Journal article
Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans
Patient education and counseling, Vol.101(1), pp.79-84
01/2018
DOI: 10.1016/j.pec.2017.07.012
PMCID: PMC6430564
PMID: 28756030
Abstract
•Intensive referral to addiction support groups standardizes practice.•We conducted a trial of rural-adapted intensive referral (RAIR) at three sites.•Only one-third of intervention patients received all three sessions.•At six-month follow-up, control and intervention groups differed little.•Three dose patients were significantly more alcohol-abstinent than zero dose ones.
A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD).
In three Veterans Affairs treatment programs in the Midwest, patients (N=195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up.
Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions.
Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation.
The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.
Details
- Title: Subtitle
- Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans
- Creators
- Kathleen M. Grant - VA Nebraska Western Iowa Health Care SystemLance Brendan Young - Western Illinois UniversityKimberly A. Tyler - University of Nebraska–LincolnJamie L. Simpson - Midland UniversityR. Dario Pulido - VA Nebraska Western Iowa Health Care SystemChristine Timko - VA Palo Alto Health Care System
- Resource Type
- Journal article
- Publication Details
- Patient education and counseling, Vol.101(1), pp.79-84
- Publisher
- Elsevier B.V
- DOI
- 10.1016/j.pec.2017.07.012
- PMID
- 28756030
- PMCID
- PMC6430564
- ISSN
- 0738-3991
- eISSN
- 1873-5134
- Grant note
- DOI: 10.13039/100000738, name: Department of Veterans Affairs; name: Veterans Health Administration; DOI: 10.13039/100006379, name: Office of Research and Development, award: RCS 00-001; DOI: 10.13039/100007217, name: Health Services Research and Development; name: the VA Office of Rural Health Midwest Rural Health Resource Center, award: N32-FY13Q1-S1-P00642; name: The Department of Veterans Affairs Substance Use Disorders Quality Enhancement Research Initiative, award: SUDQ-LIP1403; name: The Department of Veterans Affairs Health Services Research and Development Service Quality Enhancement Research Initiative, award: RRP 14-192
- Language
- English
- Date published
- 01/2018
- Academic Unit
- Preventive and Community Dentistry; Dentistry Administration
- Record Identifier
- 9984367630002771
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