Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans

Kathleen M. Grant, Lance Brendan Young, Kimberly A. Tyler, Jamie L. Simpson, R. Dario Pulido, Christine Timko

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions. Conclusion Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. Practice implications The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.

Original languageEnglish (US)
Pages (from-to)79-84
Number of pages6
JournalPatient Education and Counseling
Volume101
Issue number1
DOIs
StatePublished - Jan 2018

Fingerprint

Veterans
Referral and Consultation
Substance-Related Disorders
Alcohol Abstinence
Therapeutics
Research

Keywords

  • Controlled field trial
  • Mutual-help
  • Rural
  • Substance use disorder
  • Veteran

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Intensive referral to mutual-help groups : A field trial of adaptations for rural veterans. / Grant, Kathleen M.; Young, Lance Brendan; Tyler, Kimberly A.; Simpson, Jamie L.; Pulido, R. Dario; Timko, Christine.

In: Patient Education and Counseling, Vol. 101, No. 1, 01.2018, p. 79-84.

Research output: Contribution to journalArticle

Grant, Kathleen M. ; Young, Lance Brendan ; Tyler, Kimberly A. ; Simpson, Jamie L. ; Pulido, R. Dario ; Timko, Christine. / Intensive referral to mutual-help groups : A field trial of adaptations for rural veterans. In: Patient Education and Counseling. 2018 ; Vol. 101, No. 1. pp. 79-84.
@article{65efedc913dd440b9183971cfdbb2e02,
title = "Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans",
abstract = "Objective A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions. Conclusion Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. Practice implications The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.",
keywords = "Controlled field trial, Mutual-help, Rural, Substance use disorder, Veteran",
author = "Grant, {Kathleen M.} and Young, {Lance Brendan} and Tyler, {Kimberly A.} and Simpson, {Jamie L.} and Pulido, {R. Dario} and Christine Timko",
year = "2018",
month = "1",
doi = "10.1016/j.pec.2017.07.012",
language = "English (US)",
volume = "101",
pages = "79--84",
journal = "Patient Education and Counseling",
issn = "0738-3991",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Intensive referral to mutual-help groups

T2 - A field trial of adaptations for rural veterans

AU - Grant, Kathleen M.

AU - Young, Lance Brendan

AU - Tyler, Kimberly A.

AU - Simpson, Jamie L.

AU - Pulido, R. Dario

AU - Timko, Christine

PY - 2018/1

Y1 - 2018/1

N2 - Objective A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions. Conclusion Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. Practice implications The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.

AB - Objective A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results Both groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions. Conclusion Further research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. Practice implications The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.

KW - Controlled field trial

KW - Mutual-help

KW - Rural

KW - Substance use disorder

KW - Veteran

UR - http://www.scopus.com/inward/record.url?scp=85025822102&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025822102&partnerID=8YFLogxK

U2 - 10.1016/j.pec.2017.07.012

DO - 10.1016/j.pec.2017.07.012

M3 - Article

C2 - 28756030

AN - SCOPUS:85025822102

VL - 101

SP - 79

EP - 84

JO - Patient Education and Counseling

JF - Patient Education and Counseling

SN - 0738-3991

IS - 1

ER -