协会与喝酒定性反应和结果Qualitative responses and association with drinking outcomes.ppt

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2018-02-13 发布于江西
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协会与喝酒定性反应和结果Qualitative responses and association with drinking outcomes.ppt

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协会与喝酒定性反应和结果Qualitative responses and association with drinking outcomes

Alcoholics’ perceptions of AA’s helpfulness: Qualitative responses and association with drinking outcomes Elizabeth A.R. Robinson, Ph.D. Addiction Research Center University of Michigan Research Questions What proportion of alcoholics in a mixed sample of treatment seekers and non-seekers perceive AA as helpful or unhelpful? Which respondents found AA helpful or not helpful? Do perception’s of AA’s helpfulness or unhelpfulness relate to drinking outcomes? What elements of AA are perceived to be helpful or not helpful in managing drinking problems? Why does this matter?The answers can inform research and clinical efforts by: Identifying mediators of AA’s effects, including demographic and clinical variables and their potential interaction with AA characteristics. Suggesting clinical assessments and interventions that might support AA involvement. Prior work on perceptions of AA and relationship to outcomes Not much has been done on this topic. Two examples: Tonigan, Miller Connors (2000, ATQ) Large MATCH subsample; ratings of AA’s helpfulness were one component of AA involvement; engagement in AA measured more broadly predicted drinking outcomes. Laudet (in Galanter Kaskutas, 2008). 205 drug and alcohol clients reporting NA AA exposure and perceptions at treatment entry; no perceived difference in ratings of helpfulness of NA vs AA Qualitative analysis indicated NA/AA most helpful in promoting recovery sobriety and in providing support, acceptance, fellowship Dislikes reported by 35% of NA attendees 52% of AA attendees. Specific dislikes: members who use, deal, or are “phony,” repetitious or boring; not liking meeting format. Our Methods Data from a 2 ? to 3 year longitudinal survey of 364 alcoholics recruited from 4 sites, interviewed every 3 months re: drinking and every 6 months re: other variables. At 18 months, the 286 respondents still in the study were asked “What do you think helps people deal with alcohol problems?” Qualitative responses were