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Treatment effects across multiple dimensions of outcome

Babor, T.F.; Steinberg, K.; Zweben, A.; Cisler, R.; Stout, R.; Tonigan, J.S.; Anton, R.F.; and Allen, J.P.

In Treatment Matching in Alcoholism pgs. 150-165 , Cambridge, UK: Cambridge University Press (2003)
Editor(s): Babor, T.F.; and Del Boca, F.K.

The associations between treatments studied in Project MATCH (Cognitive Behavioral therapy (CBT), Motivation Enhancement Therapy (MET), and Twelve Step Facilitation (TSF)) and changes in measures of drinking as well as improvements in psychological, physical, and social functioning are discussed. The findings indicate improvement in outcome status from baseline to follow-up on all measures. For continuous abstinence, a consistent treatment effect favoring Twelve Step Facilitation (TSF) was seen. Outpatient and Aftercare participants showed large improvements in different life areas that were maintained throughout the entire follow-up period. Greater reductions in drinking seem to forecast improvements in other life areas, suggesting an overall consolidation of treatment benefits that extends beyond a narrow focus on drinking reductions alone. Section heads in this chapter include: (1) alternative measures of drinking behavior; (2) secondary outcome measures; (3) interrelatedness of secondary outcome measures; (4) relation between posttreatment drinking and secondary outcome measures; (5) effects of treatment; (6) differences between Outpatient and Aftercare groups. Cross-sectional correlation between primary measures of drinking (percent days abstinent and drinks per drinking day) and seven secondary outcome measures according to study arm and gender are presented in table format.