Improving Treatment Delivery Outcomes. Katie Witkiewitz Associate Professor Center on Alcoholism, Substance Abuse, and Addictions Department of Psychology University of New Mexico [email protected] Tremendous need for effective addiction treatment Seeing the forest for the trees…
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Substance Abuse and Mental Health Services Administration, Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-41, HHS Publication No. (SMA) 11-4658. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2011.
Matching hypothesis: individuals with low baseline motivation will have better outcomes if assigned to MET
Matching hypothesis: individuals with greater network support for drinking will have better outcomes if assigned to TSF
- Changes in self-efficacy as mechanism of change following drink refusal skills training in the COMBINE study?
Mechanism of change was supported in mediation analyses… treatment is clinically relevant.
Mechanism of change was further supported by dose-response relationships…
Effect of drink refusal training was moderated by participation of supportive significant other (SSO)
Hunter-Reel et al (2012). ACER, 36, 1237-1243.
Bowen, Chawla & Marlatt (2010); Witkiewitz, Marlatt & Walker (2005)
Bowen et al. (accepted). JAMA Psychiatry
Witkiewitz et al. (in press). Substance Use & Misuse
Ultimately inform treatment delivery and decision making…
Thank you and questions? outcomes