Initial Preference for Drinking Goal in the Treatment of Alcohol Problems: I. Baseline Differences Between Abstinence and Non-Abstinence Groups

Heather, Nick; Adamson, Simon J.; Raistrick, Duncan; Slegg, Gary

doi:10.1093/alcalc/agp096

Cited by 86 publications

(82 citation statements)

References 47 publications

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“…Consistent with Heather et al (2010), our univariate analysis shows that clients with prior detoxification or withdrawal treatment are more likely to choose abstinence as treatment goal.…”

Section: Discussionsupporting

confidence: 78%

“…While previous studies on this topic exclusively focused on patients with present alcohol use disorders (Adamson & Sellman, 2001;Heather et al, 2010;Pachman, Foy, & Van Erd, 1978) clients in our study were more heterogeneous, including those without alcohol use due to prior detoxification at another institution, as well as clients who reduced their alcohol use prior to treatment admission to a non-hazardous level.…”

Section: Discussionmentioning

confidence: 98%

“…First, not all potential predictors of outcomes and covariates of drinking goals identified in previous studies could be considered, e.g., readiness to change or social support for drinking (Adamson et al, 2009;Heather et al, 2010). Second, no causal conclusions can be derived from the reported associations and it is possible that the associations might be influenced by further moderating variables.…”

Section: Discussionmentioning

confidence: 99%

“…Substantial reductions in alcohol consumption were achieved in both intervention approaches. However, the patients maintaining abstinence for a longer time period only contributed marginally to this effect (Adamson, Heather, Morton, & Raistrick, 2010;Heather, Adamson, Raistrick, & Slegg, 2010). Furthermore, clients preferring abstinence differed from clients who expressed a preference for non-abstinence.…”

Section: Introductionmentioning

confidence: 96%

“…Nor have studies investigated the relevance of drinking goals as predictor of treatment outcomes. Secondary data analysis of the above-mentioned UKATT (Godfrey & Team, 2005) provided the first results Heather et al, 2010), however further studies from other countries and settings are required to extend the body of knowledge on this topic. Within the UKATT, only two specific treatment modalities were scheduled and the number of sessions was fixed.…”

Section: Introductionmentioning

confidence: 99%

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Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Haug

Eggli

Schaub

2016

Substance Use & Misuse

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Background: Few studies have compared characteristics of clients entering alcohol treatment who differ in their drinking goal preferences or have investigated the relevance of drinking goals as a predictor of treatment outcomes. Objectives: To investigate associations between baseline drinking goal preferences and client characteristics as well as treatment retention and outcomes among clients in outpatient alcohol treatment. Methods: Secondary data analyses on a longitudinal multicenter study investigating the effectiveness of outpatient alcohol treatment in Switzerland among 805 clients. Assessments were conducted at treatment admission, discharge, and at 6-and 12-month follow ups. At-risk drinking was assessed through the alcohol use disorders identification test. Treatment retention was defined as regular discharge with or without transition into another institution. Results: Clients aiming to abstain from drinking were more likely to be in retreatment, to be assigned to treatment by a health institution, to have no at-risk alcohol use, and to be already alcohol abstinent at the time of admission relative to clients who aimed to control their drinking. Clients without at-risk alcohol use at admission showed higher treatment retention when aiming for controlled drinking than for abstinence, while there was no difference in treatment retention among clients with at-risk use. Clients with at-risk use at admission were more likely to reach not-at-risk alcohol use status when aiming for alcohol abstinence than for controlled drinking.

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“…Consistent with Heather et al (2010), our univariate analysis shows that clients with prior detoxification or withdrawal treatment are more likely to choose abstinence as treatment goal.…”

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Haug

Eggli

Schaub

2016

Substance Use & Misuse

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Alcohol Use Disorders

Sher¹

2010

The Corsini Encyclopedia of Psychology

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This guideline is one of three pieces of NICE guidance addressing alcohol-use disorders. The present guideline addresses the management of alcohol dependence and harmful alcohol use in people 10 years and older including: assessment, pharmacological interventions, psychological and psychosocial interventions, and settings of assisted withdrawal and rehabilitation. The two other NICE guidelines address: 1) The prevention of alcohol-use disorders in people 10 years and older, which is public health guidance on the price of alcohol, advertising and availability of alcohol, how best to detect alcohol misuse both in and outside primary care and brief interventions to manage alcohol misuse in these settings (NICE, 2010a), and 2) The assessment and clinical management in people 10 years and older of acute alcohol withdrawal, including delirium tremens, liver damage, acute and chronic pancreatitis and the management of Wernicke's encephalopathy (NICE, 2010b). This guideline will sometimes use the term alcohol misuse, which will encompass both people with alcohol dependence and harmful alcohol use. The guideline recommendations have been developed by a multidisciplinary team of healthcare professionals, lay member, service user and carer representatives, and guideline methodologists, after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high-quality care for people who misuse alcohol while also emphasising the importance of the experience of care for them and their carers. Although the evidence base is expanding, there are also a number of gaps in the literature. The guideline makes a number of research recommendations specifically to address gaps in the evidence base. In the meantime, it is hoped that the guideline will assist clinicians, people who misuse alcohol and their carers by identifying the merits of particular treatment approaches where the evidence from research and clinical experience exists. National guideline 1.1.1What are clinical practice guidelines? Clinical practice guidelines are 'systematically developed statements that assist clinicians and patients in making decisions about appropriate treatment for specific conditions' (Mann, 1996). They are derived from the best available research evidence, using predetermined and systematic methods to identify and evaluate the evidence relating to the specific condition in question. Where evidence is lacking, the guidelines incorporate statements and recommendations based upon the consensus statements developed by the Guideline Development Group (GDG). Clinical guidelines are intended to improve the process and outcomes of healthcare in a number of different ways. They can:

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The Clinical Benefits of Non-abstinent Outcomes in Alcohol Use Disorder Treatment: Evidence from Clinical Trials and Treatment Implications

Votaw,

Witkiewitz

2023

Alcohol and Alcohol-Related Diseases

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Initial Preference for Drinking Goal in the Treatment of Alcohol Problems: I. Baseline Differences Between Abstinence and Non-Abstinence Groups

Abstract: The implications of these findings for service delivery are best considered in conjunction with findings from a companion paper reporting treatment outcomes associated with each goal preference.

Cited by 86 publications

References 47 publications

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Drinking Goals and Their Association With Treatment Retention and Treatment Outcomes Among Clients in Outpatient Alcohol Treatment

Alcohol Use Disorders

The Clinical Benefits of Non-abstinent Outcomes in Alcohol Use Disorder Treatment: Evidence from Clinical Trials and Treatment Implications

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