Measuring treatment process variables in Alcoholics Anonymous

Journal/Book: J Subst Abuse Treat. 2000; 18: the Boulevard Langford Lane, Kidlington, Oxford Ox5 1GB, England. Pergamon-Elsevier Science Ltd. 227-230.

Abstract: Alcoholism treatment research has traditionally focused on direct questions of efficacy, such as is a particular intervention better than no treatment or is one treatment more effective than another. Recent projects, however, have also attempted to identify variables explaining why treatments vary in their effects. Many of these variables relate to the process of treatment itself or changes that may occur within the patients. Clinicians also need to continuously monitor progress of patients in engaging in behaviors supportive of long-term sobriety and how well the values and behaviors fostered by the particular treatment regimen are being incorporated into daily life. Measurement of process variables may assist in both regards. In the last decade several psychometric instruments have been developed to elucidate the processes involved in Alcoholic Anonymous (AA), a key adjunct of most formal alcoholism programs in the United States. These instruments measure dimensions such as involvement in AA, completion of steps, and adoption of values encouraged by AA. Sh such measures are summarized here and several fruitful topics for future research on the measures are suggested.

Note: Article Allen JP, NIAAA, Div Clin & Prevent Res, Willco Bldg, Suite 505, 6000 Execut Blvd, MSC 7003, Bethesda,MD 20892 USA

Keyword(s): Alcoholics Anonymous; 12 steps; alcoholism treatment process; Brown-Peterson recovery progress inventory; Alcoholics Anonymous involvement; Alcoholics Anonymous affiliation; AFFILIATION; RECOVERY; PURPOSE; GOALS; SCALE; LIFE

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