title: What works for patients in outpatient treatment for alcohol addiction? An explorative study into clients' evaluation of subjective factors and therapy satisfaction.
abstract: This explorative survey investigated clients' evaluation of therapy elements and other supportive factors within a randomized controlled trial. The treatment of patients with alcohol dependence consisted of pharmacotherapy (acamprosate/naltrexone/placebo) and biweekly medical management (MM). Forty-nine study participants were surveyed with a questionnaire to measure both the patients' satisfaction with the therapy and the subjective assessment of treatment elements and supportive factors.Study participants were highly satisfied with the treatment. The supportive factors previously identified by Orford et al1 were confirmed. 'Pharmacotherapy' was rated significantly less effective than 'MM' and 'global study attendance' (P < 0.001). The significant differences in the evaluation of treatment elements point to a preference for regular low-key contacts rather than for medication. Such contacts based on MM could be a useful intervention in clinical care, and its effectivity should be examined more closely in further research.
authors.affiliation: Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Germany.
authors.forename: Katrin M
authors.initials: KM
authors.lastname: Frick
authors.forename: Barbara
authors.initials: B
authors.lastname: Loessl
authors.forename: Rigo K
authors.initials: RK
authors.lastname: Brueck
authors.forename: Levente
authors.initials: L
authors.lastname: Kriston
authors.forename: Andreas
authors.initials: A
authors.lastname: Jaehne
authors.forename: Dieter
authors.initials: D
authors.lastname: Riemann
authors.forename: Horst
authors.initials: H
authors.lastname: Gann
authors.forename: Anil
authors.initials: A
authors.lastname: Batra
authors.forename: Norbert
authors.initials: N
authors.lastname: Wodarz
authors.forename: Karl F
authors.initials: KF
authors.lastname: Mann
authors.forename: Michael M
authors.initials: MM
authors.lastname: Berner