Self-efficacy, aftercare and relapse in a treatment program for alcoholics.

Rychtarik, Robert G.; Prue, Donald M.; Rapp, Stéphen R.; King, Abby C.

doi:10.15288/jsa.1992.53.435

Cited by 110 publications

(69 citation statements)

References 13 publications

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“…Likewise, interventions adapted from motivational interviewing [11] seek to strengthen "the client's confidence in his or her capability to cope with obstacles" (p. 41). In line with social learning theory, drinking refusal self-efficacy has been shown to increase during the course of treatment [12] and to predict treatment outcome [4]. Outcome expectancy has been proposed as another important determinant of behavior change by social learning theory [13].…”

Section: Introductionmentioning

confidence: 96%

Prediction of Treatment Outcome in a Clinical Sample of Problem Drinkers

Demmel¹,

Rist²

2005

Addictive Disorders & Their Treatment

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Section: Introductionmentioning

confidence: 96%

Prediction of Treatment Outcome in a Clinical Sample of Problem Drinkers

Demmel¹,

Rist²

2005

Addictive Disorders & Their Treatment

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“…The results of this study vary from those of studies conducted with subjects who are using other substances, where improved self-efficacy was shown to have a positive effect on outcome (Ciraulo et al, 2003;Rychtarik et al, 1992;Vielva & Iraurgi, 2001;. According to the literature, clients are better able to remain abstinent from opiates when scoring high on the self-efficacy scale.…”

Section: Treatment Outcomescontrasting

confidence: 66%

“…Studies of alcoholics show that those with higher self-efficacy scores were better able to resist the urge to drink when tempted, and remained sober longer Rychtarik, Prue, Rapp, & King, 1992;Solomon & Annis, 1990;Vielva & Iraurgi, 2001). …”

Section: Self-efficacymentioning

confidence: 99%

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The Effect of Self-Efficacy on Treatment Outcomes of Clients Enrolled in a Methadone Treatment Program in Rural Maryland

Franckowiak

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The number of people diagnosed with substance abuse and dependence continues to increase with serious implications for individuals and groups.Addiction treatment can be effective, and certain principles, when adhered to, increase the likelihood of success: engagement, retention and individualization.Becker's Health Belief Model (HBM, 1974) has been used successfully to address behavior change in chronic diseases, as well as smoking and alcohol dependence. This project applies the HBM to opiate addiction treatment, specifically medication assisted treatment (MAT). The purpose of this study was to measure the relationship between self-efficacy and treatment outcomes for opiate dependent clients on MAT. A convenience sample of 50 persons with addiction to opiates was admitted to an outpatient substance abuse treatment program for MAT using methadone, and followed for a period of 6 months. Preand post-treatment self-efficacy scores were obtained using a modified General Self-Efficacy Scale (GSE; . Treatment outcomes were measured by the number of negative random monthly urine screens, attendance at group and individual counseling sessions, daily dosing adherence, and retention in treatment for at least 6 months. Pre-and post-treatment selfefficacy scores were compared using a t-test, and self-efficacy scores were compared to client outcomes using Pearson Correlation. GSE scores demonstrated improvement after 6 months in treatment (p=<.01). However, no statistically significant relationship was found between GSE scores and treatment outcomes.

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“…For example, higher levels of self-efficacy are associated with less drinking in the alcoholic population (Long, Hollin, & Williams, 1998), particularly among male-only samples (Burling, Reilly, Moltzen, & Ziff, 1989;McKay, Maisto, & O'Farrell, 1993;Rychtarik, Prue, Rapp, & King, 1992). In studies of drug users, relationships between heightened self-efficacy and lower levels of drug use have been consistently replicated, and a number of studies have found increased self-efficacy during treatment is related to reduction in drug use, with the magnitude of this relationship strengthened as time in treatment increased (Rounds-Bryant, Flynn, & Craighead, 1997).…”

Section: Introductionmentioning

confidence: 99%

Patterns of drug use and expectations in methadone patients

Joe

Flynn

Broome

et al. 2007

Addictive Behaviors

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Expectations about future behavior have been shown to have a positive relationship with subsequent behavior. For patients in drug treatment, recovery should manifest changes in drug use and in cognitive perceptions of being able to refrain from use. The present study identified latent patterns of the longitudinal relationship between drug use expectation and illegal drug use during treatment. Latent variable mixture modeling identified three patterns of change over successive 3-month intervals during treatment: Improvers (48%), Decliners (33%), and Continuing Users (19%). The sample consisted of 497 patients in community-based outpatient methadone treatment. The utility of the latent patterns was shown through their relationship to treatment engagement, where Continuing Users had lower counseling rapport and time in treatment. These latent patterns also differed on drug use measures at follow-up. Additional analyses of expectations with measures of opioid use, cocaine use, or criminality yielded similar latent patterns. Expectations about future drug use were found to be a useful measure of cognitive change corresponding to drug use change. Its potential as a brief treatment management tool is noted.

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Self-efficacy, aftercare and relapse in a treatment program for alcoholics.

Cited by 110 publications

References 13 publications

Prediction of Treatment Outcome in a Clinical Sample of Problem Drinkers

Prediction of Treatment Outcome in a Clinical Sample of Problem Drinkers

The Effect of Self-Efficacy on Treatment Outcomes of Clients Enrolled in a Methadone Treatment Program in Rural Maryland

Patterns of drug use and expectations in methadone patients

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