“…48,59 Consistent with prior qualitative work, 56,57 low problem recognition, poor motivation for treatment, and stereotypes about 12-step groups were common negative initial perceptions. 48 However, as peers advocated for the benefits and the participants tried working the steps, these initial negative impressions became more positive. 48 After a period of practicing the steps, the personal benefits (eg, reduced cravings, character growth, improved mental health symptoms and quality of life) became primary motivators for continuing 12-step practices.…”