Historique
Périodique
Process and outcome changes with relapse prevention versus 12-step aftercare programs for substance abusers
(Processus et résultats des changements observés chez des toxicomanes soumis à une prévention de la rechute ou bien à un programme de post cure en douze étapes)
Auteur(s) :
T. G. BROWN ;
SERAGANIAN P. ;
J. TREMBLAY ;
H. ANNIS
Article en page(s) :
677-689
Refs biblio. :
44
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
POST CURE
;
PROGRAMME
;
MODELE
;
PREVENTION TERTIAIRE
;
RECHUTE
;
COMPARAISON
;
STRATEGIE ACTIVE D'ADAPTATION
Note générale :
Addiction, 2002, 97, (6), 677-689
Note de contenu :
tabl.
Résumé :
ENGLISH :
Aims. Presumptive support was sought for mechanisms of action whereby two conceptually distinct aftercare programs, relapse prevention (RP) and 12-Step facilitation (TSF), impact upon substance abusers. Patients and design. Adults who had just completed intensive treatment were assigned randomly to either RP (n = 61) or TSF (n = 70) aftercare programs. Setting. Three residential treatment facilities. Interventions. Trained counselors delivered to small groups a manualized aftercare program which focused either upon the utilization of cognitive-behavioral processes to orchestrate change through an individualized treatment plan (i.e. RP) or which sought to facilitate utilization of AAs 12 Steps (i.e.TSF). Measurements. Process measures developed specifically to quantify either: (a) the changes in self-efficacy process in RP or (b) the utilization of AAs principles in TSF, as well as psychosocial and substance abuse indices were administered to all patients pre- and post-aftercare and at 6-month follow-up. Findings. A significant relationship between changes in measures of self-efficacy for RP participants as well as a trend for a relationship between process-specific change for TSF participants partially satisfied tile first condition for presumptive support. The fact that the intervention-specific mediators covaried with several outcome indices, and that removal of such mediators attenuated prediction of outcome met, respectively, the second and third conditions for presumptive support Conclusion. Carefully orchestrated RP and TSF aftercare programs yield process changes that are related positively to improved outcome. (Author' s abstract)
ENGLISH :
Aims. Presumptive support was sought for mechanisms of action whereby two conceptually distinct aftercare programs, relapse prevention (RP) and 12-Step facilitation (TSF), impact upon substance abusers. Patients and design. Adults who had just completed intensive treatment were assigned randomly to either RP (n = 61) or TSF (n = 70) aftercare programs. Setting. Three residential treatment facilities. Interventions. Trained counselors delivered to small groups a manualized aftercare program which focused either upon the utilization of cognitive-behavioral processes to orchestrate change through an individualized treatment plan (i.e. RP) or which sought to facilitate utilization of AAs 12 Steps (i.e.TSF). Measurements. Process measures developed specifically to quantify either: (a) the changes in self-efficacy process in RP or (b) the utilization of AAs principles in TSF, as well as psychosocial and substance abuse indices were administered to all patients pre- and post-aftercare and at 6-month follow-up. Findings. A significant relationship between changes in measures of self-efficacy for RP participants as well as a trend for a relationship between process-specific change for TSF participants partially satisfied tile first condition for presumptive support. The fact that the intervention-specific mediators covaried with several outcome indices, and that removal of such mediators attenuated prediction of outcome met, respectively, the second and third conditions for presumptive support Conclusion. Carefully orchestrated RP and TSF aftercare programs yield process changes that are related positively to improved outcome. (Author' s abstract)
Affiliation :
Addict. Res. Program, Douglas Hosp. Res. Ctr, FBC-1, 6875 LaSalle Blvd, Verdun, Quebec H4H 1R3
Canada. Canada.
Canada. Canada.
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