title: Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial.
abstract: OBJECTIVE
  To compare a motivational intervention (MI) focused on increasing involvement in 12-Step groups (TSGs; e.g. Alcoholics Anonymous) versus brief advice (BA) to attend TSGs.
  
  
  METHODS
  Patients were assigned randomly to either the MI or BA condition, and followed-up at 6 months after discharge.
  
  
  METHODS
  One hundred and forty substance use disorder (SUD) patients undergoing in-patient detoxification (detox) in Norway.
  
  
  METHODS
  The primary outcome was TSG affiliation measured with the Alcoholics Anonymous Affiliation Scale (AAAS), which combines meeting attendance and TSG involvement. Substance use and problem severity were also measured.
  
  
  RESULTS
  At 6 months after treatment, compared with the BA group, the MI group had higher TSG affiliation [0.91 point higher AAAS score; 95% confidence interval (CI) = 0.04 to 1.78; P = 0.041]. The MI group reported 3.5 fewer days of alcohol use (2.1 versus 5.6 days; 95% CI = -6.5 to -0.6; P = 0.020) and 4.0 fewer days of drug use (3.8 versus 7.8 days; 95% CI = -7.5 to -0.4; P = 0.028); however, abstinence rates and severity scores did not differ between conditions. Analyses controlling for duration of in-patient treatment did not alter the results.
  
  
  CONCLUSIONS
  A motivational intervention in an in-patient detox ward was more successful than brief advice in terms of patient engagement in 12-Step groups and reduced substance use at 6 months after discharge. There is a potential benefit of adding a maintenance-focused element to standard detox.
authors.affiliation: Addiction Unit, Sørlandet Hospital HF, Kristiansand, Norway.
authors.forename: John-Kåre
authors.initials: JK
authors.lastname: Vederhus
authors.forename: Christine
authors.initials: C
authors.lastname: Timko
authors.forename: Oistein
authors.initials: O
authors.lastname: Kristensen
authors.forename: Bente
authors.initials: B
authors.lastname: Hjemdahl
authors.forename: Thomas
authors.initials: T
authors.lastname: Clausen
mesh_terms: D000328:Adult; D019973:Alcohol-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D000436:Alcoholics Anonymous; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D009664:Norway; D012657:Self-Help Groups / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation
keywords: Alcoholics Anonymous; Norway; Twelve-Step facilitation; detoxification; patient education; randomized controlled trial; self-help groups