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Is Level of Exposure to a Twelve Step Facilitation Therapy Associated with Treatment Outcome?

Journal of Substance Abuse Treatment2014;47(4):265-274. [doi: 10.1016/j.jsat.2014.06.003]

Elizabeth A. Wells, PhD (University of Washington, PN Node), Dennis M. Donovan, PhD (University of Washington, PN Node), Suzanne R. Doyle, PhD (University of Washington, PN Node), Mary A. Hatch-Maillette, PhD (University of Washington, PN Node).

This article describes an ancillary investigation of data from NIDA Clinical Trials Network protocol CTN-0031 ("Stimulant Abuser Groups to Engage in 12-Step (STAGE-12)") examining whether level of exposure to the STAGE-12 intervention, a 12-step facilitative therapy, is related to treatment outcome. Patients in the parent study were randomly assigned to one of two study conditions: the STAGE-12 intervention integrated into standard treatment, or standard treatment alone.

Conclusions: Although outpatient substance use disorder treatment is thought to be characterized by high drop-out rates and low rates of treatment completion, exposure to STAGE-12 treatment was relatively high for this 8-session intervention embedded within intensive outpatient treatment as usual. Over two-thirds of patients met criteria for high exposure to the intervention, and there was relatively low early attrition. Those achieving high exposure to STAGE-12 demonstrated more positive outcomes, though the design of this secondary analysis cannot demonstrate a causal relationship between STAGE-12 exposure and positive outcomes. However, the current study demonstrates that it is feasible to interest people entering intensive outpatient treatment in a 12-Step-oriented intervention and that individuals who agree to participate can be retained in the intervention at relatively high rates.

See Also: Original Journal of Substance Abuse Treatment article this piece is based on. (Magazine article, PDF, English, 2015)

Keywords: Behavior therapy | Community health services | CTN platform/ancillary study | Group therapy | Retention - Treatment | Stimulant abuse | Treatment compliance | Twelve-Step Facilitation (TSF) | Twelve-step programs | Counselor (magazine)

Document No: 1179.

Submitted by Elizabeth A. Wells, PhD, PN Node (11/19/2015).

Donovan, Dennis M. search mail
Doyle, Suzanne R. search mail
Hatch-Maillette, Mary A. search mail
Well, Elizabeth A. search
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