Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial
Article first published online: 16 FEB 2014
© 2014 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction
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Volume 109, Issue 5, pages 766–773, May 2014
How to Cite
Vederhus, J.-K., Timko, C., Kristensen, Ø., Hjemdahl, B. and Clausen, T. (2014), Motivational intervention to enhance post-detoxification 12-Step group affiliation: a randomized controlled trial. Addiction, 109: 766–773. doi: 10.1111/add.12471
- Issue published online: 10 APR 2014
- Article first published online: 16 FEB 2014
- Accepted manuscript online: 8 JAN 2014 10:31PM EST
- Manuscript Accepted: 19 DEC 2013
- Manuscript Revised: 18 FEB 2013
- Manuscript Received: 27 NOV 2012
- The Norwegian Research Council
- VA HSR&D. Grant Number: RCS 00-001
- Alcoholics Anonymous;
- patient education;
- randomized controlled trial;
- self-help groups;
- Twelve-Step facilitation
To compare a motivational intervention (MI) focused on increasing involvement in 12-Step groups (TSGs; e.g. Alcoholics Anonymous) versus brief advice (BA) to attend TSGs.
Patients were assigned randomly to either the MI or BA condition, and followed-up at 6 months after discharge.
Setting and participants
One hundred and forty substance use disorder (SUD) patients undergoing in-patient detoxification (detox) in Norway.
The primary outcome was TSG affiliation measured with the Alcoholics Anonymous Affiliation Scale (AAAS), which combines meeting attendance and TSG involvement. Substance use and problem severity were also measured.
At 6 months after treatment, compared with the BA group, the MI group had higher TSG affiliation [0.91 point higher AAAS score; 95% confidence interval (CI) = 0.04 to 1.78; P = 0.041]. The MI group reported 3.5 fewer days of alcohol use (2.1 versus 5.6 days; 95% CI = −6.5 to −0.6; P = 0.020) and 4.0 fewer days of drug use (3.8 versus 7.8 days; 95% CI = −7.5 to −0.4; P = 0.028); however, abstinence rates and severity scores did not differ between conditions. Analyses controlling for duration of in-patient treatment did not alter the results.
A motivational intervention in an in-patient detox ward was more successful than brief advice in terms of patient engagement in 12-Step groups and reduced substance use at 6 months after discharge. There is a potential benefit of adding a maintenance-focused element to standard detox.