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Preliminary Findings on the Association Between Clients' Perceived Helpfulness of Substance Abuse Treatment and Outcomes: Does Race Matter?

Drug and Alcohol Dependence 2014;139(1):152-158. [doi: 10.1016/j.drugalcdep.2014.03.026]

LaTrice Montgomery, PhD, Blair Sanning, Nicole Litvak (all from University of Cincinnati, OV Node), Erica N. Peters, PhD (Friends Research Institute, MA Node).

Few studies examine the helpfulness and effectiveness of substance abuse treatment from the clients' perspective. This secondary analysis of data from National Drug Abuse Treatment Clinical Trials Network protocol CTN-0004, a multisite, randomized clinical trial of Motivational Enhancement Therapy, examined the perceived helpfulness of substance abuse treatment components and its relationship to treatment outcomes among 387 black and white adult participants. Throughout the 16-week trial, participants self-reported substance use. Upon completion of treatment, they completed a self-report measure assessing the perceived helpfulness of treatment components. Black participants rated 9 out of 12 treatment components (e.g., "learning skills that will help me cope with my problems") as being more helpful than their white counterparts, even after controlling for age, gender, employment status, primary drug type, and treatment assignment. However, perceived helpfulness ratings were not associated with substance use outcomes among black or white participants.

Conclusions: Overall, findings suggest that black adults perceive treatments that focus on teaching new coping skills and information about the intersection between drug use and interpersonal relationship to be more helpful than their white counterparts. Despite the fact this study did not find an association between ratings of helpfulness and decreased primary or other drug use during treatment for black or white participants, race does appear to be an important demographic characteristic to consider in substance abuse treatment preferences. (Article (Peer-Reviewed), PDF, English, 2007)

Keywords: African Americans | Behavior therapy | CTN platform/ancillary study | Minority groups | Motivational Enhancement Therapy (MET) | Motivational interviewing (MI) | Drug and Alcohol Dependence (journal)

Document No: 1059, PMID: 24767892, PMCID: PMC4522021.

Submitted by CTN Dissemination Librarians, 4/14/2014.

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