporting; Research; Research Personnel; Resources; Schools; Science; Services; Staging; Substance abuse problem; Supervision; Technology Transfer; Telephone; Testing; Therapeutic; Time; Training; Translating; Treatment Efficacy; United States Substance Abuse and Mental Health Services Administration; Visit; Walking; Work; addiction; base; community based treatment; cost; cost effective; design; disorder later incidence prevention; evidence base; experience; field study; group counseling; improved; innovation; intervention effect; meetings; motivational enhancement therapy; packaging material; post intervention; programs; public health relevance; response; satisfaction; skills; standardize measure; success; teacher; tool; treatment as usual; treatment program

DESCRIPTION (provided by applicant): There are well documented challenges in adapting evidence based practices to fit the real world of substance abuse treatment programs. Most practices require more training and supervision than is practical for community-based treatment programs. Faced with a similar problem in the teaching profession, educational researchers have divided new and complex topics into key elements teachable in single sessions using multimedia resources (video, audio) and pre-packaged teaching aids to engage participants and stimulate class discussion. Session materials are packaged in an appealing, multi-use "toolkit" to assist teachers in delivering complex information accurately with minimal instruction or supervision. We propose to translate this approach to the addiction treatment field: We will develop, implement and test the conceptual fidelity, practical utility, and attractiveness of a curriculum of toolkits to help substance abuse counselors deliver group sessions on empirically derived 12-Step recovery topics including finding meetings and a home group, active participation in 12-Step groups, addressing misconceptions and barriers to participation, and others. We will randomly assign 80 counselors from 10 inpatient treatment programs to either treatment-as- usual (TAU) or the Toolkits group (TK). TK counselors will receive four "toolkits" - one on each of four 12-Step topics - each containing a brief DVD where actors illustrate the group topic, and assorted easy-to-use teaching aids, all packaged in a plastic kit (literally, a tool-kit). Content on these evidence-based 12-step topics will be based on widely used manuals e.g., NIAAA Therapy Manuals, SAMHSA TIPS and Project MATCH Manuals and strategies that have been shown to effectively promote 12-Step participation. Counselor outcome domains tap into accepted constructs of program implementation: adherence, quality, dose, and participant responsiveness. We will audiotape and rate all counselors conducting group sessions on the four 12-Step topics in our curriculum before the intervention and again, on the same topics, 1 and 6 months later (N=960 sessions) to compare concept fidelity and general skills between the study groups and within groups, over time. Counselors will also rate the toolkits' acceptability and value, and report monthly on their toolkit utilization for 12 months post-intervention. In addition to counselor assessments, we will collect satisfaction with the four 12-Step Recovery sessions (N=2,400) and track a subsample of patients (N = 400, 200 TK and 200 TAU/Control) who screen positive for alcohol problems. Patient 12-Step participation (meeting attendance and 12-Step recovery involvement) at 1-, 3- and 6-months post treatment will be compared between study conditions; these data will speak to the ultimate efficacy of the intervention to promote post-treatment 12-Step participation. If successful, this innovative, easy to use and cost effective method of technology transfer could help engineer evidence based concepts and information into science-base, validated clinical tools that will fit within the resource-challenged environment of contemporary substance abuse treatment programs. PUBLIC HEALTH RELEVANCE: Incorporating empirically-proven or "evidence-based" practices into community-based substance abuse treatment programs is critically needed but it requires substantial resources (time, staff and financial) that are often limited in such settings. This innovative project will develop an appealing, cost-effective and easy-to-use curriculum of multimedia "toolkits" to assist counselors in accurately and comprehensively introducing the core topics of 12-Step recovery in group counseling sessions, an approach empirically demonstrated to promote reductions in substance use. If successful, this method of disseminating scientifically-validated practices will advance a critical component in NIAAA's mission of translating and disseminating research findings to the 13,371 treatment programs throughout the US that provide almost 1 million outpatient service visits daily and treat an additional 120,000 people in residential/inpatient treatment daily.

描述（由申请人提供）：在采用基于证据的实践以适应药物滥用治疗计划的现实世界方面存在有据可查的挑战。大多数实践需要比社区治疗计划更多的培训和监督。面对教学行业中的类似问题，教育研究人员利用多媒体资源（视频、音频）和预先包装的教具，将新的复杂主题划分为可在单次会议中教授的关键要素，以吸引参与者并激发课堂讨论。课程材料被包装在一个有吸引力的、多用途的“工具包”中，以帮助教师在最少的指导或监督下准确地传递复杂的信息。我们建议将这种方法转化为成瘾治疗领域：我们将开发、实施和测试工具包课程的概念保真度、实用性和吸引力，以帮助药物滥用咨询师就经验得出的 12 步康复主题提供小组会议，包括寻找会议和家庭小组、积极参与 12 步小组、解决误解和参与障碍等。我们将从 10 个住院治疗项目中随机分配 80 名咨询师到照常治疗组 (TAU) 或工具包组 (TK)。传统知识辅导员将收到四个“工具包”——四个 12 步主题各一个——每个工具包包含一张简短的 DVD，其中演员阐释了小组主题，以及各种易于使用的教​​具，所有这些都包装在一个塑料套件（字面意思是工具包）中。这些循证 12 步主题的内容将基于广泛使用的手册，例如 NIAAA 治疗手册、SAMHSA TIPS 和 Project MATCH 手册以及已被证明可有效促进 12 步参与的策略。辅导员结果领域利用了项目实施的公认结构：依从性、质量、剂量和参与者的反应性。我们将在干预之前对所有辅导员就我们课程中的四个 12 步主题进行小组会议进行录音并进行评分，并在 1 个月和 6 个月后再次就相同的主题进行评分（N = 960 次会议），以比较研究组之间和组内随着时间的推移的概念保真度和一般技能。辅导员还将评估工具包的可接受性和价值，并每月报告干预后 12 个月内工具包的使用情况。除了咨询师评估之外，我们还将收集对四次 12 步恢复课程 (N = 2,400) 的满意度，并跟踪酒精问题筛查呈阳性的患者子样本 (N = 400、200 TK 和 200 TAU/对照)。将在不同研究条件下比较治疗后 1、3 和 6 个月的患者 12 步参与（会议出席和 12 步康复参与）；这些数据将说明干预措施促进治疗后 12 步参与的最终效果。如果成功，这种创新、易于使用且具有成本效益的技术转让方法可以帮助将基于证据的概念和信息设计成基于科学的、经过验证的临床工具，这些工具将适合当代药物滥用治疗项目资源匮乏的环境。 公共卫生相关性：迫切需要将经经验证明或“基于证据”的做法纳入基于社区的药物滥用治疗计划，但它需要大量资源（时间、人员和财务），而这些资源在此类环境中通常是有限的。这一创新项目将开发一种有吸引力、具有成本效益且易于使用的多媒体“工具包”课程，以协助辅导员在团体咨询课程中准确、全面地介绍“12步康复”的核心主题，这种方法经经验证明可以促进减少药物使用。如果成功，这种传播经过科学验证的实践的方法将推动 NIAAA 使命的一个关键组成部分，即将研究成果转化和传播到全美 13,371 个治疗项目，这些项目每天提供近 100 万门诊服务，并每天为另外 120,000 人提供住院/住院治疗。