Review of the AA Literature: Clinical and Research Implications

AA 文献回顾：临床和研究意义

• 批准号: 8313925
• 负责人: J. SCOTT TONIGAN
• 金额: $ 14.16万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-08-05 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8313925
• 关键词: Abstinence; Addictive Behavior; Address; Adult; Aftercare; Alcohol abuse; Alcoholics Anonymous; Area; Characteristics; Charge; Clinical Research; Code; Communities; Copyright; Cost Control; Data Files; Data Set; Development; Diagnosis; Evaluation; Functional RNA; Future; Goals; Health Personnel; Health Services; Individual; Intervention; Investigation; Journals; Laws; Literature; Meta-Analysis; Mind; Modeling; National Institute on Alcohol Abuse and Alcoholism; Nature; Outcome; Paper; Patients; Peer Review; Persons; Proliferating; Publications; Publishing; Recommendation; Relative (related person); Reporting; Research; Research Personnel; Self Efficacy; Seminal; Spirituality; Strategic Planning; System; Techniques; Time; United States; addiction; alcohol abuse therapy; alcohol related problem; base; behavior change; behavioral health; career; clinical practice; evidence based guidelines; experience; improved; interest; named group; non-alcoholic; pressure; programs; psychosocial; self help

DESCRIPTION (provided by applicant): This revised application responds to PA-10-069. Alcoholics Anonymous (AA) is the most popular self-help program for persons with alcohol-related problems, and 12-step therapy, based on AA doctrine and practice, is the prevailing alcohol treatment model in the United States. Understandably, then, hundreds of investigations on community-based AA have been conducted, and recent narrative reviews of this empirical literature are relatively common. Narrative reviews are of limited value as they tend to review only "statistically significant" findings, they do not provide estimates of the magnitude of effects and, by not providing such estimates, these reviews miss the opportunity to alert researchers to the most fertile areas for future investigations. To overcome these limitations we propose to do a comprehensive review of the empirical AA literature (1993- 2009) using advanced meta-analytic techniques. It has been 19 years since the last comprehensive review of this kind (Emrick et al., 1993), and in that time about 450-500 AA peer- reviewed papers have been published. This review has three aims: (1) we will summarize the AA literature from 1993-2009 focusing on AA affiliation profiles and the magnitude and nature of AA- related benefit. We will do this with much improved procedural and statistical approaches relative to our 1993 and 1996 meta-analytic reviews, (2) we will review three new areas of AA research, a meta-analytic synthesis made possible because of the surge of AA research since 1993. The areas are: (a) mechanisms of change in AA, (b) special populations and AA, and (c) long-term AA affiliation and outcome. Summaries of these new areas will provide practitioners and researchers with a unique perspective in understanding how, and for whom, AA may be helpful. Related, we plan to identify, code, and analyze non-AA self-help peer-reviewed papers. (3) We will disseminate meta-analytic papers to high impact journals, make available the data set to investigators, and distribute, free of charge, a CD that contains a PDF file with the references for all qualitative and quantitative papers identified in the meta-analytic search, with accompanying PDF reproduced articles when copyright laws permit.

描述（由申请人提供）：本修订申请响应PA-10-069。匿名戒酒会（AA）是针对酒精相关问题的人最受欢迎的自助计划，基于AA理论和实践的12步疗法是美国流行的酒精治疗模式。可以理解的是，那么，数以百计的调查，以社区为基础的AA已经进行，最近的叙述性评论，这方面的实证文献是比较常见的。叙述性审查的价值有限，因为它们往往只审查“统计上显著”的发现，它们不提供对影响程度的估计，而且由于不提供这种估计，这些审查错过了提醒研究人员注意未来研究最肥沃领域的机会。为了克服这些局限性，我们建议使用先进的荟萃分析技术对经验AA文献（1993- 2009）进行全面回顾。自上一次这类全面审查以来已经有19年了（Emrick等人，1993），在这段时间内，大约有450-500篇AA同行评审的论文已经发表。这次审查有三个目标：（1）我们将总结1993-2009年的AA文献，重点是AA的从属概况以及AA相关益处的大小和性质。相对于我们1993年和1996年的元分析综述，我们将采用改进的程序和统计方法来做到这一点。（2）我们将回顾AA研究的三个新领域，由于1993年以来AA研究的激增，元分析综合成为可能。这些领域是：（a）AA的变化机制，（B）特殊人群和AA，以及（c）AA的长期联系和结果。这些新领域的总结将为从业者和研究人员提供一个独特的视角，以了解AA如何以及对谁有帮助。相关的，我们计划识别，编码和分析非AA自助同行评审论文。(3)我们将把荟萃分析论文分发给高影响力的期刊，向研究者提供数据集，并免费分发一张CD，其中包含一个PDF文件，其中包含荟萃分析检索中识别的所有定性和定量论文的参考文献，以及在版权法允许的情况下附带的PDF复制文章。