7-year trajectories of Alcoholics Anonymous ...
" 7-year trajectories of Alcoholics Anonymous attendance and associations with treatment "
Auteur(s) / Author(s)
KASKUTAS Lee Ann ; BOND Jason ; AMMON AVALOS Lyndsay ;
Résumé
Although many members of Alcoholics Anonymous (AA) are introduced to AA during treatment, the relationship between treatment and AA attendance over time is unknown. This paper describes four latent classes of AA attendance among 586 dependent alcoholics interviewed by telephone 1, 3, 5 and 7 years after baseline, and models the relationship between treatment exposure and AA attendance in each class. There was a low AA group (averaging fewer than 5 meetings at most follow-ups), a medium AA group (about 50 meetings a year at each follow-up), a descending AA group (about 150 meetings year 1, then decreasing steeply), and a high AA group (about 200 meetings at 1 year, then decreasing gradually by year 7). Declines in meeting attendance were not always accompanied by decreases in abstinence. After accounting for the effect of time on AA attendance (i.e., the "ups-and-downs" that occur over time), treatment exposure was minimally related to AA attendance in all but the descending AA group, where it was negatively associated (p<0.001). Considering AA patterns over time highlights a different role for treatment in AA attendance than what is gleaned from analyses at single timepoints.
Auteur(s) / Author(s)
KASKUTAS Lee Ann ; BOND Jason ; AMMON AVALOS Lyndsay ;
Résumé
Although many members of Alcoholics Anonymous (AA) are introduced to AA during treatment, the relationship between treatment and AA attendance over time is unknown. This paper describes four latent classes of AA attendance among 586 dependent alcoholics interviewed by telephone 1, 3, 5 and 7 years after baseline, and models the relationship between treatment exposure and AA attendance in each class. There was a low AA group (averaging fewer than 5 meetings at most follow-ups), a medium AA group (about 50 meetings a year at each follow-up), a descending AA group (about 150 meetings year 1, then decreasing steeply), and a high AA group (about 200 meetings at 1 year, then decreasing gradually by year 7). Declines in meeting attendance were not always accompanied by decreases in abstinence. After accounting for the effect of time on AA attendance (i.e., the "ups-and-downs" that occur over time), treatment exposure was minimally related to AA attendance in all but the descending AA group, where it was negatively associated (p<0.001). Considering AA patterns over time highlights a different role for treatment in AA attendance than what is gleaned from analyses at single timepoints.
Revue / Journal Title
Addictive behaviors ISSN 0306-4603 CODEN ADBED9
Source 2009, vol. 34, no12, pp. 1029-1035 [7 page(s) (article)]
Langue Anglais
Editeur / Publisher Elsevier, Oxford, ROYAUME-UNI (1975) (Revue)
Mots-clés d'auteur / Author Keywords
AA ; Latent classes ; Latent class growth curve modeling ; Self-help ; Mutual aid ;
Localisation / Location
INIST-CNRS, Cote INIST : 17160, 35400017026015.0070
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