Initial preferences for drinking goal in the treatment of alcohol problems: II treatment outcomes

Adamson, Simon J. and Heather, Nick and Morton, Veronica and Raistrick, Duncan (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. (The full text of this publication is not available from this repository)

The full text of this publication is not available from this repository. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1093/alcalc/agq005

Abstract

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.

Item Type: Article
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: 27 Jun 2014 10:10
Resource URI: http://kar.kent.ac.uk/id/eprint/27935 (The current URI for this page, for reference purposes)
  • Depositors only (login required):