Making Alcoholics Anonymous Easier: A Group TSF Approach

让酗酒者匿名变得更容易：团体 TSF 方法

• 批准号: 6819857
• 负责人: Lee A Kaskutas
• 金额: $ 58.84万
• 依托单位: PUBLIC HEALTH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-20 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6819857
• 关键词: alcoholism /alcohol abuse; alcoholism /alcohol abuse prevention; alcoholism /alcohol abuse therapy; attitude; behavioral /social science research tag; clinical research; clinical trials; drug /alcohol abstinence; group therapy; handbook; health care service planning; health services research tag; human subject; human therapy evaluation; interview; locus of control; longitudinal human study; outcomes research; outpatient care; self help organization; social cooperation; social group process; social support network; statistics /biometry; urinalysis

DESCRIPTION (provided by applicant): This grant application responds to NIAAA PA 02-167 seeking collaborative treatment and services studies of high priority to providers, and emphasizing group therapies effective for managed care and minority populations. The application proposes a health services trial to test a manual-guided, group-oriented 12-step facilitation intervention called MAAEZ (Making Alcoholics Anonymous Easier). Based on evidence that AA can potentiate treatment effects, this intervention aims to help group-oriented treatment programs engage clients in AA. To this point, no group format manual for 12-step facilitation has been tested and made available to treatment programs. MAAEZ is grounded in Ajzen's Theory of Planned Behavior, and focuses on influencing patient attitudes, subjective norms, and sense of control regarding AA involvement. MAAEZ's 6 sessions help participants to appreciate the diversity of people, opinions and meetings that they encounter at AA; find convenient meetings that they like; and make connections at AA, walking participants through the process of talking to AA members at meetings, calling them on the telephone, and asking someone to be a temporary sponsor. The proposed trial (n=630) will be undertaken in three Kaiser outpatient clinics. For the first 10 weeks of recruitment, participants at Sites 1, 2 and 3 will receive usual treatment (OFF condition). During the next 10 weeks, a new cohort at Sites 1 and 2 will receive 6 weekly MAAEZ sessions in place of 6 usual care sessions (ON), while OFF continues for the new Site 3 cohort so that the study can rule out historical accounts of MAAEZ's effects. New Site 3 participants will receive MAAEZ during a third 10-week recruitment period. Participants will be interviewed at baseline, and at 6 weeks, 6 months, and 12 months post-baseline. Survey measures include AA involvement; attitudes, subjective norms, perceived control, and intentions regarding AA involvement; and drinking outcomes (primarily abstinence). Self-reported alcohol and drug use will be validated by urine testing. The study aims to test whether MAAEZ increases AA involvement and abstinence, to identify subgroups for whom MAAEZ is most effective, and to evaluate mechanisms of action associated with MAAEZ's influence on AA involvement and drinking outcomes. Analyses will include mixed-model ANCOVA's and linear regressions. Consistent with the PA goals, Kaiser program directors and clinicians have been involved in the research questions and will actively collaborate from implementation through dissemination. If effective, MAAEZ should be of wide interest to providers, as it can be rapidly incorporated into existing programs, offering a succinct manual for brief interventions in group-oriented treatment.

描述（由申请人提供）：该赠款申请对NIAAA PA 02-167响应，寻求对提供者高优先级的协作治疗和服务研究，并强调对托管护理和少数群体有效的小组疗法。该申请提出了一项卫生服务试验，以测试手动指导的，面向团体的12步促进干预措施，称为Maaez（使酒精中毒更容易）。基于AA可以增强治疗效果的证据，该干预措施旨在帮助以团体为导向的治疗计划吸引客户参与AA。至此，尚未对12步促进的小组格式手册进行测试，并可以用于治疗计划。 Maaez以Ajzen的计划行为理论为基础，并着重于影响患者的态度，主观规范和对AA参与的控制感。 Maaez的6次会议可帮助参与者欣赏他们在AA遇到的人，观点和会议的多样性；寻找他们喜欢的方便会议；并在AA建立联系，散步参与者在会议上与AA成员交谈，打电话给他们，并要求某人成为临时赞助商。拟议的试验（n = 630）将在三个Kaiser门诊诊所进行。在招募的前10周内，站点1、2和3的参与者将接受常规治疗（状况）。在接下来的10周内，在1和2站点的新队列将获得6个每周的Maaez会议，以代替6个常规的护理课程（开），而新站点3同队的持续下去，以便该研究可以排除Maaez效应的历史记录。新站点3参与者将在第三个10周的招聘期内接受Maaez。参与者将在基线，6周，6个月和12个月后接受采访。调查措施包括AA参与；关于AA参与的态度，主观规范，感知的控制和意图；和饮酒结果（主要是禁欲）。自我报告的酒精和吸毒将通过尿液测试来验证。该研究旨在测试Maaez是否增加了AA的参与和禁欲，以确定Maaez最有效的亚组，并评估与Maaez对AA参与和饮酒结果的影响相关的作用机制。分析将包括混合模型ANCOVA和线性回归。与PA目标一致，Kaiser计划主管和临床医生参与了研究问题，并将通过传播从实施中积极合作。如果有效，Maaez应该对提供商具有广泛的兴趣，因为它可以迅速将其纳入现有计划中，并提供简短的手册，以简要干预小组的治疗。