Montgomery LaTrice, Sanning Blair, Litvak Nicole, Peters Erica N
University of Cincinnati, Mental Health and Substance Abuse Counseling Program, 2160 McMicken Circle, P.O. Box 210068, Cincinnati, OH 45215, USA.
University of Cincinnati, Mental Health and Substance Abuse Counseling Program, 2160 McMicken Circle, P.O. Box 210068, Cincinnati, OH 45215, USA.
Drug Alcohol Depend. 2014 Jun 1;139:152-8. doi: 10.1016/j.drugalcdep.2014.03.026. Epub 2014 Apr 5.
Few studies examine the helpfulness and effectiveness of substance abuse treatment from the clients' perspective.
The current secondary analysis examined the perceived helpfulness of substance abuse treatment components and its relationship to treatment outcomes among 387 Black and White adults participating in a multisite randomized clinical trial (RCT) of Motivational Enhancement Therapy. Throughout the 16-week RCT, participants self-reported substance use. Upon completion of treatment, participants completed a self-report measure assessing the perceived helpfulness of treatment components.
Black participants rated 9 out of 12 treatment components (e.g., "learning skills that will help me cope with my problems") as being more helpful than their White counterparts, even after controlling for age, gender, employment status, primary drug type, and treatment assignment. However, perceived helpfulness ratings were not associated with substance use outcomes among Black or White participants.
Clients' perceived helpfulness of treatment components is an important factor to consider in improving the delivery of substance abuse treatment, especially for Black adults.
很少有研究从客户的角度考察药物滥用治疗的有效性和作用。
当前的二次分析考察了参与多地点动机增强疗法随机临床试验（RCT）的387名黑人和白人成年人对药物滥用治疗组成部分的感知有效性及其与治疗结果的关系。在为期16周的RCT中，参与者自我报告药物使用情况。治疗结束时，参与者完成一项自我报告测量，评估对治疗组成部分的感知有效性。
即使在控制了年龄、性别、就业状况、主要药物类型和治疗分配后，黑人参与者对12个治疗组成部分中的9个（例如，“学习有助于我应对问题的技能”）的评价比白人参与者更有帮助。然而，在黑人或白人参与者中，感知有效性评分与药物使用结果无关。
客户对治疗组成部分的感知有效性是改善药物滥用治疗提供时需要考虑的一个重要因素，尤其是对成年黑人而言。
