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: 8120894
• 负责人: KIMBERLY C KIRBY
• 金额: $ 59.96万
• 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/8120894
• 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; 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; public health relevance; response; satisfaction; skills; standardize measure; substance abuse treatment; 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）：在调整基于证据的实践以适合现实世界滥用治疗方案的现实世界中，存在据可查的挑战。对于基于社区的治疗计划而言，大多数实践都需要更多的培训和监督。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可在单一会议上使用多媒体资源（视频，音频）和预包装的教学辅助工具来教授的关键要素，以吸引参与者并刺激课堂讨论。会话材料包装在具有吸引力的多用途“工具包”中，以帮助教师通过最少的指导或监督准确地提供复杂的信息。我们建议将这种方法转化为成瘾治疗领域：我们将开发，实施和测试一组工具包的概念忠诚度，实用性和吸引力，以帮助滥用药物滥用辅导员在经验得出的12个步骤恢复主题上进行小组会议，包括寻找会议和一个家庭小组，包括在12个步骤的小组中，在12个步骤的小组中进行了误解，并与其他参与和其他参与有关，以及其他参与以及其他参与以及其他参与以及其他参与，以及其他参与。我们将从10个住院治疗计划中随机分配80名辅导员，以治疗为治疗（TAU）或工具包组（TK）。 TK辅导员将收到四个“工具包” - 四个12步主题中的一个，每个主题都包含一个简短的DVD，演员说明了小组主题，并具有各种易于使用的教​​学辅助工具，所有这些都用塑料套件打包（实际上是工具包）。这些基于证据的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技巧和项目匹配手册和策略，这些手册和策略已被证明可以有效促进12步参与。辅导员成果领域利用了计划实施的公认结构：依从性，质量，剂量和参与者的响应能力。我们将在干预之前对我们课程中的四个12步主题进行小组会议的所有辅导员进行录音，并在干预之前，在相同的主题上，在1和6个月后（n = 960会议）（n = 960会议）比较研究组和小组内部的概念忠诚度和一般技能。辅导员还将对工具包的可接受性和价值进行评分，并在干预后12个月内每月报告其工具包利用率。除了辅导员评估外，我们还将对四个12步恢复课程（n = 2,400）表示满意，并跟踪患者的子样本（n = 400、200 tk和200个tau/对照），他们筛选了酒精问题呈阳性的患者。在研究条件之间，将比较患者12步的参与（会议和12步恢复参与）在1月，3个月和6个月的治疗中；这些数据将说明干预措施的最终功效以促进治疗后12步的参与。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信息到科学基础，经过验证的临床工具中，这些工具将适合当代药物滥用治疗计划的资源挑战者环境。 公共卫生相关性：将经验证实或“基于证据”的做法纳入基于社区的滥用药物治疗计划中，但需要在这种情况下通常受到限制的大量资源（时间，员工和财务）。这个创新的项目将开发一个具有多媒体“工具包”的吸引人，具有成本效益且易于使用的课程，以帮助辅导员准确，全面地引入小组咨询会议中12步恢复的核心主题，这是一种凭经验证明的方法，旨在促进物质使用的减少。如果成功的话，这种传播科学验证的实践的方法将推进NIAAA的使命，即在美国，将研究结果转化和传播研究结果，每天每天提供近100万个门诊服务访问，并每天提供近100万个门诊服务访问，并每天提供120,000人。