Motivation and adherence to psychosocial treatment for alcohol and drug use-related problems
Keywords:
Motivation, Substance-related disorders, Treatment outcomeAbstract
This is a prospective cohort study of 150 individuals attending a specialized health service for substance-related disorders. The study investigated the association between motivation to remain in treatment and treatment adherence. All service users were interviewed soon after admission to the treatment program and were followed-up during the fi rst two months of treatment. A Cox Regression Model was used to estimate the hazard ratios for dropout during the two months following the admission interview. The results indicated that individuals with a primary-school education, lack of income, and low motivation toward treatment at the admission interview presented a higher risk of treatment dropout. This study showed the importance of motivation in changing addictive behavior and in adherence to treatment as essential factors for recovery.
Downloads
References
Amorim, M. M. A., Ramos, N., Bento, I. C., & Gazzinelli, M. F. (2013). Intervenção educativa na diabetes Mellitus. Psicologia, Saúde & Doenças, 14(1), 168-184. Recuperado em março 1, 2017, de http://www.scielo.mec.pt/pdf/psd/v14n1/v14n1a11.pdf
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman and Company.
D’Amico, E. J., Houck, J. M., Hunter, S. B., Miles, J. N. V., Osilla, K. C., & Ewing, B. A. (2015). Group motivational interviewing for adolescents: Change talk and alcohol and marijuana outcomes. Journal of Consulting and Clinical Psychology, 83(1), 68-80. http://dx.doi.org/10.1037/a0038155
Deci, E. L., & Ryan, R. M. (2008). Self-determination theory: A macrotheory of human motivation, development and health. Canadian Psychology, 49(3), 182-185. http://dx.doi.org/10.1037/a0012801
DiClemente, C. C., Carbonari, J. P., Montgomery, R. P., & Hughes, S. O. (1994). The alcohol abstinence selfefficacy scale. Journal of Studies on Alcohol, 55(2), 141-148. http://dx.doi.org/10.15288/jsa.1994.55.141
Ferreira, A. C. Z., Capistrano, F. C., Souza, E. B. D., Borba, L. D. O., Kalinke, L. P., & Maftum, M. A. (2015). Motivações de dependentes químicos para o tratamento: percepção de familiares. Revista Brasileira de Enfermagem, 68(3),474-481. http://dx.doi.org/10.1590/0034-7167.2015680314i
Freire, S. D. (2009). Evidência de validade da “Escala de Autoeficácia para Abstinência de Drogas” (EAAD) e da “Escala de Situações Tentadoras para Uso de Drogas” (ESTUD) em dependentes de cocaína e crack internados (Dissertação de mestrado não-publicada). Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre.
Griep, R. H., Chor, D., Faerstein, E., Werneck, G. L., & nLopes, C. S. (2005). Validade de constructo de escala de apoio social do Medical Outcomes Study adaptad para o português no Estudo Pró-Saúde. Cadernos de Saúde Pública, 21(3), 703-714. http://dx.doi.org/10.1590/S0102-311X2005000300004
Leite, J. C. D. C., Seminotti, N., Freitas, P. F., & Drachler, M. D. L. (2011). The Psychosocial Treatment Expectations Questionnaire (PTEQ) for alcohol problems: Development and early validation. European Journal of Psychological Assessment, 27(4), 228-236. http://dx.doi.org/10.1027/1015-5759/a000077
Mangueira, S. D. O., Guimarães, F. J., Mangueira, J. D. O., Fernandes, A. F. C., & Lopes, M. V. D. O. (2015). Promoção da saúde e políticas públicas do álcool no Brasil: revisão integrativa da literatura. Psicologia e Sociedade, 27(1), 157-168. http://dx.doi.org/10.1590/1807-03102015v27n1p157
Micheletti, V. C. D., Kritski, A. L., & Braga, J. U. (2016). Clinical features and treatment outcomes of patients with drug-resistant and drug-sensitive tuberculosis: A historical cohort study in Porto Alegre, Brazil. PLoS One, 11(8), e0160109. Retrieved March 1, 2017, from http://dx.doi.org/10.1371/journal.pone.0160109
Mildestvedt, T., Meland, E., & Eide, G. E. (2008). How important are individual counselling, expectancy beliefs and autonomy for the maintenance of exercise after cardiac rehabilitation? Scandinavian Journal of Public Health, 36(8), 832-840. Retrieved March 1, 2017, from http://journals.sagepub.com/doi/abs/10.1177/1403494808090633
Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change. 3rd ed. New York: Guilford.
