title: Indicators of client engagement: influences on alcohol treatment satisfaction and outcomes.
abstract: This investigation explored the relationship of client engagement variables (client expectations, therapeutic/working alliance, and session attendance) with treatment satisfaction and posttreatment drinking-related outcomes using data from 2 outpatient alcohol treatment studies (N=208). Path analysis was used to test a model in which engagement variables jointly influence client satisfaction with treatment and subsequent drinking-related outcomes. The proposed model fit well with the data and accounted for 14-23% of the variance in posttreatment outcomes. The relationships in the model suggest that the link between treatment satisfaction and outcome is clarified by examining client engagement variables, which relate indirectly to outcome by means of client satisfaction.
authors.affiliation: Research Institute on Addictions, University at Buffalo, The State University of New York, Buffalo, NY 14203, USA. rdearing@ria.buffalo.edu
authors.forename: Ronda L
authors.initials: RL
authors.lastname: Dearing
authors.forename: Christopher
authors.initials: C
authors.lastname: Barrick
authors.forename: Kurt H
authors.initials: KH
authors.lastname: Dermen
authors.forename: Kimberly S
authors.initials: KS
authors.lastname: Walitzer
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D010045:Outpatients; D010349:Patient Compliance; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D011795:Surveys and Questionnaires; D013695:Temperance; D016896:Treatment Outcome