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Related Experiment Videos

What is Alcoholics Anonymous affiliation?

Richard N Cloud1, Craig H Ziegler, Richard D Blondell

  • 1Kent School of Social Work, University of Louisville, Louisville, Kentucky 40292, USA. rick.cloud@louisville.edu

Substance Use & Misuse
|September 25, 2004
PubMed
Summary

A simplified three-item measure of Alcoholics Anonymous (AA) affiliation effectively predicts recovery outcomes. This core measure, focusing on attendance, steps completed, and self-identification, offers a clearer understanding of AA affiliation in addiction recovery.

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Area of Science:

  • Addiction research
  • Psychology
  • Public Health

Background:

  • 12-step program affiliation is recognized as a valuable adjunct and aftercare for formal addiction treatment.
  • Recent development of brief affiliation measures (9-10 items) has presented interpretation challenges.
  • The precise nature of affiliation versus disaffiliation within these programs remains unclear.

Purpose of the Study:

  • To examine the essence of affiliation versus disaffiliation in 12-step programs.
  • To identify the most salient items of Alcoholics Anonymous (AA) affiliation that predict posttreatment drinking outcomes.
  • To develop a more interpretable and administrable measure of AA affiliation.

Main Methods:

  • Utilized data from the Project MATCH 1-year posttreatment Alcoholics Anonymous Involvement (AAI) scale (N=1506).

Related Experiment Videos

  • Employed stepwise regression analysis to identify key predictors of drinking outcomes.
  • Developed and assessed a three-item composite scale for reliability and predictive validity.

    • Main Results:

    • A three-item solution explained a comparable amount of variance in abstinent days (months 9-12 posttreatment) as the full nine-item scale.
    • The core items predicting recovery were identified as AA attendance, sum of steps completed, and self-identification as an AA member.
    • The three-item affiliation composite scale demonstrated adequate reliability (alpha=0.72).

    Conclusions:

    • A concise three-item measure of AA affiliation provides a clear and effective assessment of program involvement.
    • This simplified scale is easier to interpret and administer than longer measures.
    • The identified core components of AA affiliation are significant predictors of sustained recovery.