title: A randomized trial of two behavioral interventions to improve outcomes following inpatient detoxification for alcohol dependence.
abstract: Participants (n=150), undergoing inpatient alcohol detoxification, were randomized into 3 groups: treatment as usual (TAU), motivation enhancement therapy (MET), or peer-delivered 12-step facilitation (P-TSF). The main outcome was the initiation of any type of subsequent rehabilitation service (i.e., professional treatment or self-help) within 30 and 90 days of discharge. At the 30-day follow-up interview, there was no significant difference among the groups in the rate of initiation of any type of subsequent care (82%, 74%, and 82%, respectively, p=0.617); however, the MET group had significantly more patients initiate subsequent inpatient treatment by the 90-day follow-up interview compared to the P-TSF group (31% and 61%, respectively, p=0.007) and a greater proportion of MET participants completed subsequent inpatient treatment compared to both the TAU and P-TSF groups. There were no differences in drinking-related outcomes. MET during inpatient detoxification may help patients initiate subsequent inpatient rehabilitation treatment.
authors.affiliation: SUNY, University at Buffalo, Buffalo, NY 14215, USA. blondell@buffalo.edu
authors.forename: Richard D
authors.initials: RD
authors.lastname: Blondell
authors.forename: Lynne M
authors.initials: LM
authors.lastname: Frydrych
authors.forename: Urmo
authors.initials: U
authors.lastname: Jaanimagi
authors.forename: Lisham
authors.initials: L
authors.lastname: Ashrafioun
authors.forename: Gregory G
authors.initials: GG
authors.lastname: Homish
authors.forename: Elisa M
authors.initials: EM
authors.lastname: Foschio
authors.forename: Heather L
authors.initials: HL
authors.lastname: Bashaw
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000534:rehabilitation*; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008658:Inactivation, Metabolic; D007297:Inpatients; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009042:Motivation; D015397:Program Evaluation; D016896:Treatment Outcome