Interactive voice response for relapse prevention following cognitive-behavioral therapy for alcohol use disorders: a pilot study.
Relapse after alcoholism treatment is high. Alcohol Therapeutic Interactive Voice Response (ATIVR) is an automated telephone program for posttreatment self-monitoring, skills practice, and feedback. This pilot study examined feasibility of ATIVR. Participants (n = 21; 57% male) had access to ATIVR for 90 days following outpatient group cognitive-behavioral therapy (CBT) to make daily reports of mood, confidence in sobriety, urges to use substances, and actual use. Reports of relapse or risk were followed with additional questions. Participants received personalized therapist feedback based on responses, and could access recorded CBT skill reviews. Pre-post assessments included: alcohol consumption (Timeline Follow-Back), self-efficacy (Situational Confidence Questionnaire), and perceived coping ability (Effectiveness of Coping Behaviors Inventory). Participants called on 59% of scheduled days and continued making calls for an average of 84 days. Following ATIVR, participants gave feedback that ATIVR was easy to use and increased self-awareness. Participants particularly liked the therapist feedback component. Abstinence rate increased significantly during ATIVR (p = .03), and both self-efficacy and coping significantly improved from pre-CBT to post-ATIVR (p < .01). Results indicate ATIVR is feasible and acceptable. Its efficacy should be evaluated in a randomized controlled trial.
Department of Psychiatry, University of Vermont, VT, USA. gail.rose@vtmednet.org
Gail L
GL
Rose
Joan M
JM
Skelly
Gary J
GJ
Badger
Magdalena R
MR
Naylor
John E
JE
Helzer
D000223:Adaptation, Psychological; D000328:Adult; D000437:Alcoholism / Q000523:psychology / Q000628:therapy*; D001364:Awareness; D015928:Cognitive Behavioral Therapy; D005240:Feasibility Studies; D005246:Feedback; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D055502:Secondary Prevention; D012648:Self Care; D012649:Self Concept; D049250:Speech Recognition Software; D017216:Telemedicine / Q000379:methods; D013689:Telephone; D016896:Treatment Outcome