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Issues in the development of client-treatment matching hypotheses
R Longabaugh1, P W Wirtz, C C DiClemente
1Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912.
Journal of Studies on Alcohol. Supplement
|December 1, 1994
Summary
This study critiques client-treatment matching hypotheses, introducing a taxonomy of eight interaction types. It emphasizes developing a causal chain for testing matching theories in alcohol treatment research.
Area of Science:
- Addiction research
- Clinical psychology
- Treatment efficacy studies
Background:
- Critiques the a priori client-treatment matching hypothesis from Project MATCH.
- Highlights the need for refined matching methodologies in addiction treatment.
Purpose of the Study:
- To offer a taxonomy differentiating eight types of ordinal and disordinal interactions.
- To discuss the clinical and substantive implications of client-treatment matching.
- To explore issues in matching studies and variable selection.
Main Methods:
- Critique of existing matching hypotheses.
- Development of a novel matching taxonomy.
- Illustration using previously reported alcohol treatment studies.
- Discussion of methodological issues in matching research.
Main Results:
- A taxonomy of eight interaction types is proposed.
- Clinical and substantive implications of these interactions are discussed.
- Methodological challenges in matching studies are identified.
Conclusions:
- A structured approach to understanding client-treatment interactions is presented.
- The importance of a "causal chain" for testing matching theory is emphasized.
- A procedure for testing this causal chain is outlined for future research.