Multimedia Toolkits to Implement 12-Step Recovery Concepts in Group Counseling
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/13/2015 |
| Start Date: | March 2011 |
| End Date: | March 2015 |
| Contact: | Kimberly C Kirby, PhD |
| Email: | kkirby@tresearch.org |
| Phone: | 215-399-0980 |
This study is developing and testing a 12-step toolkit with five modules, training
counselors to use them, and studying their frequency of use, desirability, effectiveness and
patient outcomes. The toolkit includes counselor written guides, posters, client worksheets,
engagement activities, and videos designed to be shown during substance abuse treatment
group sessions to explain and encourage 12-step participation.
counselors to use them, and studying their frequency of use, desirability, effectiveness and
patient outcomes. The toolkit includes counselor written guides, posters, client worksheets,
engagement activities, and videos designed to be shown during substance abuse treatment
group sessions to explain and encourage 12-step participation.
The study has three aims. Aim 1 involves the development of an evidence-based 12-step
facilitation toolkit curriculum. Toolkit structure and content is grounded in theory and
empirical findings, and incorporates feedback from 12-step facilitation experts and
individuals with a history of substance abuse. Aim 2 consists of implementing the resulting
five-module Toolkit in a multi-site randomized controlled trial using a pre-/post-Toolkit
training design that includes 1- and 6-month post-training assessments. Group counselors
employed at community-based outpatient and inpatient substance abuse treatment programs will
be randomly assigned to a Toolkit or treatment-as-usual condition. Data obtained from
audiotaped sessions will identify between group differences in counselor adherence to
12-step content and skillfulness. Additional data will be collected on counselor
satisfaction, 12-step attitudes and beliefs, and 12-step knowledge, as well as on Toolkit
acceptability, feasibility, and short-term sustainability. Aim 3 will determine whether
exposure to the Toolkit curriculum results in stable 12-step involvement and decreased
self-reported substance use among clients.
facilitation toolkit curriculum. Toolkit structure and content is grounded in theory and
empirical findings, and incorporates feedback from 12-step facilitation experts and
individuals with a history of substance abuse. Aim 2 consists of implementing the resulting
five-module Toolkit in a multi-site randomized controlled trial using a pre-/post-Toolkit
training design that includes 1- and 6-month post-training assessments. Group counselors
employed at community-based outpatient and inpatient substance abuse treatment programs will
be randomly assigned to a Toolkit or treatment-as-usual condition. Data obtained from
audiotaped sessions will identify between group differences in counselor adherence to
12-step content and skillfulness. Additional data will be collected on counselor
satisfaction, 12-step attitudes and beliefs, and 12-step knowledge, as well as on Toolkit
acceptability, feasibility, and short-term sustainability. Aim 3 will determine whether
exposure to the Toolkit curriculum results in stable 12-step involvement and decreased
self-reported substance use among clients.
Inclusion Criteria for Counselors:
- Over 18 years of age
- Employed at a participating substance abuse treatment facility
- Provide treatment in a group format
Exclusion Criteria for Counselors:
- At the time of the project they do not have primary responsibility for conducting at
least three substance abuse group sessions per week
- Their therapy group is normally scheduled to run less than 50 minutes, or more than
150 minutes
- Unable to provide valid informed consent
Inclusion Criteria for Clients:
- Over 18 years of age
- Attending an observed group of a participating counselor
- (For participation in the Follow-Up Study/Aim 3 only) patients must endorse heavy
drinking, alcohol-related difficulties, or poor prior 12-step participation
Exclusion Criteria for Clients:
- Unable to provide valid informed consent
We found this trial at
11
sites
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