A follow-up study of problem drinkers offered a goal choice option.

Booth, Peter G.; Dale, B; Slade, Peter; Dewey, Michael

doi:10.15288/jsa.1992.53.594

Cited by 47 publications

(34 citation statements)

References 18 publications

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“…Another study looking at drinking goal and prediction of treatment outcome found no relationship between choosing abstinence and trichotomized drinking outcome at 12-month follow-up [8]. This was a mixed-gender sample described as -problem drinkers˜.…”

Section: Introductionmentioning

confidence: 83%

Drinking goal selection and treatment outcome in out‐patients with mild‐moderate alcohol dependence

Adamson

Sellman

2001

Drug and Alcohol Review

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Selection of drinking goal is examined at baseline, post-treatment and at 6 months follow-up for a sample of mild moderate alcohol-dependent out-patients. Drinking goal is identified as abstinent or controlled drinking, with the latter group being asked to further specify per session and per week drinking limits. Group comparisons for drinking goal post-treatment show those who were not assigned motivational enhancement therapy, had more drinking days and lower scores on the Alcohol Problems Questionnaire and Internal Motivation were more likely to choose controlled drinking. The only variable to predict independently whether or not the controlled drinking goal was within the promoted drinking guidelines was age, with younger participants more likely to choose a goal above this limit. Goal selection was significantly related to drinking outcome, with those aiming to drink within guidelines having better outcome than those aiming for higher limits. There was no significant difference in drinking outcome category when those aiming for within limits were compared to those aiming for abstinence. Clinical implications of these findings are discussed.[Adamson SJ, Sellman JD. Drinking goal selection and treatment outcome in out-patients with mild moderate alcohol dependence. Drug Alcohol Rev 2001;20:351 359]

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Section: Introductionmentioning

confidence: 83%

Drinking goal selection and treatment outcome in out‐patients with mild‐moderate alcohol dependence

Adamson

Sellman

2001

Drug and Alcohol Review

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“…After-care attendance had also been identified as a factor in successful outcome generally (e.g. Booth, Dale, Slade, & Dewey, 1992). The period of follow-up was an average of 5 years and the weekly quantity consumed by each client was 4 units -the maximum reported intake of 12 units being well below the 21 units of alcohol promoted in treatment as being the safe weekly limit.…”

Section: Treatment Programmes and Outcomementioning

confidence: 99%

Idiosyncratic patterns of drinking in long-term successful controlled drinkers

Booth

2006

Addiction Research & Theory

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A historical summary is given of the clinical application of assessment and treatment procedures emanating from the new model of problem drinking that was emerging in the 1970s contemporaneously with the opening of the Windsor Clinic in Liverpool. Learning from the sometimes unexpected long-term outcomes of treated clients has provided invaluable feedback for this service. Controlled drinking is a goal choice selected by most clients at treatment entry but is a long-term successful drinking status found less commonly than abstinence. A sample of 10 clients who have been successful in maintaining controlled drinking after treatment for an average of 5 years is described. Common strategies that these individuals have adopted -including an initial period of abstinence, maintaining regular attendance at the agency, alcohol consumption levels considerably less than recommended limits and avoiding distilled spirits and solitary drinking -appear to be important.

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“…2,5 Studies in which participants could choose their drinking goals have also not found consistent differences in post-treatment drinking levels between those choosing abstinence versus moderation. 3,6,7 However, recent secondary analyses of the COMBINE study have found that participants choosing abstinence were more likely to have comparatively favorable outcomes on some drinking measures. 8,9 …”

Section: Introductionmentioning

confidence: 99%

Drinking goal choice and outcomes in a Web-based alcohol intervention: Results from VetChange

Enggasser

Hermos

Rubin

et al. 2015

Addictive Behaviors

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Objectives To describe characteristics of participants who chose moderation and abstinence drinking goals, and to examine post-treatment drinking outcomes based on patterns of goal choice during a Web-based alcohol intervention for returning U.S. Veterans. Method We conducted a descriptive secondary analysis of a subsample of 305 of 600 Veterans who participated in a clinical trial of VetChange, an 8-module, cognitive-behavioral intervention. Participants self-selected abstinence or moderation drinking goals, initially at Module 3, and weekly during subsequent modules. Alcohol use and alcohol-related problems were measured using the Alcohol Use Disorders Identification Test (AUDIT), Quick Drink Screen (QDS), and Short Inventory of Problems (SIP-2R). Results Initial goal choices were 86.9% moderation and 13.1% abstinence. Approximately 20% of participants from each initial choice changed goals during the intervention; last goal choices were 68.6% moderation and 31.4% abstinence. Participants who initially chose moderation reported higher percent heavy drinking days at baseline; participants who initially chose abstinence were more likely to report recent substance abuse treatment and were older. Post-intervention levels of alcohol use and alcohol-related problems were significantly reduced in all goal-choice patterns (i.e., Moderation Only, Abstinence Only, Moderation to Abstinence, and Abstinence to Moderation; all measures p < 0.05 or less). Baseline drinking severity did not differentially relate to outcomes across goal-choice patterns. Conclusions Participants in a Web-based alcohol intervention for returning U.S. Veterans demonstrated improvements in drinking regardless of whether they chose an abstinence or moderation drinking goal, and whether the goal was maintained or changed over the course of the intervention.

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A follow-up study of problem drinkers offered a goal choice option.

Cited by 47 publications

References 18 publications

Drinking goal selection and treatment outcome in out‐patients with mild‐moderate alcohol dependence

Drinking goal selection and treatment outcome in out‐patients with mild‐moderate alcohol dependence

Idiosyncratic patterns of drinking in long-term successful controlled drinkers

Drinking goal choice and outcomes in a Web-based alcohol intervention: Results from VetChange

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