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: 8308024
• 负责人: KIMBERLY C KIRBY
• 金额: $ 59.58万
• 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/8308024
• 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; Fostering; Funding; Goals; Grant; Group Homes; Hand; Individual; Inpatients; Instruction; Intervention; Learning; Literature; Manuals; Measurement; Measures; Methods; Mission; Modeling; Multimedia; Names; National Institute of Drug Abuse; 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; abstracting; addiction; base; community based treatment; cost effective; design; disorder later incidence prevention; evidence base; experience; field study; follow-up; group counseling; improved; innovation; intervention effect; meetings; motivational enhancement therapy; packaging material; post intervention; programs; response; satisfaction; skills; standardize measure; substance abuse treatment; success; teacher; tool; treatment as usual; treatment program

Abstract - 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.

摘要 - 在调整基于证据的实践以适合现实世界中，有充分的挑战 药物滥用治疗计划。大多数实践需要比实用的更多培训和监督 用于基于社区的治疗计划。面对教学行业的类似问题， 教育研究人员将新的复杂主题分为单一会议中可教授的关键要素 使用多媒体资源（视频，音频）和预包装的教学辅助工具吸引参与者和 刺激班级讨论。会话材料包装在具有吸引力的多用途“工具包”中，以协助 教师通过最少的指导或监督准确地提供复杂信息。我们建议 将这种方法转化为成瘾治疗领域：我们将开发，实施和测试概念 忠诚，实用性和一系列工具包的吸引力，以帮助滥用药物咨询顾问 在经验衍生的12步恢复主题上进行小组会议，包括查找会议和房屋 小组，积极参与12步组，解决参与的误解和障碍，以及 其他的。我们将从10个住院治疗计划中随机分配80名辅导员， 通常（TAU）或工具包组（TK）。 TK辅导员将收到四个“工具包” - 四个12步中的每个工具包 主题 - 每个都包含一个简短的DVD，演员说明了小组主题，并且易于使用的教​​学 艾滋病，全部包装在塑料套件中（实际上是工具套件）。这些基于证据的12步主题的内容将是 基于广泛使用的手册，例如NIAAA治疗手册，SAMHSA技巧和项目匹配手册 以及已证明可以有效促进12步参与的策略。辅导员成果领域 利用计划实施的公认结构：依从性，质量，剂量和参与者 响应能力。我们将在四个12步上进行小组会议的所有辅导员进行录音和评价 干预之前的课程中的主题，在同一主题上，1和6个月后（n = 960） 会议）以比较研究组和小组内部的概念忠诚度和一般技能， 时间。辅导员还将对工具包的可接受性和价值进行评分，并每月报告其工具包利用率 干预后12个月。除了辅导员评估外，我们还将对四个 12步恢复课程（n = 2,400）并跟踪患者的子样本（n = 400、200 tk和200 tau/对照）谁筛选了酒精问题呈阳性。患者12步参与（会议的出勤和 在研究之间，将在1-，3-和6个月的治疗中进行12步恢复参与）。 状况;这些数据将说明干预措施的最终功效以促进处理后12步 参与。如果成功的话，这种创新，易于使用和成本效益的技术转移方法可以 帮助工程师基于证据的概念和有关科学基础，经过验证的临床工具的信息 在当代药物滥用治疗计划的资源挑战者环境中。