title: Do patient intervention ratings predict alcohol-related consequences?
abstract: Little is known about treatment process for behavior change for brief interventions. Patient ratings of treatment process during a patient-centered brief intervention for alcohol were used to predict post-treatment alcohol use and consequences. We use data from a randomized clinical trial that compared the effects of BI (1 session) to BI and booster (BIB, 2 sessions) to reduce harmful drinking and alcohol consequences. Subjects were n=167 (BI) and n=82 (BIB). Five of the 12 ratings were rated significantly higher by those in the BIB condition compared to BI. The only predictor of reduced alcohol consequences at 12-months was higher ratings of, "I have obtained some new understanding," for BIB participants (t=-2.50, p<.05). Patient perspectives on treatment may have a role in patient outcomes and should be explored as a dimension of treatment process.
authors.affiliation: Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
authors.forename: Christina S
authors.initials: CS
authors.lastname: Lee
authors.forename: Richard
authors.initials: R
authors.lastname: Longabaugh
authors.forename: Janette
authors.initials: J
authors.lastname: Baird
authors.forename: Ana M
authors.initials: AM
authors.lastname: Abrantes
authors.forename: Belinda
authors.initials: B
authors.lastname: Borrelli
authors.forename: Lynda A R
authors.initials: LA
authors.lastname: Stein
authors.forename: Robert
authors.initials: R
authors.lastname: Woolard
authors.forename: Ted D
authors.initials: TD
authors.lastname: Nirenberg
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Mello
authors.forename: Bruce
authors.initials: B
authors.lastname: Becker
authors.forename: Kathleen
authors.initials: K
authors.lastname: Carty
authors.forename: Patrick R
authors.initials: PR
authors.lastname: Clifford
authors.forename: P Alison
authors.initials: PA
authors.lastname: Minugh
authors.forename: Aruna
authors.initials: A
authors.lastname: Gogineni
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000628:therapy*; D000437:Alcoholism / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods* / Q000706:statistics & numerical data; D003376:Counseling / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests