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Process assessment in treatment matching research. 治疗匹配研究中的过程评价。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.156
C C DiClemente, K M Carroll, G J Connors, R M Kadden
{"title":"Process assessment in treatment matching research.","authors":"C C DiClemente,&nbsp;K M Carroll,&nbsp;G J Connors,&nbsp;R M Kadden","doi":"10.15288/jsas.1994.s12.156","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.156","url":null,"abstract":"<p><p>A complete understanding of the effects of treatment requires an examination of the process by which the treatment produces the outcome as well as a thorough assessment of the outcomes. Process assessment assumes even greater importance in matching research than in other types of treatment research, since client-treatment interactions are hypothesized to be moderated or mediated by specific treatment components. The role of process assessment in treatment matching research is examined using Project MATCH as an illustrative example. Four process domains, including dose of treatment, within-session treatment activities, the therapeutic alliance and extra-session activities, are described in terms of their role as mediators or moderators of treatment outcome and the perspectives by which they are assessed in Project MATCH.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"156-62"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.156","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18725393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Measurement of drinking behavior using the Form 90 family of instruments. 使用Form 90系列仪器测量饮酒行为。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.112
W R Miller, F K Del Boca
{"title":"Measurement of drinking behavior using the Form 90 family of instruments.","authors":"W R Miller,&nbsp;F K Del Boca","doi":"10.15288/jsas.1994.s12.112","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.112","url":null,"abstract":"<p><p>Although drinking behavior is clearly a central dependent variable in alcoholism treatment research, the field has reached no consensus on measurement methodology for alcohol consumption. At least four methods for quantifying consumption have been commonly used in outcome studies: quantity-frequency questions, average consumption grids, timeline follow-back and self-monitoring. The Form 90 family of structured interviews was developed by collaboration among the Project MATCH investigators, combining the strengths of prior assessment methodologies. The development, structure, supporting software and training approaches for the Form 90 instruments are described.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"112-8"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18725529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 441
Designing studies to investigate client-treatment matching. 设计研究以调查客户-治疗匹配。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.38
W R Miller, N L Cooney
{"title":"Designing studies to investigate client-treatment matching.","authors":"W R Miller,&nbsp;N L Cooney","doi":"10.15288/jsas.1994.s12.38","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.38","url":null,"abstract":"<p><p>The process of designing studies of client-treatment matching involves a number of methodological complexities. Besides the large number of potential client characteristics and a range of possible outcome variables, a variety of treatment attributes can be matched including modality, intensity, duration, format, setting, therapist and goal. Hindsight matching designs (which can include hypothesis testing) examine interactions between client characteristics and treatments to which they were not intentionally matched. Foresight matching designs involve a prospective experimental test of a matching hypothesis, comparing the outcomes of cases matched by specific decision rules with other cases not so matched. Under certain conditions, these hindsight and foresight matching designs are logically equivalent. Mathematical modeling of clinical judgment offers yet another promising avenue for future studies of matching schemas. Glaser's core-shell strategy provides a practical model for implementing clinical systems and research on matching within ongoing services.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"38-45"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.38","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Assessment issues and strategies in alcoholism treatment matching research. 酒精中毒治疗匹配研究的评估问题与策略。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.92
G J Connors, J P Allen, N L Cooney, C C DiClemente, J S Tonigan, R F Anton
{"title":"Assessment issues and strategies in alcoholism treatment matching research.","authors":"G J Connors,&nbsp;J P Allen,&nbsp;N L Cooney,&nbsp;C C DiClemente,&nbsp;J S Tonigan,&nbsp;R F Anton","doi":"10.15288/jsas.1994.s12.92","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.92","url":null,"abstract":"<p><p>Sensitive and comprehensive client assessment entails complex conceptual and methodological considerations. Such activity is at the heart of matching clients to appropriate treatments. This article begins by specifying the goals and functions of assessment to support matching. This is followed by a discussion of the strategies employed in Project MATCH to identify matching and outcome variables. The assessment battery used in Project MATCH is next described. Finally, an overview of issues surrounding administration of assessment measures is provided. Particular attention is given to the topics of sequencing and timing of measures.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"92-100"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 56
Alcoholism treatment matching research: methodological and clinical issues. 酒精中毒治疗匹配研究:方法和临床问题。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01
D M Donovan, M E Mattson
{"title":"Alcoholism treatment matching research: methodological and clinical issues.","authors":"D M Donovan,&nbsp;M E Mattson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Client-treatment matching is an area receiving increased attention both in clinical practice and research with alcoholism. While the notion of potentially improving treatment outcomes by matching has been suggested for some time, there are a number of methodological and practical barriers that have impeded progress in the development of theoretically and clinically relevant matching models. This article provides an overview of the potential benefits of matching, the methodological factors that increase the complexity of research in this area, and some of the clinical barriers that make implementation more difficult. This overview also serves to introduce this special issue of the Journal of Studies on Alcohol, which examines in more detail each of the methodological issues involved in clinical research on treatment matching. While these methodological issues present unique challenges to the clinical researcher, the potential benefits of matching appear promising and should serve to motivate clinicians and researchers to pursue continued work in this area.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Issues in the development of subject recruitment strategies and eligibility criteria in multisite trials of matching. 多地点配对试验中受试者招募策略和资格标准的发展问题。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.62
