Use your browser's back button to choose another title or click here for a New Search.

How to Get the Article

 Email CTN Library (free)

PubMed Central (free)

Journal subscriber access


Bookmark and Share





A Comparison of African American and Caucasian Stimulant Users in 12-Step Facilitation Treatment.

Journal of Ethnicity in Substance Abuse 2017;16(3):380-399. [doi: 10.1080/15332640.2016.1185657]

K. Michelle Peavy, PhD (Evergreen Treatment Services, PN Node), Sharon B. Garrett, MPH, MA, Suzanne R. Doyle, PhD, Dennis M. Donovan, PhD (all from Alcohol & Drug Abuse Institute, University of Washington, PN Node).

Engagement in 12-step meetings and activities has been shown to be a powerful aid to recovery from substance use disorders. However, only limited attention has been given to ethnic and racial differences in attitudes toward 12-step and involvement. This study utilized data from CTN-0031, "Stimulant Abuser Groups to Engage in 12-Step (STAGE-12)," a large multisite trial testing the effectiveness of a 12-step facilitation therapy (Twelve-Step Facilitation (TSF)) with stimulant-dependent treatment seekers. It compared baseline differences and treatment outcomes between African American and Caucasian participants. Results of the analysis found select few baseline differences (i.e., African Americans reported higher levels of spirituality than Caucasians; African American participants indicated more perceived benefits of 12-step involvement; Caucasians were more likely to endorse future involvement in 12-step). However, there were no outcome differences (e.g., substance use outcomes, 12-step meeting attendance).

Conclusions: The tested intervention, TSF, produced similar outcomes for both groups, indicating that it may be useful across racial categories. This finding is promising, given that much of the previous research on TSF treatments has focused on alcohol, and stimulant use may present unique problem profiles for African American and Caucasian individuals. That TSF performed equally well among the two study groups is important information for clinicians deciding which evidence-based practice might be best applied to a particular client. (Article (Peer-Reviewed), PDF, English, 2016)

Keywords: African Americans | Behavior therapy | CTN platform/ancillary study | Group therapy | Minority groups | Religion and spirituality | Retention - Treatment | Stimulant abuse | Twelve-Step Facilitation (TSF) | Twelve-step programs | Journal of Ethnicity in Substance Abuse (journal)

Document No: 1206, PMID: 27294812, PMCID: PMC5368022.

Submitted by Dennis M. Donovan, PhD, PN Node (6/14/2016).

Donovan, Dennis M. mail
Doyle, Suzanne R. mail
Garrett, Sharon B. mail
Peavy, K. Michelle mail
NIDA-CTN-0031 www

dark blue line
Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 1/2018 --
dark blue line