Miller, W. R., & Moyers, T. B. (2015). The forest and the trees: Relational and specific factors in addiction treatment. Addiction, 110(3), 401-413. http://dx.doi.org/10.1111/add.12693
Peixoto, C., Prado, C. H. D. O., Rodrigues, C. P., Cheda, J. N. D., Mota, L. B. T.D., & Veras, A. B. (2010). Impacto do perfil clínico e sociodemográfico na treatment compliance de pacientes de um Centro de Atenção Psicossocial a Usuários de Álcool e Drogas (CAPSad). Jornal Brasileiro de Psiquiatria, 59(4), 317-321. Recuperado em março 1, 2017, de http://www.scielo.br/pdf/jbpsiq/v59n4/08.pdf
Pitta, A. M. F., Coutinho, D. M., & Rocha, C. C. M. (2015). Direitos humanos nos Centros de Atenção Psicossocial do Nordeste do Brasil: um estudo avaliativo, tendo como referência o Quality Rights- WHO. Saúde em Debate, 39(106), 760-771. http://dx.doi.org/10.1590/0103-1104201510600030016
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47, 1102-1114. http://doi/abs/10.3109/108 84609309149692?needAccess=true&journalCode=ijan18
Raistrick, D., Dunbar, G., & Davidson R. (1983). Development of a questionnaire to measure alcohol dependence. British Journal of Addiction, 78(1), 89-95. http://dx.doi.org/10.1111/j.1360-0443.1983.tb02484.x
Rosa-Oliveira, L. Q., Presti, P. D. F., Antunes, I. R., Carbonari, G. C., Imada, A. C., Maeda, M. Y., . . . Doering-Silveira, J. (2011). Reliability and dimensionality of the Short Alcohol Dependence Data (SADD) questionnaire in a clinical sample of hospitalized patients: Using the SADD in a general hospital setting. Revista Brasileira de Psiquiatria, 33(1), 68-71. Recuperado em março 1, 2017, de http://www.scielo.br/pdf/rbp/v33n1/aop2010.pdf
Ryan, R. M., & Deci, E. L. (2017). Self-Determination Theory: Basic psychological needs in motivation, development, and well-being. New York: The Guilford Press.
Schroder, R., Sellman, D., Frampton, C., & Deering, D. (2009). Youth retention: Factors associated with treatment dropout from youth alcohol and other drug treatment. Drug and Alcohol Review, 28(6), 663-668. http://dx.doi.org/10.1111/j.1465-3362.2009.00076.x
Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science and Medicine, 38(6), 705-714. http://dx.doi.org/10.1016/0277-9536(91)90150-B
Silva, D. I. D., Maftum, M. A., & Mazza, V. D. A. (2014). Vulnerabilidade no desenvolvimento da criança: influência dos elos familiares fracos, dependência química e violência doméstica. Texto e Contexto-Enfermagem, 23(4), 1087-1094. http://dx.doi.org/10.1590/0104-07072014001700013
Sousa, P. F., Ribeiro, L. C. M., Melo, J. R. F. D., Maciel, S. C., & Oliveira, M. X. (2013). Dependentes químicos em tratamento: um estudo sobre a motivação para mudança. Temas em Psicologia, 21(1), 259-268. http://dx.doi.org/10.9788/TP2013.1-18
Varela, D. S. S., Sales, I. M. M., Silva, F. M. D., & Monteiro, C. F. D. S. (2016). Rede de saúde no atendimento ao usuário de álcool, crack e outras drogas. Escola Anna Nery, 20(2), 296-302. http://dx.doi.org/10.5935/1414-8145.20160040
Varming, A. R., Hansen, U. M., Andrésdóttir, G., Husted, G. R., & Willaing, I. (2015). Empowerment, Motivation, and Medical Adherence (EMMA): The feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes. Patient Preference and Adherence, 9, 1243-1253. http://dx.doi.org/10.2147/PPA.S85528
Zemore, S. E., & Ajzen, I. (2014). Predicting substance abuse treatment completion using a new scale based on the theory of planned behavior. Journal of Substance Abuse Treatment, 46(2), 174-182. http://dx.doi.org/10.1016/j.jsat.2013.06.011
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Jose Carlos de Carvalho LEITE, Maria Fernanda Duarte da LUZ, Júlio Cézar WALZ, Lidiane Isabel FILIPPIN, Ricardo Pedrozo SALDANHA, Maria de Lourdes DRACHLER
This work is licensed under a Creative Commons Attribution 4.0 International License.