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. Author manuscript; available in PMC: 2022 Feb 1.
Published in final edited form as: Addiction. 2020 Jul 13;116(2):305–318. doi: 10.1111/add.15112

Table 4.

Means of adherence, competence and therapeutic alliance ratings by intervention condition

Mean (SD)
CBT HL P-value
CBT Adherence N = 136 N = 138
6.0 (1.0) 1.0 (0.1) <0.001
Individual item
Alcohol assessment 5.8 (1.9) 1.0 (0.3)
Coping skills 6.4 (1.5) 1.1 (0.3)
Monitor/challenge thoughts 5.9 (1.8) 1.0 (0.1)
Monitor feelings 5.3 (2.0) 1.0 (0.1)
Identify/cope with high-risk situations 6.8 (0.8) 1.0 (0.2)
CBT Competence N = 135 N = 12
6.1 (0.6) 4.0 (0.6) <0.001
Individual item
Alcohol assessment 5.8 (1.1) 4.5 (0.7)
Coping skills 6.5 (1.0) 3.8 (0.4)
Monitor/challenge thoughts 5.8 (1.1) 4.0 (NA)
Monitor feelings 5.5 (1.1) 4.5 (0.7)
Identify/cope with high-risk situations 6.7 (0.6) 3.5 (0.7)
Common items Adherence N = 136 N = 138
4.6 (0.8) 3.9 (0.7) <0.001
Individual item
Review homework 4.3 (1.4) 3.6 (1.5)
Psychoeducation 3.3 (2.4) 3.1 (2.5)
Reflective statements 6.9 (0.4) 6.9 (0.4)
Express empathy 4.1 (2.1) 2.1 (1.6)
Common items Competence N=136 N=138
5.6 (0.5) 5.4 (0.6) 0.001
Individual item
Review homework 5.5 (1) 5(0.9)
Psychoeducation 5.4 (1.2) 5.7 (1.1)
Reflective statements 6.3 (0.6) 5.9 (0.8)
Express empathy 5.0 (0.8) 4.8 (0.9)
HL Adherence N=136 N=138
1.2 (0.4) 3.5 (1.0) <0.001
Individual item
Promote sweeping behavior change 1.6 (1.3) 2.1 (1.6)
Discuss healthier lifestyle 1.1 (0.4) 3.7 (2.3)
Health education: sleep, nutrition, values, time management 1.0 (0) 5.6 (2.4)
Assess progress toward lifestyle goals 1.0 (0.3) 2.5 (2.5)
HL Competence N=37 N=137
4.9 (0.9) 5.9 (0.5) <0.001
Individual item
Promote sweeping behavior change 4.9 (0.9) 5.5 (0.8)
Discuss healthier lifestyle 4.2 (0.9) 5.9 (0.9)
Health education: sleep, nutrition, values, time management n/a 5.9 (0.9)
Assess progress toward lifestyle goals 6.0 (0) 6.4 (0.8)
Therapeutic alliance N=266 N=263
Week 1 5.6 (0.8) 5.6 (0.8) 0.91
Week 3 5.7 (0.8) 5.7 (0.8) 0.96
Week 6 5.8 (0.7) 5.8 (0.8) 0.69

The Yale Adherence and Competence Scale was used to assess adherence and competence. The Working Alliance Inventory-short form was used to assess therapeutic alliance