Motivational enhancement for 12-step involvement among patients undergoing alcohol detoxification.
Forty-eight patients undergoing inpatient detoxification for alcohol dependence were assigned to either brief advice (BA) to attend Alcoholics Anonymous or a motivational enhancement for 12-step involvement (ME-12) intervention that focused on increasing involvement in 12-step self-help groups. Attendance at 12-step groups did not differ significantly by treatment condition over 6 months of follow-up, nor did drinking outcomes. There was a significant interaction between 12-step experience and treatment condition, indicating that ME-12 was associated with relatively better alcohol outcomes at the low ends of 12-step experience, whereas BA was associated with relatively better outcomes at the high ends of 12-step experience. Results indicate that among patients undergoing alcohol detoxification, ME-12 may be beneficial only for those who have little experience with 12-step groups.
Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. christopher_kahler@brown.edu
Christopher W
CW
Kahler
Jennifer P
JP
Read
Susan E
SE
Ramsey
Gregory L
GL
Stuart
Barbara S
BS
McCrady
Richard A
RA
Brown
D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008658:Inactivation, Metabolic; D008297:Male; D008875:Middle Aged; D009042:Motivation; D013695:Temperance