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

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.

journal_name

J Consult Clin Psychol

authors

Cook S,Heather N,McCambridge J

doi

10.1037/a0037981

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

232-237

issue

1

eissn

0022-006X

issn

1939-2117

pii

2014-39094-001

journal_volume

83

pub_type

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