UK Alcohol Treatment trial: client-treatment matching effects

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Heather, Nick ; Copello, Alex ; Godfrey, Christine ; Hodgson, Ray ; Orford, Jim ; Raistrick, Duncan ; Russell, Ian ; Tober, Gillian ; UKATT Research Team (2008)

Aim \ud To test a priori hypotheses concerning client–treatment matching in the treatment of alcohol problems and to evaluate the more general hypothesis that client–treatment matching adds to the overall effectiveness of treatment. \ud \ud Design \ud Pragmatic, multi-centre, randomized controlled trial (the UK Alcohol Treatment Trial: UKATT) with open follow-up at 3 months after entry and blind follow-up at 12 months. Setting Five treatment centres, comprising seven treatment sites, including National Health Service (NHS), social services and joint NHS/non-statutory facilities. \ud \ud Treatments \ud Motivational enhancement therapy and social behaviour and network therapy. \ud \ud Measurements \ud Matching hypotheses were tested by examining interactions between client attributes and treatment types at both 3 and 12 months follow-up using the outcome variables of percentage days abstinent, drinks per drinking day and scores on the Alcohol Problems Questionnaire and Leeds Dependence Questionnaire. \ud \ud Findings \ud None of five matching hypotheses was confirmed at either follow-up point on any outcome variable. \ud \ud Conclusion \ud The findings strongly support the conclusion reached in Project MATCH in the United States that client–treatment matching, at least of the kind examined, is unlikely to result in substantial improvements to the effectiveness of treatment for alcohol problems. Possible reasons for this failure to support the general matching hypothesis are discussed, as are the implications of UKATT findings for the provision of treatment for alcohol problems in the United Kingdom.
  • References (45)
    45 references, page 1 of 5

    9. Prochaska, J. O., DiClemente, C. C. & Norcross, J. C. (1992) In search of how people change: Applications to addictive behaviour. American Psychologist, 47, 1102-1114.

    10. McLellan, A., Luborski, L., Woody, G., O'Brien, C. & Druley, K. (1983) Predicting response to alcohol and drug abuse treatments: role of psychiatric severity. Archives of General Psychiatry, 40, 620-625.

    11. Cooney, N., Kadden, R., Litt, M. & Getter, H. (1991) Matching alcoholics to coping skills or interactional therapies: two year follow-up results. Journal of Consulting & Clinical Psychology, 59, 598-601.

    12. Miller, W.R., Zweben, A., DiClemente, C. and Rychtarik, R. (1992) Motivational Enhancement Therapy: A Clinical Research Guide for Therapists Treating Individuals with Alcohol Abuse and Dependence. Project MATCH Monograph Series, vol. 2, DHHS Pub. No. (ADM) 92-1894. Washington DC: Department of Health and Human Services.

    13. Schwartz, D. & Lellouch, J. (1967) Explanatory and pragmatic attitudes in clinical trials. Journal of Chronic Diseases, 20, 637-648.

    14. Flay, B.R. (1986) Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Preventive Medicine, 15, 451- 474.

    15. Clifford, P.R. & Longabaugh, R. (1991) Manual for the administration of the Important People and Activities Instrument. Providence RI: Center for Alcohol & Addiction Studies, Brown University.

    16. Moos, R. and Moos, B. (1994) Family Environment Scale Manual: Developments, Applications, Research (3rd edition). Consulting Psychologist Press, Palo Alto CA.

    17. Heather, N., Luce, A., Peck, D. Dunbar, B. & James, I. (1999) Development of a treatment version of the Readiness to Change Questionnaire. Addiction Research, 7, 63-68.

    18. McMahon, J. & Jones, B. (1993) The Negative Alcohol Expectancy Questionnaire. Journal of the Association of Nurses in Substance Abuse, 1, 12 -17.

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