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）：此修订的申请对PA-10-069响应。酗酒者匿名（AA）是针对与酒精相关问题的人的最受欢迎的自助计划，基于AA学说和实践的12步疗法是美国普遍的酒精治疗模型。可以理解的是，已经进行了数百项基于社区的AA的调查，最近对这种经验文献的叙事评论相对普遍。叙事评论的价值有限，因为它们倾向于仅审查“统​​计学意义”的发现，它们没有提供效果幅度的估计，并且通过不提供这样的估计，这些评论错过了机会，使研究人员提醒研究人员到最肥沃的领域，以进行未来的调查。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）进行全面综述。自从上次对此类综合评论（Emrick等，1993）以来已经有19年了，在那段时间里，已经发表了大约450-500次AA同行评审的论文。这篇综述具有三个目的：（1）我们将总结1993 - 2009年的AA文献，重点介绍AA隶属关系概况以及与AA相关益处的幅度和性质。相对于我们1993年和1996年的荟萃分析评论，我们将通过改进的程序和统计方法进行此操作，（2）我们将回顾AA研究的三个新领域，这是一种荟萃分析的合成，因此是由于AA研究的激增而成为可能的。这些新领域的摘要将为从业人员和研究人员提供独特的观点，以了解AA如何以及为谁提供帮助。相关，我们计划识别，编码和分析非AA自助同行评审的论文。 （3）我们将将荟萃分析的论文传播到高影响期刊上，使数据集提供给研究人员，并免费分发，并免费分发CD，其中包含PDF文件，其中包含PDF搜索中所有定性和定量论文的参考文献，并随附PDF复制法律允许的PDF复制艺术品允许使用。