Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 3,483
- 试验地点
- 22
- 主要终点
- Change in counselor content adherence from baseline, as measured by the Group Observation Rating System
研究概览
简要总结
This study is developing and testing a 12-step toolkit with five modules, training counselors to use them, and studying their frequency of use, desirability, effectiveness and patient outcomes. The toolkit includes counselor written guides, posters, client worksheets, engagement activities, and videos designed to be shown during substance abuse treatment group sessions to explain and encourage 12-step participation.
详细描述
The study has three aims. Aim 1 involves the development of an evidence-based 12-step facilitation toolkit curriculum. Toolkit structure and content is grounded in theory and empirical findings, and incorporates feedback from 12-step facilitation experts and individuals with a history of substance abuse. Aim 2 consists of implementing the resulting five-module Toolkit in a multi-site randomized controlled trial using a pre-/post-Toolkit training design that includes 1- and 6-month post-training assessments. Group counselors employed at community-based outpatient and inpatient substance abuse treatment programs will be randomly assigned to a Toolkit or treatment-as-usual condition. Data obtained from audiotaped sessions will identify between group differences in counselor adherence to 12-step content and skillfulness. Additional data will be collected on counselor satisfaction, 12-step attitudes and beliefs, and 12-step knowledge, as well as on Toolkit acceptability, feasibility, and short-term sustainability. Aim 3 will determine whether exposure to the Toolkit curriculum results in stable 12-step involvement and decreased self-reported substance use among clients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for Counselors:
- •Over 18 years of age
- •Employed at a participating substance abuse treatment facility
- •Provide treatment in a group format
排除标准
- •for Counselors:
- •At the time of the project they do not have primary responsibility for conducting at least three substance abuse group sessions per week
- •Their therapy group is normally scheduled to run less than 50 minutes, or more than 150 minutes
- •Unable to provide valid informed consent
- •Inclusion Criteria for Clients:
- •Over 18 years of age
- •Attending an observed group of a participating counselor
- •(For participation in the Follow-Up Study/Aim 3 only) patients must endorse heavy drinking, alcohol-related difficulties, or poor prior 12-step participation
- •Exclusion Criteria for Clients:
- •Unable to provide valid informed consent
结局指标
主要结局
Change in counselor content adherence from baseline, as measured by the Group Observation Rating System
时间窗: 0, 1, 6 months
Counselor adherence to 12-step concepts covered in group sessions assessed using the Group Observation Rating System which consists of items designed to assess general counseling competency skills and 12-step facilitation items
Change in counselor therapeutic skillfulness from baseline, as measured by the Group Observation Rating System
时间窗: 0, 1, 6 months
Counselor therapeutic skillfulness when delivering 12-step content in group sessions assessed using the Group Observation Rating System which consists of items designed to assess general counseling competency skills and 12-step facilitation items
次要结局
- Change in counselor satisfaction from baseline, as measured by the Counselor Satisfaction Form(0, 1, 6 months)
- Change in client substance use from baseline, as measured by the Substance Use Inventory(0, 2, 4, 12, 24 weeks)
- Change in client involvement in 12-step activities from baseline, as measured by the Patient AA Attendance and Involvement Scale(0, 2, 4, 12, 24 weeks)
- Change in counselor 12-step knowledge from baseline, as measured by the Counselor Core Elements of 12-step Knowledge Inventory(0, 1, 6 months)
- Change in counselor 12-step attitudes and beliefs from baseline, as measured by the Counselor 12-Step Attitudes and Beliefs Scale(0, 1, 6 months)
- Change in counselor feasibility and sustainability of the toolkit from baseline, as measured by a bi-weekly web-based calendar(0, 1, 6 months)