scholarly journals Self-efficacy change as a mediator of associations between therapeutic bond and one-year outcomes in treatments for alcohol dependence.

2011 ◽  
Vol 25 (2) ◽  
pp. 269-278 ◽  
Author(s):  
Bryan Hartzler ◽  
Katie Witkiewitz ◽  
Nadia Villarroel ◽  
Dennis Donovan
2008 ◽  
Vol 38 (4) ◽  
pp. 391-406 ◽  
Author(s):  
Katherine M. Piderman ◽  
Terry D. Schneekloth ◽  
V. Shane Pankratz ◽  
Susanna R. Stevens ◽  
Steven I. Altchuler

Objective: The primary aim of this prospective study was to examine the role of several aspects of spirituality in maintaining abstinence from alcohol for one year in persons treated for alcohol dependence. The roles of alcohol abstinence self-efficacy and Alcoholics Anonymous affiliation were also examined. Method: Seventy-four adults with alcohol dependence who had completed a three-week outpatient addiction program participated in this study. Instruments used included the Spiritual Well-Being Scale, Duke Religion Index, Brief Religious Coping Scale, Alcohol Abstinence Self-Efficacy Scale, and Alcoholics Anonymous Affiliation Scale. Abstinence data was collected from participants and collaterals three, six, and twelve months after treatment discharge. Demographics, discharge measures, and the change in scores from admission to discharge were compared between those with and without 12-month alcohol abstinence using logistic regression or Fisher's exact tests. Results: Twenty-eight participants were categorized as continuously abstinent for one year. The strongest associations between 12 month abstinence and the variables of interest were discharge scores of abstinence self-efficacy and existential well-being, and increases during treatment in scores of private spiritual practices. Increased age demonstrated a significant association with positive outcome. Conclusion: The associations of private spiritual practices, existential well-being, and abstinence self-efficacy with one year of continuous abstinence following treatment discharge suggest the importance of addressing issues related to these variables during alcoholism treatment. More research is needed to understand the role of these variables in promoting and maintaining abstinence and to determine whether or not a related intervention would improve abstinence rates.


2003 ◽  
Vol 2 (4) ◽  
pp. 135-145 ◽  
Author(s):  
Ola Blomqvist ◽  
Carlos A. Hernandez-Avila ◽  
Joseph A. Burleson ◽  
Anjum Ashraf ◽  
Henry R. Kranzler

2011 ◽  
Vol 26 (S2) ◽  
pp. 44-44
Author(s):  
L. Ortega ◽  
N. Robles ◽  
S. Matrai ◽  
A. Gual

IntroductionThe use of Internet-based communication tools has spread to multiple areas of life. E-mail is a fast and easy tool that can be used by the health care system to facilitate doctor-patient communication.ObjectivesTo assess the use and value of the e-mail for communication between physician and patient, from patients’ perspective.AimsTo evaluate the use of e-mail as a potential therapeutic tool in patients with alcohol dependence.MethodsThe sample included patients who reported to have an e-mail account at their first visit in Alcohol Unit (n = 44 of 238 patients seen during one year). 23 patients were given the contact e-mail of the Alcohol Unit, and were instructed to contact their physician, if needed, by e-mail. The rest of the sample (n = 21) could contact their physician only by phone. Six months later, the whole sample received an electronic survey measuring their satisfaction of the communication with the physician.Results57% patients who received the contact e-mail of the Alcohol Unit answered the survey (n = 13). Of those, 54% used e-mail to contact their physician. 71% found e-mail easy-to-use; 86% reported being satisfied with e-mail communication.ConclusionsE-mail contact with physician was considered useful by most patients, although they report using also other contact methods, such as phone call.


2009 ◽  
Vol 39 (3) ◽  
pp. 313-323 ◽  
Author(s):  
Lucia Romo ◽  
Yann Le Strat ◽  
Caroline Aubry ◽  
Sonia Marquez ◽  
Karine Houdeyer ◽  
...  

Objectives: Brief interventions are effective in reducing heavy drinking in the general population but few studies examined whether it is also effective in alcohol dependent patients, and whether brief intervention increases self-efficacy. Method: One hundred and seven patients with alcohol-dependence were randomized in a controlled trial examining the efficacy of a brief motivational intervention on both self-efficacy level and days of abstinence. Results: We found that brief motivational interventions had no effect on days of abstinence, nor on self-efficacy, but that high self-efficacy was consistently correlated with a longer period of abstinence, at all assessment-points. Conclusion: Self-efficacy appears to be a crucial prognosis factor, and is not influenced by brief motivational interventions. Other types of specific psychotherapy, probably more intensive, may be more efficient in alcohol-dependent patients than motivational interventions.


2021 ◽  
Vol 12 ◽  
Author(s):  
Christina Gjestvang ◽  
Frank Abrahamsen ◽  
Trine Stensrud ◽  
Lene A. H. Haakstad

ObjectivesA fitness club may be an important arena to promote regular exercise. However, authors have reported low attendance rates (10 to 37%) the first months after individuals sign up for membership. It is therefore important to understand the reasons for poor exercise adherence. In this project, we aimed to investigate different psychosocial factors that might increase the likelihood of reporting regular exercise the first year of a fitness club membership, including self-efficacy, motives, social support, life satisfaction, and customer satisfaction.MethodsNew members (≤4 weeks membership, n = 250) classified as novice exercisers (exercise < 60 min/week the last 6 months) from 25 multipurpose gyms were followed for 1 year. Data were collected by an electronic survey including background and health factors, self-efficacy, social support, life satisfaction, motives, customer satisfaction, and exercise attendance, and was answered at start-up and after three (n = 224), six (n = 213), and 12 (n = 187) months. It is well established in the literature that ≥2 exercise sessions/week improve physical fitness in novice exercisers (if adhered to). Hence, we divided the participants into regular exercise attendance (≥2 sessions/week) and non-regular exercise attendance (≤1 session/week, exercise dropout, or membership dropout) in the analysis.ResultsA mixed-effects logistic regression model revealed that the strongest predictor for reporting regular exercise attendance was higher levels of the motive “enjoyment” (OR = 1.84, p ≤ 0.001, 95% CI for OR = 1.35, 2.50), followed by self-efficacy “sticking to it” (OR = 1.73, p = 0.002, 95% CI for OR = 1.22, 2.46) and social support from friends and family (OR = 1.16, p ≤ 0.001, 95% CI for OR = 1.09, 1.23).ConclusionIn novice exercisers, regular exercise at three, six, and 12 months was associated with higher scores of the motive “enjoyment,” self-efficacy (“sticking to it”), and social support compared with non-regular exercise. Our results show that the majority of new fitness club members do not achieve regular exercise behavior.


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