Adamson, S.J. and Heather, N. and Morton, V. and Raistrick, D. (2010) Initial preferences for drinking goal in the treatment of alcohol problems: II treatment outcomes. Alcohol and Alcoholism, 45 (2). pp. 136-142. ISSN 0735-0414.
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Aims: To compare treatment outcomes between clients preferring abstinence and those preferring non-abstinence at the screening stage of a randomized controlled trial of treatment for alcohol problems (the United Kingdom Alcohol Treatment Trial) and to interpret any differential outcome in light of baseline differences between goal preference groups outlined in an accompanying paper. Methods: Outcomes at 3 and 12 months’ follow-up were recorded both in categorical terms (abstinence/non-problem drinking/much improved/somewhat improved/same/worse) and on continuous measures (percent days abstinent, drinks per drinking day/dependence score). Results: Clients initially stating a preference for abstinence showed a better outcome than those stating a preference for non-abstinence. This superior outcome was clearer at 3 months’ follow-up but still evident at 12 months’ follow-up. The better outcome consisted almost entirely in a greater frequency of abstinent days, with only a modest benefit in drinking intensity for goal abstainers that disappeared when baseline covariates of goal preference were controlled for. Type of successful outcome (abstinence/non-problem drinking) was related to initial goal preference, with clients preferring abstinence more likely to obtain an abstinent outcome and those preferring non-abstinence a non-problem drinking outcome. Conclusion: The client’s personal drinking goals should be discussed in assessment at treatment entry and as a basis for negotiation. Clinicians should be prepared to identify and support goal change as an unexceptional part of the treatment process that need not jeopardize good outcome.
|Subjects:||H Social Sciences > HV Social pathology. Social and public welfare > HV5001 Alcohol use and miuse
R Medicine > RA Public aspects of medicine
|Divisions:||Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies|
|Depositing User:||Tony Rees|
|Date Deposited:||21 Jun 2011 11:37|
|Last Modified:||15 Feb 2013 10:25|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/27935 (The current URI for this page, for reference purposes)|
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