Effects of program characteristics on treatment outcome: an interrupted time-series analysis. 1984

J J Berman, and J Meyer, and G Coats

The methodological difficulties in comparing the effectiveness of alternative alcoholism treatment programs were addressed. An interrupted time-series design and MMPI scores were employed with 408 men veterans to test the effectiveness of four changes in an 8-week inpatient alcoholism treatment program: The program was given its own ward; the amount of time patients spent in common activities was increased; the staff: patient ratio was improved; and contract with the outside community was broadened. The scores of MMPI tests administered at treatment termination were available for the periods of 3 yr prior to and 3 yr after the change. The results of the time-series analysis indicated that the new program was indeed more effective than the old one because nine of the 13 subscales used and the Disturbance Index (a weighted combination of all the subscales) showed a reliable decline coincident with the introduction of the new program. However, the results also showed most of these effects to be short-lived. Implications of these results and issues involved in implementing this design are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D008950 MMPI A personality inventory consisting of statements to be asserted or denied by the individual. The patterns of response are characteristic of certain personality attributes. Minnesota Multiphasic Personality Inventory
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011567 Psychiatric Department, Hospital Hospital department responsible for the organization and administration of psychiatric services. Hospital Psychiatric Department,Psychiatric Departments, Hospital,Department, Hospital Psychiatric,Departments, Hospital Psychiatric,Hospital Psychiatric Departments
D006787 Hospitals, Veterans Hospitals providing medical care to veterans of wars. Veterans Hospitals,Hospital, Veterans,Veterans Hospital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000437 Alcoholism A primary, chronic disease with genetic, psychosocial, and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial. Each of these symptoms may be continuous or periodic. (Morse & Flavin for the Joint Commission of the National Council on Alcoholism and Drug Dependence and the American Society of Addiction Medicine to Study the Definition and Criteria for the Diagnosis of Alcoholism: in JAMA 1992;268:1012-4) Alcohol Abuse,Alcoholic Intoxication, Chronic,Ethanol Abuse,Alcohol Addiction,Alcohol Dependence,Alcohol Use Disorder,Abuse, Alcohol,Abuse, Ethanol,Addiction, Alcohol,Alcohol Use Disorders,Chronic Alcoholic Intoxication,Dependence, Alcohol,Intoxication, Chronic Alcoholic,Use Disorders, Alcohol
D012917 Social Adjustment Adaptation of the person to the social environment. Adjustment may take place by adapting the self to the environment or by changing the environment. (From Campbell, Psychiatric Dictionary, 1996). Adjustment, Social,Adjustments, Social,Social Adjustments

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