Do patient intervention ratings predict alcohol-related consequences?

Abstract Little is known about treatment process for behavior change for brief interventions. Patient ratings of treatment process during a patient-centered brief intervention for alcohol were used to predict post-treatment alcohol use and consequences. We use data from a randomized clinical trial t...

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Bibliographic Details
Published in:	Addictive behaviors Vol. 32; no. 12; pp. 3136 - 3141
Main Authors:	Lee, Christina S, Longabaugh, Richard, Baird, Janette, Abrantes, Ana M, Borrelli, Belinda, Stein, Lynda A.R, Woolard, Robert, Nirenberg, Ted D, Mello, Michael J, Becker, Bruce, Carty, Kathleen, Clifford, Patrick R, Minugh, P. Alison, Gogineni, Aruna
Format:	Journal Article
Language:	English
Published:	England Elsevier Ltd 01-12-2007 Elsevier Science Ltd
Subjects:	Adult Alcohol Drinking - therapy Alcohol treatment outcome Alcohol use Alcoholism - therapy Behavior modification Behavior Therapy - methods Behavior Therapy - statistics & numerical data Brief intervention Clinical outcomes Clinical trials Counseling - methods Counseling - statistics & numerical data Female Follow-Up Studies Humans Intervention Male Patient rating Predictive Value of Tests Psychiatry Substance abuse treatment Brief intervention Alcohol treatment outcome Patient rating
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Summary:	Abstract Little is known about treatment process for behavior change for brief interventions. Patient ratings of treatment process during a patient-centered brief intervention for alcohol were used to predict post-treatment alcohol use and consequences. We use data from a randomized clinical trial that compared the effects of BI (1 session) to BI and booster (BIB, 2 sessions) to reduce harmful drinking and alcohol consequences. Subjects were n = 167 (BI) and n = 82 (BIB). Five of the 12 ratings were rated significantly higher by those in the BIB condition compared to BI. The only predictor of reduced alcohol consequences at 12-months was higher ratings of, “I have obtained some new understanding,” for BIB participants ( t = − 2.50, p < .05). Patient perspectives on treatment may have a role in patient outcomes and should be explored as a dimension of treatment process.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23
ISSN:	0306-4603 1873-6327
DOI:	10.1016/j.addbeh.2007.07.011