Biomedical subjects

Barbara McCrady

Publications and source records attributed to Barbara McCrady.

6 recordsLinked to original sources

PubMed2007

The predictive validity of the survey of readiness for alcoholics anonymous participation.

OBJECTIVE: This study evaluated the predictive validity of the Survey of Readiness for Alcoholics Anonymous Participation (SYRAAP), which is a 15-item, self-administered instrument. METHOD: Bivariate and multivariate analyses examined whether responses to the SYRAAP within 1 week of entering substance-use treatment (T1) were associated with posttreatment Alcoholics Anonymous (AA) participation at 3-month (T2) and 6-month (T3) follow-up assessments. The T1 assessment was completed by 268 respondents; the T2 and T3 assessments were completed by 232 (86%) and 217 (81%) respondents, respectively. RESULTS: Results revealed that responses to the SYRAAP at T1 predicted AA participation at T2 and T3. CONCLUSIONS: The findings indicate the SYRAAP is a valid measure for assessing readiness for participating in AA. Future research in relation to the SYRAAP and limitations of the current study are discussed.

Adolescent↗

PubMed2006

Integrative principles for treating substance use disorders.

This article, based on B. McCrady, D. Haaga, and J. Lebow (2006), provides guidance for the treatment of substance use disorders by identifying empirically based principles that underpin effective treatment systems and effective treatments. To promote the flexible application of empirically based principles to individual clients, the authors (a) integrate therapeutic, participant, and relationship factors (drawn from reviews by B.S. McCrady & P.E. Nathan, 2006; D.A.F. Haaga, S.M. Hall, & A. Haas, 2006; and J. Lebow, J. Kelly, L.M. Knobloch-Fedders, & R. Moos, 2006) into a comprehensive description of treatment, (b) integrate common and specific principles of changes into articulated descriptions of treatment, and (c) identify directions for research to improve the sensitivity and specificity of treatment.

Clinical Protocols↗

PubMed2006

The development and initial evaluation of the survey of readiness for alcoholics anonymous participation.

This article presents 5 studies related to the development and initial evaluation of the Survey of Readiness for Alcoholics Anonymous Participation (SYRAAP). The SYRAAP is a brief, multidimensional, self-administered instrument that assesses beliefs associated with Alcoholics Anonymous (AA) participation. Study 1 generated 239 candidate items for potential inclusion in the instrument. Study 2 assessed the content validity of these items according to 3 criteria and identified a subset of 60 with the highest values on the criteria for further consideration. Study 3 produced a shorter version of the SYRAAP and evaluated its structure, internal reliability, and validity. Study 4 reevaluated the structure and internal reliability of the SYRAAP and yielded findings that were generally consistent with those from Study 3. Study 5 established stability reliability for the instrument. The collective findings indicated the SYRAAP can reliably and validly assess individual-level beliefs associated with AA participation. The potential use of the SYRAAP for researchers and clinicians, along with limitations of the work presented here, are discussed.

Adolescent↗

PubMed2004

Stage of change and decisional balance for women seeking alcohol treatment.

Stage of change and decisional balance have been used to understand motivation for changes in health behavior. This study examined relationships between these constructs in a sample of 119 alcohol-dependent women presenting for alcohol treatment. Before treatment, participants completed measures of readiness to change and perceived benefits and costs of changing drinking behavior. Results showed that individuals who exhibited greater readiness to change perceived more advantages and fewer disadvantages of changing their drinking behavior. This was true for the scale scores of Precontemplation and Action on the Readiness to Change Questionnaire (RCQ), but Contemplation scale scores were unrelated to decisional balance variables. When analyzed by stage, individuals in Action reported more benefits relative to costs than individuals in Contemplation. Thus, the constructs of stage of change and decisional balance appear to be related and may prove to be useful in enhancing motivation in alcohol-dependent women.

Adolescent↗

PubMed2002

Treating adolescents together or individually? Issues in adolescent substance abuse interventions.

This article summarizes the proceedings of a symposium, chaired by Peter Monti and cochaired by Tracy O'Leary, that was presented at the 2001 RSA Meeting in Montreal, Quebec. The aim of this symposium was to present data on group- and individual-based interventions for adolescent alcohol and substance abuse, with a discussion of the implications of research findings bearing on developmental considerations when working with adolescents and young adults. Elizabeth J. D'Amico, PhD, reviewed recent findings on adolescents' choice of type of substance abuse treatment. Jennifer L. Maggs, PhD, presented a developmental perspective on this issue. Tracy O'Leary, PhD, presented data on enhancing motivational interviewing with the presence of a supportive peer for college students cited for alcohol infractions. Mary E. Larimer, PhD, presented 1-year follow-up results of the Greeks 2000 Project, a 5-year longitudinal study designed to evaluate the efficacy of an alcohol abuse prevention program provided to college students who were entering a pledge class (first year) of Greek houses. Barbara McCrady, PhD, a noted expert on the treatment of couples for substance abuse problems, served as discussant.

Adolescent↗

PubMed2002

Use of survival analyses to examine onset and staging of DSM-IV alcohol symptoms in women.

Despite their implications for diagnostic validity, few studies have examined patterns of alcohol symptom onset in women. Using Structured Clinical Interview for the DSM-IV (M. B. First, M. Gibbon, R. L. Spitzer, & J. B. W. Williams, 1995) data, the authors applied survival analysis to Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) alcohol symptoms in 87 women in treatment. Legal problems occurred rarely and did not fit a staging model. Compared with men previously studied, women showed a later onset of symptoms, which developed in 4 stages: abuse, consequation, accommodation to the illness, and physiological dependence. Three symptoms-hazardous use, larger/longer use than intended, and lots of time spent using--occurred early and may be useful for screening purposes.

Adult↗