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            Senior Scientist, William (Bill) C. Kerr, PhD, is Director of ARG’s National Alcohol Research Center and Co-Directs the National Alcohol Survey and the Health Disparities projects.  Bill also serves as the scientific director at ARG and continues to lead R01 projects, including a grant to investigate secondhand harms from alcohol and other drugs.

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            This project, led by Camillia Lui, PhD, traces trends in harmful drinking patterns over a 40-year period, and identifies a range of alcohol-related precursors and problems through event-based and population-based approaches to inform early screening and interventions for high-risk groups.

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12-step Alternatives and Recovery Outcomes in a Large, National Study

Funding: NIAAA R21 AA022747

It is now generally accepted that AA and other 12-step groups contribute to better substance use outcomes for those who are addicted to alcohol and/or drugs and choose to attend them.  Nevertheless, most individuals do not sustain regular involvement in 12-step groups, even when 12-step participation is the focus of treatment.  Meanwhile, involvement in 12-step alternatives is substantial and appears to be growing.  The largest such alternatives include Women for Sobriety (WFS), Self-Management and Recovery Training (SMART), LifeRing, and Secular Organization for Sobriety (SOS).  Yet, research relating to the effectiveness of 12-step alternatives is almost non-existent, and there are no known longitudinal studies on group members. Research on the effectiveness of the various alternatives is important to enhancing the integration of formal treatment with appropriate alternatives, improving referral practices, and informing courts and other legal bodies (e.g., EAP programs) involved in mandating substance abuse treatment, as well as the general population.  This study will thus capitalize on a very large, recent, national study of individuals in recovery from an alcohol and/or drug problem to follow respondents recruited from 12-step groups (N=261) and their alternatives (N=390; total N=651) and measure mutual help group involvement and recovery outcomes.

Respondents will complete a First Follow-up survey and additional follow-ups at 6 and 12 months (Second and Third Follow-ups).  Our primary aim is to test whether associations between mutual help group involvement and recovery outcomes (such as abstinence and quality of life) differ across mutual help groups (Aim 2).  We will also compare respondents identifying WFS, SMART, LifeRing, and SOS as their primary mutual help group to 12-step members on demographics, clinical severity, and nature of involvement (Aim 1), and examine predictors of group satisfaction and drop-out/declining involvement across mutual help groups (Aim 3).  Despite some small subgroups, we expect generally sufficient numbers within each group to facilitate comparisons between individual 12-step alternatives and AA.  The current study should, in the short term, contribute to the knowledge base on the benefits and limits of specific mutual help groups, and may lead to more focused study of one or more promising alternative(s) to AA and to study designs that can best address questions of effectiveness, such as randomized trials.  Ultimately, the current line of research could support both the growth of effective mutual help groups and the recovery of the many individuals who may be willing to use them.  This proposal responds to PA-13-161 (Alcohol Use Disorders: Treatment, Services Research, and Recovery, NIAAA), soliciting research on behavioral and pharmacological treatment for alcohol use disorders.

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We are a non-profit research organization that seeks to improve public health through deepening our understanding of alcohol and other drug use and investigating innovative approaches to reduce its consequences for individuals, families, and communities.

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