Posttreatment motivation and alcohol treatment outcome 9 months later: Findings from structural equation modeling

Cook, Sarah, Heather, Nick and McCambridge, Jim (2015) Posttreatment motivation and alcohol treatment outcome 9 months later: Findings from structural equation modeling. Journal of Consulting and Clinical Psychology, 83 (1). pp. 232-237. ISSN 0022-006X

[img]
Preview
Text (Article)
232.pdf - Published Version
Available under License Creative Commons Attribution.

Download (87kB) | Preview
Official URL: http://dx.doi.org/10.1037/a0037981

Abstract

Objective: To investigate the association between posttreatment motivation to change as measured by the Readiness to Change Questionnaire Treatment Version and drinking outcomes 9 months after the conclusion of treatment for alcohol problems.
Method: Data from 392 participants in the United Kingdom Alcohol Treatment Trial were used to fit structural equation models investigating relationships between motivation to change pre- and posttreatment and 5 outcomes 9 months later. The models included pathways through changes in drinking behavior during treatment and adjustment for sociodemographic information.
Results: Greater posttreatment motivation (being in action vs. preaction) was associated with 3 times higher odds of the most stringent definition of positive outcome (being abstinent or entirely a nonproblem drinker) 9 months later (odds ratio = 3.10, 95\% confidence interval {[}1.83, 5.25]). A smaller indirect effect of pretreatment motivation on this outcome was seen from pathways through drinking behavior during treatment and posttreatment motivation (probit coefficient = 0.08, 95\% confidence interval {[}0.03, 0.14]). A similar pattern of results was seen for other outcomes evaluated.
Conclusion: Posttreatment motivation to change has hitherto been little studied and is identified here as a clearly important predictor of longer term treatment outcome.

Item Type: Article
Uncontrolled Keywords: alcohol problems, treatment, readiness to change, motivation, outcome predictors
Subjects: C800 Psychology
Department: Faculties > Health and Life Sciences > School of Life Sciences > Psychology
Depositing User: Nicola King
Date Deposited: 23 Mar 2015 10:16
Last Modified: 10 Nov 2016 06:25
URI: http://nrl.northumbria.ac.uk/id/eprint/21667

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence