title: Accounting for self-selected drinking goals in the assessment of treatment outcome.
abstract: Many treatment outcome studies are abstinence-based and rely on achieved abstinence as an indicator of success, making the implicit assumption that participants have an abstinence goal. However, it is often the case that participants self-select controlled drinking goals, even in the context of an abstinence-based treatment. The current study explored the use of an outcome variable, percent weeks meeting goal (PWMG), which takes into account individual goal choice at baseline. The sample consisted of 57 women who participated in a cognitive-behavioral therapy treatment for alcohol dependence and were followed for 18 months after baseline. Twenty-two (39%) women self-selected controlled drinking goals, and 35 (61%) self-selected an abstinence goal at baseline. A repeated measures analysis of variance with PWMG as the dependent variable revealed that both goal groups were equally successful in meeting their goals during the 6-month treatment period. After treatment, participants with a goal of abstinence had more PWMG than did participants with a self-selected controlled drinking goal, but the difference was significant at a trend level. The two goal groups did not differ in outcome when the authors compared them using more traditional measures of outcome, percent days abstinent and percent heavy drinking days.
authors.affiliation: Department of Psychology, Rutgers University, Piscataway, NJ 08854, USA. zotaiba@eden.rutgers.edu
authors.forename: Zayed
authors.initials: Z
authors.lastname: Al-Otaiba
authors.forename: Blaise L
authors.initials: BL
authors.lastname: Worden
authors.forename: Barbara S
authors.initials: BS
authors.lastname: McCrady
authors.forename: Elizabeth E
authors.initials: EE
authors.lastname: Epstein
mesh_terms: D000428:Alcohol Drinking / Q000517:prevention & control / Q000523:psychology*; D000437:Alcoholism / Q000523:psychology* / Q000628:therapy*; D000704:Analysis of Variance; D002755:Choice Behavior; D015928:Cognitive Behavioral Therapy; D005260:Female; D005500:Follow-Up Studies; D006040:Goals; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011795:Surveys and Questionnaires; D013695:Temperance / Q000523:psychology* / Q000706:statistics & numerical data; D013997:Time Factors; D016896:Treatment Outcome
references.citation: J Consult Clin Psychol. 2009 Apr;77(2):243-56
references.pmid: 19309184
references.citation: Psychol Addict Behav. 2000 Mar;14(1):48-55
references.pmid: 10822745
references.citation: Addict Behav. 1989;14(1):1-9
references.pmid: 2718819
references.citation: J Consult Clin Psychol. 1991 Aug;59(4):526-32
references.pmid: 1918556
references.citation: Addict Behav. 1997 Mar-Apr;22(2):247-55
references.pmid: 9113218
references.citation: Addict Behav. 1984;9(4):357-64
references.pmid: 6532142
references.citation: Br J Addict. 1986 Aug;81(4):495-504
references.pmid: 3463349
references.citation: J Consult Clin Psychol. 1990 Apr;58(2):175-81
references.pmid: 2335634
references.citation: J Stud Alcohol. 1992 Nov;53(6):594-600
references.pmid: 1331616