An experimental test of telephone aftercare contacts with alcoholics.

Fitzgerald, J L; Mulford, Harold A.

doi:10.15288/jsa.1985.46.418

Cited by 25 publications

(17 citation statements)

References 9 publications

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“…The authors of 119 (41%) of the remaining 291 studies responded to our requests for further information. From these responses, we identified an additional nine eligible completed studies (Gallant 1968, Landrum 1981, McCrady et al 1982, Fitzgerald 1985, Potamianos 1986, Kuchipudi 1990, WHO BISG 1996, Toteva 1996, Sitharthan 1997. Two trials (McCrady et al 1982, Anderson 1992 were subsequently excluded because their 'injury' outcome measures were found to include other outcomes not specifically related to injury (i.e.…”

Section: Results Of the Searchmentioning

confidence: 99%

Interventions for preventing injuries in problem drinkers

Dinh-Zarr

Goss

Heitman

et al. 2004

Cochrane Database of Systematic Reviews

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Gallant 1968 {published and unpublished data} Gallant DM, Bishop MP, Camp E, Tisdale C. A six-month controlled evaluation of metronidazole (Flagyl) in chronic alcoholic patients. Current Therapeutic Research 1968;10(2):82-7. Gentilello 1999 {published data only} Gentilello LM, Rivara FP, Donovan DM, et al. Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence.

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Section: Results Of the Searchmentioning

confidence: 99%

Interventions for preventing injuries in problem drinkers

Dinh-Zarr

Goss

Heitman

et al. 2004

Cochrane Database of Systematic Reviews

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“…Even a structured telephone follow‐up research interview was correlated with improved abstinence 10 . On the other hand, no difference in recovery rates one year after discharge from two hospital‐based treatment centers was observed for participants called by a center counselor every two weeks versus a control group with no formal contact 11 . These inconsistent findings have raised concerns about the efficacy of telephone interventions.…”

Section: Introductionmentioning

confidence: 99%

Telephone Enhancement of Long‐term Engagement (TELE) in Continuing Care for Substance Abuse Treatment: A NIDA Clinical Trials Network (CTN) study

et al. 2007

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The TELE study examined the feasibility and potential efficacy of phone calls to patients after discharge from short- term inpatient and residential substance abuse treatment programs to encourage compliance with continuing care plans. After review of their continuing care plans, 339 patients from four programs were randomized either to receive calls or to have no planned contact. Ninety-two percent of patients randomized to receive calls received at least one call. No difference was found between groups in self-reported attendance at one or more outpatient counseling sessions after discharge (p = .89). When program records of all participants were examined, those receiving calls had a greater likelihood of documented attendance (48%) than those not called (37%). Results were not statistically significant (p < .003) because of the Hochberg correction for multiple tests. While the phone calls were feasible, the lack of clear evidence of efficacy of the calls suggests the need for further investigation of the role of telephone intervention to encourage compliance and improve outcomes.

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“…The four counseling conditions were as follows:

Unstructured/Non-directive (UN). Consistent with telephone counseling protocols implemented with alcohol treatment patients (Fitzgerald and Mulford, 1985), counselors in the UN condition were instructed to provide subjects with general encouragement to participate in the outpatient continued care program and to ask the respondents to generate their own list of behaviors or activities they believed would assist them in maintaining abstinence. Further, the counselors refrained from providing specific advice and instead focused on expressing genuine concern for the subject’s welfare.

Structured/Non-directive (SN).

…”

Section: Methodsmentioning

confidence: 99%

“…In one study, for example, patients treated for alcohol dependence were given a card with a toll-free number to call whenever they felt they were in need of assistance. This study condition was eventually discontinued when, after seven months only one of the 43 subjects assigned to this condition had called this number—and this subject had only called twice (Fitzgerald and Mulford, 1985). Even among more proactive approaches (i.e., where the counselor initiates the follow-up contacts), the literature offers little guidance as to what type of patient is more likely to benefit from structured and/or directive counseling approaches as opposed to general support.…”

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confidence: 99%

A comparison of four telephone-based counseling styles for recovering stimulant users.

Farabee¹,

Cousins²,

Brecht³

et al. 2013

Psychology of Addictive Behaviors

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The continuing development and refinement of empirically supported interventions to increase participation in posttreatment care and promote sustained abstinence from illicit drug use is a priority for the addictions field. The purpose of this study was to assess the combined and relative effectiveness of four types of counseling styles, delivered by telephone, relative to a no-call control condition. Stimulant users (N = 302) were randomized to one of four low-cost, telephone support protocols (unstructured/non-directive, unstructured/directive, structured/non-directive, structured/directive) or a standard referral to aftercare without telephone counseling (control). All of the study participants were nearing the completion of (or had completed) an intensive phase of structured, outpatient stimulant abuse treatment. Drug use and aftercare participation were assessed at 3 and 12 months following randomization. Intent-to-treat analyses showed no significant time-by-group interactions for these primary outcomes. Subsequent analyses, however, revealed a significant difference between the aggregated call groups and the control group at the time of the 3-month follow-up. The mean ASI drug use severity composite score for subjects in the call conditions declining from .058 at baseline to .048 at 3 months, whereas the non-call/control group average score increased from .053 to .062 (χ (1) = 4.95, p = .026). A similar—and slightly stronger—effect was found when the study sample was restricted to those reporting any use during the month prior to the baseline interview (n = 152). This study provides modest support for the telephone-based counseling approaches strategies examined in this project. Subsequent research will assess interactions between patient characteristics and counseling styles, and improved identification of which treatment graduates might be more likely to benefit from this type of continuing support.

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An experimental test of telephone aftercare contacts with alcoholics.

Cited by 25 publications

References 9 publications

Interventions for preventing injuries in problem drinkers

Interventions for preventing injuries in problem drinkers

Telephone Enhancement of Long‐term Engagement (TELE) in Continuing Care for Substance Abuse Treatment: A NIDA Clinical Trials Network (CTN) study

A comparison of four telephone-based counseling styles for recovering stimulant users.

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