Kaskutas Lee Ann, Subbaraman Meenakshi S, Witbrodt Jane, Zemore Sarah E
Alcohol Research Group, 6475 Christie Avenue, Emeryville, CA 94608-1010, USA.
J Subst Abuse Treat. 2009 Oct;37(3):228-39. doi: 10.1016/j.jsat.2009.01.004. Epub 2009 Apr 1.
Most treatment programs recommend clients attend 12-step groups, but many drop out posttreatment. The effectiveness of Making Alcoholics Anonymous [AA] Easier (MAAEZ ), a manual-guided intervention designed to help clients connect with individuals encountered in AA, was tested using an "OFF/ON" design (n = 508). MAAEZ effectiveness was determined by comparing abstinence rates of participants recruited during ON and OFF conditions and by studying the effect of the number of MAAEZ sessions attended. At 12 months, more clients in the ON condition (vs. OFF) reported past 30-day abstinence from alcohol (p = .012), drugs (p = .009), and both alcohol and drugs (p = .045). In multivariate analyses, ON condition participants had significantly increased odds of abstinence from alcohol (odds ratio [OR] = 1.85) and from drugs (OR = 2.21); abstinence odds also increased significantly for each additional MAAEZ session received. MAAEZ appeared especially effective for those with more prior AA exposure, severe psychiatric problems, and atheists/agnostics. MAAEZ represents an evidence-based intervention that is easily implemented in existing treatment programs.
大多数治疗方案建议客户参加12步团体，但许多人在治疗后退出。“让戒酒互助会更轻松”（MAAEZ）是一种手册指导的干预措施，旨在帮助客户与在戒酒互助会中遇到的人建立联系，其有效性采用“开/关”设计（n = 508）进行了测试。MAAEZ的有效性通过比较在“开”和“关”条件下招募的参与者的戒酒率以及研究参加MAAEZ课程的数量的影响来确定。在12个月时，处于“开”条件下的更多客户（与“关”条件相比）报告在过去30天内戒酒（酒精，p = 0.012；药物，p = 0.009；酒精和药物，p = 0.045）。在多变量分析中，处于“开”条件下的参与者戒酒的几率显著增加（酒精的优势比[OR] = 1.85；药物的OR = 2.21）；每多参加一次MAAEZ课程，戒酒几率也显著增加。MAAEZ对那些之前更多接触过戒酒互助会、有严重精神问题以及无神论者/不可知论者的人似乎特别有效。MAAEZ是一种基于证据的干预措施，可轻松在现有治疗方案中实施。
