Do patient intervention ratings predict alcohol-related consequences?
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.
Lee
Christina S
CS
Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA.
Longabaugh
Richard
R
Baird
Janette
J
Abrantes
Ana M
AM
Borrelli
Belinda
B
Stein
Lynda A R
LA
Woolard
Robert
R
Nirenberg
Ted D
TD
Mello
Michael J
MJ
Becker
Bruce
B
Carty
Kathleen
K
Clifford
Patrick R
PR
Minugh
P Alison
PA
Gogineni
Aruna
A
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