We included a total of 27 primary studies (21 RCTs/quasi‐RCTs, 5 non‐randomized, and 1 purely economic study) that reported follow‐up results across a total of 36 reports. For these reasons, rather than conduct a meta‐analysis, we summarized results from any cost‐effectiveness studies in the narrative. We appraised the presence and impact of missing data on […]
We included a total of 27 primary studies (21 RCTs/quasi‐RCTs, 5 non‐randomized, and 1 purely economic study) that reported follow‐up results across a total of 36 reports. For these reasons, rather than conduct a meta‐analysis, we summarized results from any cost‐effectiveness studies in the narrative. We appraised the presence and impact of missing data on study findings. We also detailed in a table how the included studies handled missing data. When necessary, we contacted the original study authors to attempt to obtain missing data and information of their potential impact.
Details of characteristics and bias ratings for each study are included in the Characteristics of included studies. Where there were two or more papers describing different follow‐up time points for a given study, we combined the papers describing the results of the different time points under that study. By default, according to the Cochrane system for grading evidence, all non‐randomized studies are automatically rated as ‘low certainty’, and then downgraded from there based on any of the above‐listed reasons.
Overall completeness and applicability of evidence
It does not accept donations from people or organizations outside of AA. Recovery works through one alcoholic sharing their experience with another. Service entities full control of their local meeting information while collecting it in one alcoholics anonymous place, making it easy for anyone to find a meeting. Meeting Guide users can suggest additions or corrections to meeting listings by using links provided within the app to contact the local service entity responsible for the information.
- The included studies were conducted prior to the introduction of biological assays such as ethyl glucuronide (EtG) and phosphatidylethanol (PetH), both of which can detect alcohol for much longer than the assays used in the studies.
- The fourth study found that total medical care costs decreased for participants attending CBT, MET, and AA/TSF treatment, but that among participants with worse prognostic characteristics AA/TSF had higher potential cost savings than MET (moderate‐certainty evidence).
- We excluded one study (Davis 2002), and another study report examining end of treatment outcome (McCrady 1996), from the meta‐analysis because they reported the proportion of days of alcohol use and we were unable to calculate the standard deviation.
- These tables present the main findings of the review in a transparent and simple tabular format.
Groups stick to our single purpose – recovery from alcoholism, protect the anonymity of their members, avoid affiliation with or endorsements of outside enterprises and are self-supporting. Further information is available from the Online Intergroup Website. We do not impose our experience with problem drinking on others, but we do share it when we are asked to do so. We know our own sobriety depends on connecting with other alcoholics.
Kelly 2012
Electronic searches yielded 12,733 articles from the databases specified in Electronic searches. We identified an additional five studies through author correspondence, and three through clinical trial records, making a total of 12,741 articles. We removed 5758 of these after screening titles and abstracts, as they were irrelevant to the current study. This left a total of 50 full‐text reports, which we examined in detail.
- One perspective sees them as “quasi-ritualized therapeutic sessions run by and for, alcoholics”.[59] There are a variety of meeting types some of which are listed below.
- This was done because, even though they came from the same study, the analytic method for each type of analysis is very different.
- For over 80 years, Alcoholics Anonymous (AA) has been a widespread AUD recovery organization, with millions of members and treatment free at the point of access, but it is only recently that rigorous research on its effectiveness has been conducted.
- We rated half of the studies (13 studies) as low risk, and three studies as being at unclear risk of bias.
To make these judgments, we used the criteria indicated in the Cochrane Handbook for Systematic Reviews of Interventions (Higgins 2011b), adapted to the addiction field (see Appendix 2 for details). We attempted to identify other potentially eligible studies by searching the reference lists of retrieved included studies, systematic reviews, and meta‐analyses. We discovered five additional articles through these methods and through handsearching. Alcohol use disorder (AUD) confers a prodigious burden of disease, disability, premature mortality, and high economic costs from lost productivity, accidents, violence, incarceration, and increased healthcare utilization. For over 80 years, Alcoholics Anonymous (AA) has been a widespread AUD recovery organization, with millions of members and treatment free at the point of access, but it is only recently that rigorous research on its effectiveness has been conducted. Alcoholics Resource Center guides individuals struggling with alcohol addiction to AA meetings and recovery that helps prevent painful relapse.
Effects of interventions
It also contains stories written by the co-founders and stories from a wide range of members who have found recovery in A.A. By Buddy T
Buddy T is a writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Because he is a member of a support group that stresses the importance of anonymity at the public level, he does not use his photograph or his real name on this website. Often, the next step is to read a passage from the Big Book and reinforcement about the importance of member privacy and anonymity.
12-Step AA meetings are often held in public, accessible buildings with lots of parking, such as churches, schools, coffee shops, and restaurants. Still, there are some things you should be learning from each https://ecosoberhouse.com/ meeting no matter what, including some insight on the teachings of the AA Big Book (the official guide to the 12 Step program) and other aspects of staying sober. They say we are a composite of the people we spend the most time with and this goes double for recovery. Try not to be dismayed–every meeting attended is still a step in the right direction, whether or not you feel particularly connected to the group. Still, to make your search as successful as possible, there are a few things to keep in mind that might make a meeting experience better (or worse) for you.
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