Abstract
The goal of the study was to evaluate whether enhanced normative feedback recovery curves are needed for treatment of substance use problems. Patient predictors of outcome were examined using data from four substance abuse treatment clinics. Baseline severity of symptoms/functioning, employment, and craving were found to be associated with rate of change in symptoms/functioning. Several other variables were associated with rate of change in alcohol use, although in the opposite direction than found in efficacy trials. The results point to the complexity of designing feedback systems using normative recovery curves for those with substance use problems and highlight the important differences between real-world treatment of those with substance use problems compared to data from efficacy trials.

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