The life‐enhancing alcohol‐management program: Results from a 6‐month nonrandomized controlled pilot study assessing a community based participatory research program in housing first

A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resid...

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Published inJournal of community psychology Vol. 48; no. 3; pp. 763 - 776
Main Authors Clifasefi, Seema L., Collins, Susan E.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.04.2020
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Abstract A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resident‐driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol‐related harm and improving QoL. Data analyses were conducted to test between‐ and within‐subjects effects of the LEAP on self‐reported alcohol and QoL outcomes among HF residents. At the 6‐month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol‐related harm (ps  >  0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants (p  <  .001), and within‐subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol‐related harm (ps  <  0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol‐related harm. Planning is underway for a future, large‐scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
AbstractList A 2-arm, 6-month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol-management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality-of-life (QoL) outcomes. The LEAP entails resident-driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol-related harm and improving QoL. Data analyses were conducted to test between- and within-subjects effects of the LEAP on self-reported alcohol and QoL outcomes among HF residents. At the 6-month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol-related harm (ps  >  0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants (p  <  .001), and within-subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol-related harm (ps  <  0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol-related harm. Planning is underway for a future, large-scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resident‐driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol‐related harm and improving QoL. Data analyses were conducted to test between‐ and within‐subjects effects of the LEAP on self‐reported alcohol and QoL outcomes among HF residents. At the 6‐month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol‐related harm (ps  >  0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants (p  <  .001), and within‐subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol‐related harm (ps  <  0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol‐related harm. Planning is underway for a future, large‐scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality‐of‐life (QoL) outcomes. The LEAP entails resident‐driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol‐related harm and improving QoL. Data analyses were conducted to test between‐ and within‐subjects effects of the LEAP on self‐reported alcohol and QoL outcomes among HF residents. At the 6‐month follow up, between groups analysis revealed nonsignificant findings for alcohol quantity or alcohol‐related harm (ps  >  0.06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants ( p   <  .001), and within‐subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol‐related harm (ps  <  0.01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol‐related harm. Planning is underway for a future, large‐scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
Author Clifasefi, Seema L.
Collins, Susan E.
AuthorAffiliation Downtown Emergency Service Center, Seattle, Washington
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Snippet A 2‐arm, 6‐month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol‐management Program (LEAP)...
A 2-arm, 6-month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol-management Program (LEAP)...
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SubjectTerms Action research
Adult
Alcohol
Alcoholism - therapy
Community research
Community-Based Participatory Research
Female
Harm Reduction
Housing
Housing - organization & administration
Housing First
Humans
Leadership
Male
Middle Aged
Non-Randomized Controlled Trials as Topic
Participatory research
Pilot Projects
Quality of Life
Substance Abuse Treatment Centers - organization & administration
Title The life‐enhancing alcohol‐management program: Results from a 6‐month nonrandomized controlled pilot study assessing a community based participatory research program in housing first
URI https://onlinelibrary.wiley.com/doi/abs/10.1002%2Fjcop.22291
https://www.ncbi.nlm.nih.gov/pubmed/31778585
https://www.proquest.com/docview/2383837361
https://search.proquest.com/docview/2320377919
Volume 48
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