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Randomized Controlled Trial
. 2014 Oct;47(4):265-74.
doi: 10.1016/j.jsat.2014.06.003. Epub 2014 Jun 14.

Is level of exposure to a 12-step facilitation therapy associated with treatment outcome?

Elizabeth A Wells  1 , Dennis M Donovan  2 , Dennis C Daley  3 , Suzanne R Doyle  4 , Greg Brigham  5 , Sharon B Garrett  4 , Michelle H Ingalsbe  4 , Mary A Hatch-Maillette  4 , Harold I Perl  6 , Robrina Walker  7
Affiliations
Randomized Controlled Trial

Is level of exposure to a 12-step facilitation therapy associated with treatment outcome?

Elizabeth A Wells et al. J Subst Abuse Treat. 2014 Oct.

Abstract

This study examined whether level of exposure to Stimulant Abuser Groups to Engage in 12-Step (STAGE-12), a 12-Step facilitative therapy, is related to treatment outcome. Data were from a large National Drug Abuse Treatment Clinical Trials Network (CTN) study comparing STAGE-12 combined with treatment-as-usual (TAU) to TAU alone. These analyses include only those randomized to STAGE-12 (n=234). Assessments occurred at baseline and 30, 60, 90, and 180 days following randomization. High-exposure patients (n=158; attended at least 2 of 3 individual, and 3 of 5 group, sessions), compared to those with less exposure (n=76), demonstrated: (1) higher odds of self-reported abstinence from, and lower rates of, stimulant and non-stimulant drug use; (2) lower probabilities of stimulant-positive urines; (3) more days of attending and lower odds of not attending 12-Step meetings; (4) greater likelihood of reporting no drug problems; (5) more days of duties at meetings; and (6) more types of 12-Step activities. Many of these differences declined over time, but several were still significant by the last follow-up. Treatment and research implications are discussed.

Keywords: 12-Step; 12-Step facilitation; Cocaine; Intensive referral; Methamphetamine; Treatment exposure.

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Figures

Figure 1
Figure 1
Model-based average predicted probability of NOT attending self-help meetings, STAGE-12 high exposure versus low exposure.
Figure 2
Figure 2
Model-based average predicted number of other self-help activities, STAGE-12 high exposure versus low exposure.
See this image and copyright information in PMC

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