Trial reportPsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2015
The relationship of therapeutic alliance and treatment delivery fidelity with treatment retention in a multisite trial of twelve-step facilitation.
Trial report in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed.
- Predictors of therapeutic alliance, treatment feedback, and clinical outcomes among African American women in treatment for co-occurring PTSD and SUD.Journal of substance abuse treatment · 2022Trial
- Therapist empathy, combined behavioral intervention, and alcohol outcomes in the COMBINE research project.Journal of consulting and clinical psychology · 2016Trial
- Is level of exposure to a 12-step facilitation therapy associated with treatment outcome?Journal of substance abuse treatment · 2014Trial
- Therapist Drift from CBT is Associated with Substance Use Among IPV Offenders.Substance use & misuse · 2026Article
- What About Nights, Weekends, and Wait Times? Adding an On-Demand Facilitated Telemedicine Buprenorphine Component to a Community-Based Peer Support Outreach Program.Substance use & addiction journal · 2025Article
- Gatekeeping gender-affirming care is detrimental to detrans people.International journal of transgender health · 2025Article
- Article
- Applying affect coding and dynamical systems mathematical modeling to understanding the role of emotional expression on the therapeutic relationship across an entire course of substance abuse treatment.Frontiers in human neuroscience · 2025Article
- Telehealth Walking Self-Management for Individuals With Amputation: A Qualitative Study of Therapist Perspectives on Adoption.Physical therapy · 2024Article
- Using Collaborative Documentation to Support Person-Centered Care in Substance Use Settings.The journal of behavioral health services & research · 2024Article
- Direct-Care Staff Perceptions of Patient Engagement and Treatment Planning in Detox.The journal of behavioral health services & research · 2021Article
- Practice and Dissemination of Motivational Interviewing: A Psychology Internship Curriculum.Training and education in professional psychology · 2020Article
- Common Factors in Community Mental Health Intervention: A Scoping Review.Community mental health journal · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
This study examined associations of therapeutic alliance and treatment delivery fidelity with treatment retention in Stimulant Abusers to Engage in Twelve-Step (STAGE-12), a community-based trial of 12-Step Facilitation (TSF) conducted within the National Drug Abuse Treatment Clinical Trials Network (CTN). The STAGE-12 trial randomized 234 stimulant abusers enrolled in 10 outpatient drug treatment programs to an eight-session, group and individual TSF intervention. During the study, TSF participants rated therapeutic alliance using the Helping Alliance questionnaire-II. After the study, independent raters evaluated treatment delivery fidelity of all TSF sessions on adherence, competence, and therapist empathy. Poisson regression modeling examined relationships of treatment delivery fidelity and therapeutic alliance with treatment retention (measured by number of sessions attended) for 174 participants with complete fidelity and alliance data. Therapeutic alliance (p = .005) and therapist competence (p = .010) were significantly associated with better treatment retention. Therapist adherence was associated with poorer retention in a nonsignificant trend (p = .061). In conclusion, stronger therapeutic alliance and higher therapist competence in the delivery of a TSF intervention were associated with better treatment retention whereas treatment adherence was not. Training and fidelity monitoring of TSF should focus on general therapist skills and therapeutic alliance development to maximize treatment retention. (PsycINFO Database Record
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.