A Zweben, D M Donovan, C L Randall, D Barrett, K Dermen, E Kabela, B McRee, R Meyers, C Rice, D Rosengren
{"title":"Issues in the development of subject recruitment strategies and eligibility criteria in multisite trials of matching.","authors":"A Zweben,&nbsp;D M Donovan,&nbsp;C L Randall,&nbsp;D Barrett,&nbsp;K Dermen,&nbsp;E Kabela,&nbsp;B McRee,&nbsp;R Meyers,&nbsp;C Rice,&nbsp;D Rosengren","doi":"10.15288/jsas.1994.s12.62","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.62","url":null,"abstract":"<p><p>Decision-making in selecting and recruiting subjects for treatment matching research is a complex process involving conceptual, methodological and practical considerations. In selecting clients, concerns arise about whether the criteria will produce a subject population that is (1) relevant to the dimensions associated with the treatment matching, (2) representative of persons typically seen in alcohol treatment settings and, for practical purposes, (3) able or willing to comply with the requirements of the study protocol. Also, in order to fulfill sampling requirements, it may be necessary to employ a variety of creative outreach methods. However, these recruitment mechanisms can pose additional logistical and methodological problems for the research. This article focuses on various issues arising in the selection and recruitment of subjects in matching research. Project MATCH serves to highlight issues related to client eligibility and recruitment and to discuss effective strategies for resolving these matters.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"62-9"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.62","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 19
Multisite clinical trials in alcoholism treatment research: organizational, methodological and management issues. 酒精中毒治疗研究的多地点临床试验:组织、方法和管理问题。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.30
R K Fuller, M E Mattson, J P Allen, C L Randall, R F Anton, T F Babor
{"title":"Multisite clinical trials in alcoholism treatment research: organizational, methodological and management issues.","authors":"R K Fuller,&nbsp;M E Mattson,&nbsp;J P Allen,&nbsp;C L Randall,&nbsp;R F Anton,&nbsp;T F Babor","doi":"10.15288/jsas.1994.s12.30","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.30","url":null,"abstract":"<p><p>Multisite clinical trials have two major advantages over single-site studies: the large sample size of multisite studies allows for adequate statistical power and better representativeness of the population being studied. However, they are more complex to implement than single-site studies. This article reviews previous multisite clinical trials of alcohol abuse and alcoholism, reasons for selecting a multisite design, management of such studies, and some statistical issues.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"30-7"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.30","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18725396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 25
Issues in the definition and measurement of drinking outcomes in alcoholism treatment research. 酒精中毒治疗研究中饮酒结果的定义和测量问题。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.101
T F Babor, R Longabaugh, A Zweben, R K Fuller, R L Stout, R F Anton, C L Randall
{"title":"Issues in the definition and measurement of drinking outcomes in alcoholism treatment research.","authors":"T F Babor,&nbsp;R Longabaugh,&nbsp;A Zweben,&nbsp;R K Fuller,&nbsp;R L Stout,&nbsp;R F Anton,&nbsp;C L Randall","doi":"10.15288/jsas.1994.s12.101","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.101","url":null,"abstract":"<p><p>This article reviews methodological and conceptual issues regarding the choice of drinking outcome measures in alcoholism treatment research. The following issues are discussed: Should drinking outcomes be conceptualized in terms of an underlying unitary disorder, or should provision be made for independent outcomes that cover a wide variety of dimensions? Which drinking outcomes are typically measured in treatment evaluation studies and how are they operationalized? What are the empirical associations among drinking outcome measures? If multiple outcomes are measured, which should be given primary importance? Over what period of time should treatment outcome be evaluated? What procedures can be used to detect, correct or prevent the response bias associated with verbal report methods? Because outcome measures need to fit the hypotheses and practical needs of a particular study, it is unlikely that complete standardization can be achieved across all studies. Nevertheless, given the importance of drinking outcomes and the need for economy, two primary dependent measures are recommended: (1) proportion of available drinking days abstinent; and (2) intensity of drinking, as defined by the total amount consumed (in ounces absolute alcohol) during the follow-up period divided by the number of actual drinking days. This article also proposes a strategy that may help to guide the selection of outcome measures in future research.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"101-11"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18725528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 122
Alcoholism treatment matching research: methodological and clinical approaches. 酒精中毒治疗匹配研究:方法学和临床方法。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01
{"title":"Alcoholism treatment matching research: methodological and clinical approaches.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"5-171"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Classical analytical methods for detecting matching effects on treatment outcome. 检测治疗结果匹配效应的经典分析方法。
Journal of studies on alcohol. Supplement Pub Date : 1994-12-01 DOI: 10.15288/jsas.1994.s12.76
P W Wirtz, J P Carbonari, L R Muenz, R L Stout, J S Tonigan, G J Connors
{"title":"Classical analytical methods for detecting matching effects on treatment outcome.","authors":"P W Wirtz,&nbsp;J P Carbonari,&nbsp;L R Muenz,&nbsp;R L Stout,&nbsp;J S Tonigan,&nbsp;G J Connors","doi":"10.15288/jsas.1994.s12.76","DOIUrl":"https://doi.org/10.15288/jsas.1994.s12.76","url":null,"abstract":"<p><p>This article presents a classical approach for analyzing repeated measures designs with specific application to treatment matching studies. The generic treatment matching hypothesis is formulated under the multivariate general linear model, transforming the dependent variables to account for the repeated measures structure of the data. Issues of primary importance in the use of this approach (such as correcting for inflated Type I error and robustness of statistical tests to parametric assumptions) are discussed. The article concludes with an assessment of the strengths and weaknesses of this approach compared with alternative approaches.</p>","PeriodicalId":17056,"journal":{"name":"Journal of studies on alcohol. Supplement","volume":"12 ","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.15288/jsas.1994.s12.76","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18726088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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