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Predictors and Outcomes of Twelve-Step Sponsorship of Stimulant Users: Secondary Analyses of a Multisite Randomized Clinical Trial.

Journal of Studies on Alcohol and Drugs 2017;78:287-295. [doi: 10.15288/jsad.2017.78.287]

Dennis C. Wendt, PhD (University of Washington, PN Node), Kevin A. Hallgren, PhD (University of Washington, PN Node), Dennis C. Daley, PhD (University of Pittsburgh), Dennis M. Donovan, PhD (University of Washington, PN Node).

This secondary data analysis explored predictors and outcomes of having a 12-step sponsor among individuals receiving treatment for stimulant use disorders, inclusive of four types of 12-step groups (Narcotics Anonymous, Alcoholics Anonymous, Cocaine Anonymous, and Crystal Meth Anonymous). For the CTN Stimulant Abuse Groups to Engage in 12-Step (STAGE-12) protocol (CTN-0031), a multisite randomized trial, participants (N=471, 59% women) were recruited among adult patients in 10 U.S. community treatment programs. Participants were randomized into treatment as usual (TAU) or a 12-step facilitation (TSF) intervention (STAGE-12). Logistic regression analyses explored the extent to which participants obtained sponsors, including the extent to which treatment condition and other predictors (12-step experiences, expectations, and beliefs) were associated with having a sponsor. The relationship between end-of-treatment sponsorship and follow-up substance use outcomes was also tested.

Results found that participants were more likely to have a sponsor at the end of treatment and 3-month follow-up, with the STAGE-12 condition having higher sponsorship rates. Twelve-step meeting attendance and literature reading during the treatment period predicted having a sponsor at the end of treatment. Sponsorship at the end of treatment predicted a higher likelihood of abstinence from stimulant user and having no drug-related problems at follow-up.

Conclusions: This study extends previous research on sponsorship, which has mostly focused on alcohol use disorders, by indicating that sponsorship is associated with positive outcomes for those seeking treatment from stimulant use disorders. It also suggests that sponsorship rates can be improved for those seeking treatment from stimulant use disorders through a short-term TSF intervention. (Article (Peer-Reviewed), PDF, English, 2017)

Keywords: Behavior therapy | Cocaine | CTN platform/ancillary study | Methamphetamine | Stimulant abuse | Twelve-Step Facilitation (TSF) | Twelve-step programs | Journal of Studies on Alcohol and Drugs (journal)

Document No: 1263, PMID: 28317510, PMCID: PMC5554108.

Submitted by the CTN Dissemination Librarians (3/30/2017).

Daley, Dennis C.
Donovan, Dennis M. mail
Hallgren, Kevin A.
Wendt, Dennis C. mail
NIDA-CTN-0031 www
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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 11/2017 --
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