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Understanding effects of the group process on drinking outcomes for emerging adults experiencing homelessness.
D'Amico, Elizabeth J; Houck, Jon M; Pedersen, Eric R; Klein, David J; Rodriguez, Anthony; Tucker, Joan S.
Afiliación
  • D'Amico EJ; RAND Corporation, Santa Monica, California, USA.
  • Houck JM; Mind Research Network, Albuquerque, New Mexico, USA.
  • Pedersen ER; Department of Psychiatry and Behavioral Sciences, Keck School, University of Southern California, Los Angeles, California, USA.
  • Klein DJ; RAND Corporation, Santa Monica, California, USA.
  • Rodriguez A; RAND Corporation, Boston, Massachusetts, USA.
  • Tucker JS; RAND Corporation, Santa Monica, California, USA.
Alcohol Clin Exp Res (Hoboken) ; 48(3): 556-566, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38411540
ABSTRACT

BACKGROUND:

There is little research on group process for motivational interviewing-based group interventions with young people. We examine how change talk, group climate and cohesion, and facilitator empathy among emerging adults experiencing homelessness affect their drinking outcomes.

METHODS:

Data come from a clinical trial at three drop-in centers serving emerging adults experiencing homelessness in Los Angeles County and focus on those who received the intervention (n = 132). Participants completed baseline, 3-, 6-, and 12-month follow-up surveys. They were predominantly male and non-white. Group sessions were digitally recorded and coded for percentage change talk (PCT), group climate and cohesion, and facilitator empathy.

RESULTS:

Because baseline alcohol use was significantly higher at site 1 than sites 2 and 3, we examined associations separately by site. At 6 months, higher PCT was associated with fewer drinks per drinking day for sites 2 and 3, whereas higher PCT was associated with more drinks per drinking day for site 1. There were no effects of PCT at 12 months. Higher group cohesion scores were associated with fewer drinking days at 6 months; higher facilitator empathy was associated with fewer maximum drinks in a day at both 6 and 12 months. Group climate was not associated with drinking outcomes.

CONCLUSIONS:

These findings highlight the importance of measuring multiple factors in the group process to understand outcomes. What is "uttered" during group and what is observed provide different methods to evaluate the group process and allow us to better bridge the gap between research and practice.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Alcohol Clin Exp Res (Hoboken) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Alcohol Clin Exp Res (Hoboken) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos