Motivational enhancement for 12-step involvement among patients undergoing alcohol detoxification

J Consult Clin Psychol. 2004 Aug;72(4):736-41. doi: 10.1037/0022-006X.72.4.736.


Forty-eight patients undergoing inpatient detoxification for alcohol dependence were assigned to either brief advice (BA) to attend Alcoholics Anonymous or a motivational enhancement for 12-step involvement (ME-12) intervention that focused on increasing involvement in 12-step self-help groups. Attendance at 12-step groups did not differ significantly by treatment condition over 6 months of follow-up, nor did drinking outcomes. There was a significant interaction between 12-step experience and treatment condition, indicating that ME-12 was associated with relatively better alcohol outcomes at the low ends of 12-step experience, whereas BA was associated with relatively better outcomes at the high ends of 12-step experience. Results indicate that among patients undergoing alcohol detoxification, ME-12 may be beneficial only for those who have little experience with 12-step groups.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Alcoholism / rehabilitation*
  • Female
  • Follow-Up Studies
  • Humans
  • Inactivation, Metabolic*
  • Male
  • Middle Aged
  • Motivation*
  • Temperance