A Cluster-Randomized Comparison of Songwriting and Recreational Music Therapy on State Hope and Abstinence Self-Efficacy in Adults with Alcohol Use Disorder on a Detoxification Unit.
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Abstract
Background: Recovery constitutes the goal for people with alcohol use disorder (AUD). State hope and abstinence self-efficacy represent consequential constructs for people with AUD as they work toward recovery.
Objective: The purpose of this two-group cluster-randomized single-session effectiveness study was to compare the effects of group motivational-educational songwriting (MESW) and group recreational music therapy (RMT) by measuring between- and within-group differences in measures of state hope and abstinence self-efficacy in adults with AUD on a detoxification unit.
Method: Participants (N = 86) were cluster-randomized to a single-session of group MESW or group RMT. Participants completed psychometric inventories measuring state hope (consisting of agency and pathways subscales as well as total state hope) and abstinence self-efficacy (consisting of temptation and confidence subscales) at pre- and posttest.
Results: Analyses indicated statistically significant within-group changes in agency, pathways, total state hope, temptation, and confidence. In all measures, there were favorable changes from pre- to posttest. There were statistically significant between-group differences in pathways and total state hope, with the MESW condition outperforming the RMT condition.
Conclusion: A single group MESW or group RMT session can positively influence state hope and abstinence self-efficacy in adults with AUD on a detoxification unit. As the MESW condition explicitly addressed recovery, has other empirical support in the literature, and significantly outperformed the RMT condition in measures of pathways and total state hope, MESW may be an ideal intervention for adults in detoxification settings. Implications for practice, limitations, and suggestions for future research are provided.
期刊介绍：
For over 50 years, Substance Use & Misuse (formerly The International Journal of the Addictions) has provided a unique international multidisciplinary venue for the exchange of original research, theories, policy analyses, and unresolved issues concerning substance use and misuse (licit and illicit drugs, alcohol, nicotine, and eating disorders). Guest editors for special issues devoted to single topics of current concern are invited.
Topics covered include:
Clinical trials and clinical research (treatment and prevention of substance misuse and related infectious diseases)
Epidemiology of substance misuse and related infectious diseases
Social pharmacology
Meta-analyses and systematic reviews
Translation of scientific findings to real world clinical and other settings
Adolescent and student-focused research
State of the art quantitative and qualitative research
Policy analyses
Negative results and intervention failures that are instructive
Validity studies of instruments, scales, and tests that are generalizable
Critiques and essays on unresolved issues
Authors can choose to publish gold open access in this journal.
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