Development of a Comprehensive and Dynamic AA Process Model: One Day at a Time
开发全面、动态的 AA 流程模型:一次一天
基本信息
- 批准号:10544294
- 负责人:
- 金额:$ 50.44万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-01-01 至 2024-12-31
- 项目状态:已结题
- 来源:
- 关键词:AbstinenceAccountingAchievementAddressAdolescentAdultAlcoholics AnonymousAlcoholsBehaviorBehavioral MechanismsClientCognitionCommunitiesDataData CollectionDevelopmentDisease modelEcological momentary assessmentEffectivenessEvaluationFrequenciesGoalsHeterogeneityImpulsivityInterceptInterviewInvestigationLongitudinal StudiesMeasurementMediatingMediatorModelingOutcomePersonsPopulation HeterogeneityProcessPropertyProtocols documentationProviderRandomizedRecording of previous eventsResearchResearch PersonnelResearch SupportResourcesSamplingSelf EfficacySocial supportSpiritualityTestingTimeTreatment StepTreatment outcomeUnited StatesWorkalcohol abstinencealcohol abuse therapyalcohol related problembehavior changecatalystcomparison groupcostcritical perioddesigndrinkingethnic diversityimprovedinnovationlongitudinal designmeetingsmulti-site trialproblem drinkerprogramsrate of changeself helpsubstance abuse treatmentsuccess
项目摘要
Alcoholics Anonymous (AA) is one of the most popular resources for dealing with alcohol-related problems,
and 12-step therapy (TS), based upon AA doctrine and practice, is one of the prevailing alcohol treatment
approaches in the United States. Two large multisite trials, one high in internal validity (PMRG, 1997) and the
second high in external validity (VA Substance Abuse Treatment Study; Quimette, 1997) came to the same
conclusion, TS was equally effective as more research supported therapies, and may actually be superior
when total abstinence is the treatment goal. A primary objective of TS is to facilitate AA affiliation and strong
evidence suggests that this aim is a major factor accounting for the effectiveness of TS (e.g., Tonigan, 2005).
High priority has therefore been assigned to the investigation of what actually occurs in AA, with a special
focus on identifying prescribed AA behaviors and processes that are predictive of drinking reduction. The
guiding assumption of these efforts is that the key to improve TS is to first understand AA better. To this end,
this study will generate, for the first time, a comprehensive and definitive process model of AA-related behavior
change. This objective will be realized through the highly innovative use of EMA data collection among early
AA affiliates. Using real-time daily data, aim 1 will determine if four MOBC identified by AA researchers (gains
in social support, increased abstinence self-efficacy, spiritual practices, and negative urgency) mediate the
linkage between three types of AA prescribed behaviors and drinking outcome. Noteworthy, these analyses will
include the first rigorous testing of six of seven of Kazdin's (2007) criteria to confirm (or reject) that these four
statistical mediators are MOBC. Aim 2 will investigate whether the actions of the AA active ingredients on
mediators (a path) and the actions of the mediators (b path) are constant over time or, alternatively, if there are
critical periods of influence. Last, aim 3 will determine if the four MOBC operate differently across distinct
subpopulations. To achieve study aims, we propose a two-group randomized longitudinal study (N = 190). In
one group (n = 130) we will collect 6-months of continuous EMA data, allowing us to examine near real-time
associations between AA active ingredients in three domains, four MOBC, and drinking. In tandem, we will also
conduct in-person interviews at baseline, 3, and 6-months. Assessment reactivity is a concern, especially so
because this will be the first study to use EMA in addition to in-person interviews in AA research. We will
therefore include a traditional fixed assessment group (n = 60) also interviewed at baseline, 3, and 6-months to
identify potential measurement biases introduced in our innovative approach. Achievement of study aims will
generate the first empirically validated AA process model that will inform TS with critical information for
improving treatment outcomes.
匿名戒酒会(AA)是处理酒精相关问题最受欢迎的资源之一,
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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J. SCOTT TONIGAN其他文献
J. SCOTT TONIGAN的其他文献
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{{ truncateString('J. SCOTT TONIGAN', 18)}}的其他基金
Development of a Comprehensive and Dynamic AA Process Model: One Day at a Time
开发全面、动态的 AA 流程模型:一次一天
- 批准号:
10077808 - 财政年份:2020
- 资助金额:
$ 50.44万 - 项目类别:
Development of a Comprehensive and Dynamic AA Process Model: One Day at a Time
开发全面、动态的 AA 流程模型:一次一天
- 批准号:
10322024 - 财政年份:2020
- 资助金额:
$ 50.44万 - 项目类别:
Development of a Comprehensive and Dynamic AA Process Model: One Day at a Time
开发全面、动态的 AA 流程模型:一次一天
- 批准号:
9887056 - 财政年份:2020
- 资助金额:
$ 50.44万 - 项目类别:
Urban Native Americans and Alcoholics Anonymous
美国城市原住民和戒酒互诫协会
- 批准号:
8683979 - 财政年份:2014
- 资助金额:
$ 50.44万 - 项目类别:
Urban Native Americans and Alcoholics Anonymous
美国城市原住民和戒酒互诫协会
- 批准号:
8930904 - 财政年份:2014
- 资助金额:
$ 50.44万 - 项目类别:
Research and Mentoring in AA-related Mechanisms of Change
AA 相关变革机制的研究和指导
- 批准号:
8443048 - 财政年份:2013
- 资助金额:
$ 50.44万 - 项目类别:
Research and Mentoring in AA-related Mechanisms of Change
AA 相关变革机制的研究和指导
- 批准号:
8902747 - 财政年份:2013
- 资助金额:
$ 50.44万 - 项目类别:
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 - 财政年份:2011
- 资助金额:
$ 50.44万 - 项目类别:
Review of the AA Literature: Clinical and Research Implications
AA 文献回顾:临床和研究意义
- 批准号:
8190743 - 财政年份:2011
- 资助金额:
$ 50.44万 - 项目类别:
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