Zemore Sarah E, Kaskutas Lee Ann
Alcohol Research Group, Emeryville, CA 94608, USA.
J Subst Abuse Treat. 2008 Oct;35(3):232-44. doi: 10.1016/j.jsat.2007.10.006. Epub 2008 Mar 7.
This longitudinal health services study (N = 733) (1) examines the impact of services received on 6-month outcomes, and (2) compares day-hospital to residential programs on services received. Services were measured at 2, 4, and 8 weeks postbaseline using a version of the Treatment Services Review. Higher odds of total sobriety at 6 months were associated with greater participation in (a) extracurricular (but not curricular) 12-step meetings, (b) sober recreational events, and (c) educational sessions. Program effects also emerged. Unexpectedly, extracurricular 12-step meeting attendance and the odds of having a sponsor were lower among residential (vs. day hospital) participants through 4 weeks, despite higher participation in curricular 12-step meetings among residential participants at 2 weeks. Still, residential participants reported higher involvement in sober recreation and informal peer socialization across most analyses. Findings suggest that residential and day-hospital programs might maximize outcomes by facilitating optional 12-step involvement and sober recreation, respectively.
这项纵向卫生服务研究（N = 733）：（1）考察所接受的服务对6个月结果的影响，以及（2）比较日间医院项目和住院项目所接受的服务。在基线后2周、4周和8周使用一种治疗服务审查版本对服务进行测量。6个月时完全戒酒几率较高与更多参与以下活动相关：（a）课外（而非课程内）的12步会议，（b）清醒的娱乐活动，以及（c）教育课程。项目效果也显现出来。出乎意料的是，在4周内，住院（相对于日间医院）参与者参加课外12步会议的情况及有担保人的几率较低，尽管住院参与者在2周时参加课程内12步会议的情况更多。不过，在大多数分析中，住院参与者报告称在清醒娱乐和非正式同伴社交方面参与度更高。研究结果表明，住院项目和日间医院项目可能分别通过促进选择性的12步参与和清醒娱乐来使结果最大化。
