Intensive Referral to Mutual-Help Groups: A Field Trial of Adaptations for Rural Veterans
| Autor: | Kimberly A. Tyler, Kathleen M. Grant, Christine Timko, R. Dario Pulido, Jamie L. Simpson, Lance Brendan Young |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Referral Substance-Related Disorders media_common.quotation_subject 030508 substance abuse Article 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Veterans Affairs Referral and Consultation media_common Veterans business.industry Addiction General Medicine Abstinence Middle Aged medicine.disease United States Substance abuse Posttraumatic stress Self-Help Groups United States Department of Veterans Affairs Treatment Outcome Physical therapy Substance use 0305 other medical science business Follow-Up Studies Program Evaluation |
| Popis: | Objective A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions. Conclusion Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. Practice implications The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans. |
| Databáze: | OpenAIRE |
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