| Session Type | Summary of Adherence Items for Group and Individual Sessions* | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Group Session | Discuss reaction to recovery tasks (e.g., written assignments, use phone to contact 12-step peers) | Encourage 12-step participation | Discuss reactions/responses to assigned readings | Discuss urges/cravings and how they were managed | Discuss slips since last session | Encourage participation in 12-step program activities (e.g., meetings, sponsorship) | Discuss 12-step conceptsa | Plan 12-step activities/Use 12-step "tools" to manage addiction | Assign recovery tasks | |
| Individual Session 1 | Review 12-step philosophy | Encourage 12-step meeting attendance prior to next session | Review 12-step meeting list | Encourage goals for 12-step engagement | Encourage use of 12-step “buddy” | Instruct on journal use | -- | -- | -- | |
| Attended 12-step Meeting Since Last Session | Individual Session 2 | Discuss 12-step attendance and reactions | Review journal use | Encourage sponsorship | Encourage additional 12-step meeting attendance | Instruct on further journal use | -- | -- | -- | -- |
| Individual Session 3 | Discuss 12-step attendance and reactions | Review journal use | Encourage sponsorship | Encourage additional 12-step meeting attendance | Discuss changes in views of addiction | Discuss changes in understanding of 12-step programs | Review plans for future meeting attendance - | Discuss willingness to continue keeping a journal | Obtain feedback about treatment | |
| Did Not Attend | Individual Session 2 | Focus on barriers to 12-step meeting attendance | Encourage 12-step attendance | Encourage use of 12-step “buddy” | Instruct on further journal use | -- | -- | -- | -- | -- |
| Individual Session 3 | Focus on barriers to 12-step meeting attendance | Encourage 12-step attendance | Encourage use of 12-step “buddy” | - | Discuss changes in views of addiction - | Discuss changes in understanding of 12-step programs | Review plans for future meeting attendance | Discuss willingness to continue keeping a journal | Obtain feedback about treatment | |
*
All items were rated on a 1-6 Likert scale (1=not at all adherent; 6=extensive adherence)
a
Each group session covered a different concept (Acceptance, Risky people, places & things, Surrender, Getting active in 12-step, Managing emotions).