Graham K, Annis H M, Brett P J, Venesoen P
Social Evaluation and Research Department, Addiction Research Foundation, London, Ontario, Canada.
Addiction. 1996 Aug;91(8):1127-39. doi: 10.1046/j.1360-0443.1996.91811275.x.
Results are presented of a randomized field trial comparing two aftercare regimes, namely individual versus group delivery of a structured relapse prevention approach. Two addictions treatment programs (one a 12-Step 26-day residential program, the other an evening group counselling program) implemented structured relapse prevention in either group or individual format as part of the first three months of aftercare. Process measures (e.g. attendance, client satisfaction) indicated that both group and individual formats were delivered very successfully at both sites. Follow-up rate at 12 months across both programs was 74%, and drinking and drug use at the 12-month follow-up was substantially less than use at entry into treatment. However, there were no significant differences in outcomes between individual and group delivery on any of the alcohol or drug use measures. Only one psychosocial outcome measure (social support from friends at 12-month follow-up) showed a significant difference for format and it favored the group format. These findings suggest some important directions for future research.
本文呈现了一项随机现场试验的结果，该试验比较了两种后续照护方案，即结构化复发预防方法的个体实施与团体实施。两个成瘾治疗项目（一个是为期26天的12步住院项目，另一个是晚间团体咨询项目）在后续照护的前三个月中，以团体或个体形式实施结构化复发预防。过程指标（如出勤率、客户满意度）表明，两种形式在两个地点都非常成功地实施。两个项目在12个月时的随访率为74%，12个月随访时的饮酒和药物使用情况比进入治疗时大幅减少。然而，在任何酒精或药物使用指标上，个体实施和团体实施的结果没有显著差异。只有一项心理社会结果指标（12个月随访时来自朋友的社会支持）显示形式上有显著差异，且团体形式更具优势。这些发现为未来研究提供了一些重要方向。
