TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Alcoholism/prevention & control/therapy
KW - Continuity of Patient Care/statistics & numerical data
KW - Counseling/methods
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Compliance/statistics & numerical data
KW - Recurrence/prevention & control
KW - Risk Factors
KW - Severity of Illness Index
KW - Sex Characteristics
KW - Telephone
AU - K. G. Lynch
AU - D. Van Horn
AU - M. Drapkin
AU - M. Ivey
AU - D. Coviello
AU - J. R. McKay
A1 - 
AB - OBJECTIVES: To evaluate potential moderators of the effect of adding extended telephone monitoring (TM) and telephone monitoring and counseling (TMC) continuing care to treatment as usual (TAU) for alcoholism. Continuing care was predicted to be more effective for patients with severe substance-use histories, poor initial response to treatment, and other risk factors for relapse. METHODS: Randomized study with 18-month follow-up. Outcomes were frequency of drinking and any drinking. RESULTS: Main effects favored TMC over TAU on alcohol outcomes. However, none of the 11 variables examined moderated these effects. Conversely, main effect and moderator analyses indicated TM was more beneficial than TAU only for women and for participants with lower readiness to change. CONCLUSIONS: TMC improves drinking outcomes when added to standard care, regardless of alcohol use history, early response to treatment, or other risk factors for relapse. TM is recommended for women and less motivated patients.
BT - American Journal of Health Behavior
C5 - HIT & Telehealth
CP - 6
CY - United States
IS - 6
JF - American Journal of Health Behavior
N2 - OBJECTIVES: To evaluate potential moderators of the effect of adding extended telephone monitoring (TM) and telephone monitoring and counseling (TMC) continuing care to treatment as usual (TAU) for alcoholism. Continuing care was predicted to be more effective for patients with severe substance-use histories, poor initial response to treatment, and other risk factors for relapse. METHODS: Randomized study with 18-month follow-up. Outcomes were frequency of drinking and any drinking. RESULTS: Main effects favored TMC over TAU on alcohol outcomes. However, none of the 11 variables examined moderated these effects. Conversely, main effect and moderator analyses indicated TM was more beneficial than TAU only for women and for participants with lower readiness to change. CONCLUSIONS: TMC improves drinking outcomes when added to standard care, regardless of alcohol use history, early response to treatment, or other risk factors for relapse. TM is recommended for women and less motivated patients.
PP - United States
PY - 2010
SN - 1945-7359; 1087-3244
SP - 788
EP - 800
EP - 
T1 - Moderators of response to telephone continuing care for alcoholism
T2 - American Journal of Health Behavior
TI - Moderators of response to telephone continuing care for alcoholism
U1 - HIT & Telehealth
U2 - 20604702
VL - 34
VO - 1945-7359; 1087-3244
Y1 - 2010
ER -