The overall aim of this study is to test the 'matching hypothesis' that alcohol treatment effectiveness can be increased by assigning clients with certain characteristics to particular treatments. The present application proposes to continue work initiated and conducted over the past five years.
The specific aims of study are: to test primary and secondary a priori matching hypotheses over the course of 15 months of follow-up; to conduct psychometric and other analyses of patient, treatment process, and outcome variables to test these matching hypotheses; to examine alternative analytic strategies and variables for testing matching; and to determine the extent to which matching effects persist over a three year period following treatment completion. Data sets collected from the Project MATCH outpatient (N=954) and aftercare (N=774) randomized clinical trial studies will be analyzed to achieve these aims. Clients randomly assigned to one of three treatments, Twelve Step, Cognitive Behavior, or Motivational Enhancement, have been assessed prior to treatment on baseline and matching variables and followed, at 3 month intervals, for 15 months from treatment assignment to measure their alcohol consumption and other dimensions of outcome. To test longer term matching effects clients in the outpatient arm of the study will be contacted and assessed at 39 months after treatment initiation. In year 08 these data will be analysed to address this question. It is anticipated that study results will impact on alcohol treatment research and delivery for the next decade. The Project WATCH Steering Committee, following discussion with NIAAA Staff, has chosen to submit a generic proposal across each of the CRUs, reflecting the common protocol and cooperative process that has guided the project across its first five years of operation. However, each CRU has provided site-specific information in the budget, budget justifications, listing of key personnel, consultant/consortium agreements, and human subjects sections of their respective proposals.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
2U10AA008435-06
Application #
2044504
Study Section
Special Emphasis Panel (SRCA (62))
Project Start
1989-09-30
Project End
1997-08-31
Budget Start
1994-09-01
Budget End
1995-08-31
Support Year
6
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of New Mexico
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
829868723
City
Albuquerque
State
NM
Country
United States
Zip Code
87131
Villanueva, Michael; Tonigan, J Scott; Miller, William R (2007) Response of Native American clients to three treatment methods for alcohol dependence. J Ethn Subst Abuse 6:41-8
Tonigan, J Scott; Bogenschutz, Michael P; Miller, William R (2006) Is alcoholism typology a predictor of both Alcoholics Anonymous affiliation and disaffiliation after treatment? J Subst Abuse Treat 30:323-30
Bogenschutz, Michael P; Tonigan, J Scott; Miller, William R (2006) Examining the effects of alcoholism typology and AA attendance on self-efficacy as a mechanism of change. J Stud Alcohol 67:562-7
Connors, G J; Tonigan, J S; Miller, W R et al. (2001) A longitudinal model of intake symptomatology, AA participation and outcome: retrospective study of the project MATCH outpatient and aftercare samples. J Stud Alcohol 62:817-25
Westerberg, V S; Miller, W R; Tonigan, J S (2000) Comparison of outcomes for clients in randomized versus open trials of treatment for alcohol use disorders. J Stud Alcohol 61:720-7
Tonigan, J S; Miller, W R; Brown, J M (1997) The reliability of Form 90: an instrument for assessing alcohol treatment outcome. J Stud Alcohol 58:358-64
Arciniega, L T; Miller, W R (1997) Where to publish? Some considerations among English-language addiction journals. Addiction 92:1639-48
Arciniega, L T; Arroyo, J A; Miller, W R et al. (1996) Alcohol, drug use and consequences among Hispanics seeking treatment for alcohol-related problems. J Stud Alcohol 57:613-8
Miller, W R (1996) What is a relapse? Fifty ways to leave the wagon. Addiction 91 Suppl:S15-27