title: Moderators of response to telephone continuing care for alcoholism.
abstract: OBJECTIVE
  To evaluate potential moderators of the effect of adding extended telephone monitoring (TM) and telephone monitoring and counseling (TMC) continuing care to treatment as usual (TAU) for alcoholism. Continuing care was predicted to be more effective for patients with severe substance-use histories, poor initial response to treatment, and other risk factors for relapse.
  
  
  METHODS
  Randomized study with 18-month follow-up. Outcomes were frequency of drinking and any drinking.
  
  
  RESULTS
  Main effects favored TMC over TAU on alcohol outcomes. However, none of the 11 variables examined moderated these effects. Conversely, main effect and moderator analyses indicated TM was more beneficial than TAU only for women and for participants with lower readiness to change.
  
  
  CONCLUSIONS
  TMC improves drinking outcomes when added to standard care, regardless of alcohol use history, early response to treatment, or other risk factors for relapse. TM is recommended for women and less motivated patients.
authors.affiliation: Universityof Pennsylvania, 3440 Market St, Philadelphia, PA 19104, USA. lynch_k@mail.trc.upenn.edu
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Lynch
authors.forename: Deborah
authors.initials: D
authors.lastname: Van Horn
authors.forename: Michelle
authors.initials: M
authors.lastname: Drapkin
authors.forename: Megan
authors.initials: M
authors.lastname: Ivey
authors.forename: Donna
authors.initials: D
authors.lastname: Coviello
authors.forename: James R
authors.initials: JR
authors.lastname: McKay
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000517:prevention & control* / Q000628:therapy*; D003266:Continuity of Patient Care / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data; D012307:Risk Factors; D055502:Secondary Prevention; D012720:Severity of Illness Index; D012727:Sex Characteristics; D013689:Telephone