RNOtherJournal of addictions nursing

Effectiveness of Therapeutic Community Program on Resilience and Change in Lifestyle in People With Alcohol Use Disorder.

Eun Ae Song, Hee Kyung Kim, Mihyoung Lee

PMID 37140413

WHAT IT FOUND

Korean men with alcohol use disorder who attended a 12-week outpatient therapeutic community program reported higher resilience and lifestyle change scores than a hospital control group.

The program delivered many activities together, so no single part can be credited.

Key findings

01After the program, total resilience scores in the therapeutic community group increased from 115.68 to 129.95 points on a 25 to 175 point scale, significantly compared with the control group (t = 2.24, p = .03).

02After the program, total lifestyle change scores in the therapeutic community group increased from 46.58 to 53.53 points on a 14 to 70 point scale, significantly compared with the control group (t = 2.88, p < .01).

03The therapeutic community program included morning meeting, encounter group, seminar, Alcoholics Anonymous meeting, art therapy, static group, one-on-one counseling, department activity, growth diary, weekly planning, and reading TC philosophy, so no single component can be separated.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used a nonequivalent control design, not random assignment. Only men with alcohol use disorder were studied. The groups were small, with 19 participants analysed in each group. Outcomes were self-reported questionnaires. The control group was admitted to a local alcohol addiction hospital, while the experimental group was recovering in a therapeutic community. The therapeutic community program delivered many activities together. The paper reports posttest data collected at 12 weeks.

The easy way to misread this

Do not read the score increases as proof that a therapeutic community program works or that one activity caused them. The study was not randomised, included 19 men analysed in each group, used self-reported outcomes, and delivered many activities together.

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