Predictors of alcohol and crack cocaine use outcomes over a 3-year follow-up in treatment seekers

McKay, James R.; Foltz, Carol; Stephens, Richard C.; Leahy, Peter; Crowley, Evelyn M.; Kissin, Wendy

doi:10.1016/j.jsat.2004.10.010

Cited by 50 publications

(32 citation statements)

References 35 publications

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“…In accordance with the investigations of McKay et al (2005) as well as Warren et al (2007), this could mean that a high level of general perceived self-efficacy might indeed go hand in hand with less alcohol consumption, but only for the duration of the prevention interventions. Still, the present findings at least suggest that a high level of perceived self-efficacy does not necessarily lead to a lower alcohol intake.…”

Section: Discussion Of the Results Concerning The Connection Between supporting

confidence: 77%

“…This is all the more surprising as resistance self-efficacy is generally regarded to have a particular protective effect on substance use and health-related behavior [55][56][57]. One possible explanation of this finding may be that the students included in the present study had right from the beginning a high degree of resistance self-efficacy, so that their share remained high throughout the study period, with only slight variations within the range of 94% und 98%.…”

Section: Discussion Of the Results Concerning Self-efficacymentioning

confidence: 61%

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On the Effectiveness of Drug Prevention in School: Effects of Peerbased and Adult-Led Drug Prevention on Self Efficacy and Substance Use Among Secondary-School Students

Stella-Kaiser¹

2012

TOADDJ

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The present study aims at comparing the influence of two different models of substance abuse prevention -a peer-based and an adult-based drug prevention program -on the self efficacy and substance abuse behaviour of secondary school students. The results of previous research suggest that the the peer-based drug prevention method might be more effective than the adult-led program in maximizing students' self-efficacy and reducing their substance consumption. A sample comprising 376 secondary school students of two different Viennese secondary schools was selected for implementing one of these two drug prevention models for a period of three years. The project was based on a longitudinal study that extended over four years and in which the subjects were made to answer a questionnaire containing 101 questions at five points in time. While the findings as a whole did not unambiguously confirm the greater efficacy of the peer-led programme, the main results indicate that the peer based programme had a positive impact on regular alcohol consumption, as at assessment timepoint 4 (end of intervention) 48% of the students in the adult-led programme, but only 33% of those in the peer-led programme were reported to drink alcohol regularly, a finding that is statistically significant. On the other hand, no influence on tobacco smoking was noted. While, in purely descriptive terms, the peer-led prevention model might have exhibited a positive influence on drug consumption over time, the difference from the adultled prevention model was not statistically significant. Concerning the second subject under investigation, the connection between self-efficacy and substance use, our findings suggest that -irrespective of the method of instruction -students with a high level of perceived self-efficacy were likely to show a lower level of substance use than their low-self-efficacy counterparts. This finding, however, applies only to individual assessment timepoints, not to the whole duration of the intervention. In any case, our results suggest that more studies are required to examine if there exists any evidence that students with a high level of self efficacy are more likely to show a lower level of substance abuse than those with a lower degree of self efficacy regarding substances other than alcohol.

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Section: Discussion Of the Results Concerning The Connection Between supporting

confidence: 77%

Section: Discussion Of the Results Concerning Self-efficacymentioning

confidence: 61%

On the Effectiveness of Drug Prevention in School: Effects of Peerbased and Adult-Led Drug Prevention on Self Efficacy and Substance Use Among Secondary-School Students

Stella-Kaiser¹

2012

TOADDJ

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“…16 In an attempt to understand the recovery process, studies in the literature seek to uncover indicators closely related to stable abstinence. 13,17 These include the study by Siegal et al 24 (2002), which showed a strong correlation between stable abstinence and prolonged detoxifi cation treatment.…”

Section: Discussionmentioning

confidence: 99%

Evolução do consumo de crack em coorte com histórico de tratamento

Dias

Ribeiro²,

Laranjeira

2011

Rev. Saúde Pública

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OBJECTIVE:To analyze the evolution of drug use among treated crack cocaine users. METHODS:A cohort originally comprising 131 crack addicts admitted to a detoxifi cation unit in the city of São Paulo, Southeastern Brazil, between 1992 and 1994 were followed up on three occasions: 1995-96, 1998-99, and 2005-06. Variables investigated included demographical data, risky sexual behaviors, intake patterns for crack and other substances, incarceration, disappearance, and death. Statistical analysis was carried out using chi-square tests, multinomial logistic regression and Cox regression. RESULTS:Among the patients evaluated, 43 were crack-free (12 months or longer), 22 were users, 13 were imprisoned, two were missing, and 27 were deceased. Three groups with distinct post-discharge drug use patterns were identifi ed. Safe sexual behavior (condom use) was correlated with stable abstinence (p=0.001). Positive HIV test upon admission (p=0.046), use of snorted cocaine in the last year (p=0.001), and lifetime use of snorted cocaine (132 months or longer) (p=0.000) were associated with long term use of crack cocaine. History of intravenous cocaine use increased the probability of death at 12 years by 2.5 fold (p=0.031) (95%CI: 1.08; 5.79). CONCLUSIONS:Recurrence and persistence of crack use in the years following discharge refl ect new modalities of drug use. On the other hand, stable abstinence patterns provide evidence of the feasibility of recovery from crack addiction.

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“…The baseline interview included questions about age, gender, ethnicity, education level, household income, and significant life events often related to outcomes, such as marital status and employment status (21– 24). These questions were repeated at the follow-ups.…”

Section: Methodsmentioning

confidence: 99%

Continuing Care and Long-Term Substance Use Outcomes in Managed Care: Early Evidence for a Primary Care-Based Model

Felicia¹,

Parthasarathy²,

Mertens³

et al. 2011

Psychiatric Services

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Objectives How best to provide ongoing services to patients with substance use disorders to sustain long-term recovery is a significant clinical and policy question that has not been adequately addressed. Analyzing nine years of prospective data for 991 adults who entered substance abuse treatment in a private, nonprofit managed care health plan, this study aimed to examine the components of a continuing care model (primary care, specialty substance abuse treatment, and psychiatric services) and their combined effect on outcomes over nine years after treatment entry. Methods In a longitudinal observational study, follow-up measures included self-reported alcohol and drug use, Addiction Severity Index scores, and service utilization data extracted from the health plan databases. Remission, defined as abstinence or non-problematic use, was the outcome measure. Results A mixed-effects logistic random intercept model controlling for time and other covariates found that yearly primary care, and specialty care based on need as measured at the prior time point, were positively associated with remission over time. Persons receiving continuing care (defined as having yearly primary care and specialty substance abuse treatment and psychiatric services when needed) had twice the odds of achieving remission at follow-ups (p<.001) as those without. Conclusions Continuing care that included both primary care and specialty care management to support ongoing monitoring, self-care, and treatment as needed was important for long-term recovery of patients with substance use disorders.

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Predictors of alcohol and crack cocaine use outcomes over a 3-year follow-up in treatment seekers

Cited by 50 publications

References 35 publications

On the Effectiveness of Drug Prevention in School: Effects of Peerbased and Adult-Led Drug Prevention on Self Efficacy and Substance Use Among Secondary-School Students

On the Effectiveness of Drug Prevention in School: Effects of Peerbased and Adult-Led Drug Prevention on Self Efficacy and Substance Use Among Secondary-School Students

Evolução do consumo de crack em coorte com histórico de tratamento

Continuing Care and Long-Term Substance Use Outcomes in Managed Care: Early Evidence for a Primary Care-Based Model

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