Journal article
Al-Anon Intensive Referral to facilitate concerned others' participation in Al-Anon Family Groups: a randomized controlled trial
Addiction (Abingdon, England), Vol.117(3), pp.590-599
03/01/2022
DOI: 10.1111/add.15670
PMCID: PMC8844037
PMID: 34427006
Abstract
Aims To test the effectiveness of an intervention, Al-Anon Intensive Referral (AIR), to facilitate participation in Al-Anon Family Groups (Al-Anon). Design, Setting and Participants Multi-site, randomized controlled trial of AIR versus usual care (UC), with follow-up assessments at 3, 6 and 12 months. The 12-month follow-up rate was 74%. Residential alcohol use disorder (AUD) treatment programs in three US locations. Concerned others (COs) of patients in treatment for AUD. COs were mainly women (77%) who were patients' spouses (33%) or parents (25%). Intervention and Comparator AIR (n = 128) consisted of four sessions over 3 months with an Al-Anon coach. UC (n = 151) was the treatment program's offer of educational sessions for COs. Measurements Primary outcome: COs' self-reports of any Al-Anon attendance (yes or no) at 3 months. Secondary outcomes: number of Al-Anon meetings and the CO-patient relationship (stressors, resources). Potential predictors of outcomes examined in generalized linear mixed models were their baseline value, time, CO-patient relationship type (marital or non-marital), treatment program and condition. Findings There was no effect of condition for the primary outcome (28% in AIR, 21% in UC; Bayes factor = 1.86). Relationship stressors at follow-ups were more severe for COs in a marital relationship with the patient than for COs in a non-marital relationship [beta = 2.19, 95% confidence interval (CI) = 1.07, 3.32]. For CO-patient relationship resources at follow-ups, the main effect for condition was significant (beta = 1.33, 95% CI = 0.04, 2.61). COs assigned to the AIR condition had more resources than COs who were in the UC condition. Conclusions Relative to usual care, Al-Anon Intensive Referral was not associated with increases in participation of concerned others in Al-Anon, but was associated with more resources in the concerned other-patient relationship.
Details
- Title: Subtitle
- Al-Anon Intensive Referral to facilitate concerned others' participation in Al-Anon Family Groups: a randomized controlled trial
- Creators
- Christine Timko - Stanford UniversityKathleen M. Grant - VA Nebraska Western Iowa Hlth Care Syst, Mental Hlth & Behav Sci Dept, Omaha, NE USAXiaotong Han - Central Arkansas Veterans Healthcare SystemLance Brendan Young - University of IowaMichael A. Cucciare - University of Arkansas for Medical Sciences
- Resource Type
- Journal article
- Publication Details
- Addiction (Abingdon, England), Vol.117(3), pp.590-599
- DOI
- 10.1111/add.15670
- PMID
- 34427006
- PMCID
- PMC8844037
- NLM abbreviation
- Addiction
- ISSN
- 0965-2140
- eISSN
- 1360-0443
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- RCS 00-001 / Department of Veterans Affairs (VA), Health Services Research and Development (HSRD) Service; US Department of Veterans Affairs R01 AA024136 01A1 / NIH/NIAAA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Alcohol Abuse & Alcoholism (NIAAA)
- Language
- English
- Date published
- 03/01/2022
- Academic Unit
- Preventive and Community Dentistry; Dentistry Administration
- Record Identifier
- 9984367627402771
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