The University of New Mexico Center for Research on Addictive Behaviors offers to be a collaborating Clinical Research Unit for the proposed cooperative agreement. We can implement a wide range of treatment modalities and client/treatment matching protocols in two clinical settings well-suited to research on matching: a large publicly-funded outpatient and day treatment Alcohol and Drug Treatment Program (ADTP), and the Lovelace Scientific Resources Comprehensive Screening Program (LCSP) which screens and refers DWI offenders for Bernalillo County. Together these programs assess more than 4,000 alcohol abusers each year. As examples of matching designs which can be implemented by our research group, two separate studies will be described. One is built around a randomized clinical trial (at ADTP) of Azrin's community reinforcement approach (CRA) versus traditional alcoholism counseling. Within this design, the impact of therapist styles and characteristics is also assessed. A multivariate statistical model is proposed to develop profiles of optimal responders to each of the two treatments, and to study simultaneously the interaction of client and therapist variables. The second example seeks to implement (at LCSP) Glaser's core/shell model. A broad range of client characteristics are assessed, and patients are allocated to a finite set of definable treatment--experiences. The Cleveland criteria are used as an initial strategy for assignment of clients to treatments. Multivariate statistical methods are used to provide continual corrective feedback in developing improved algorithms for matching. Both initial and actuarially-enhanced models are compared, in a randomized clinical trial, with a simpler procedure of allowing clients to match themselves to treatments.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Cooperative Clinical Research--Cooperative Agreements (U10)
Project #
5U10AA008435-02
Application #
3555669
Study Section
Special Emphasis Panel (SRCA (64))
Project Start
1989-09-30
Project End
1994-08-31
Budget Start
1990-09-01
Budget End
1991-08-31
Support Year
2
Fiscal Year
1990
Total Cost
Indirect Cost
Name
University of New Mexico
Department
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