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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2015

Open Access 01-12-2015 | Research

Predicting patient post-detoxification engagement in 12-step groups with an extended version of the theory of planned behavior

Authors: John-Kåre Vederhus, Sarah E. Zemore, Jostein Rise, Thomas Clausen, Magnhild Høie

Published in: Addiction Science & Clinical Practice | Issue 1/2015

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Abstract

Introduction

Individuals with substance use disorders can receive important abstinence-specific support in 12-step groups (TSGs). However, our understanding of key factors that influence TSG participation remains limited. This study used an extended version of the theory of planned behavior (TPB) to enhance the understanding of TSG affiliation.

Methods

Data were retrieved from a controlled trial of a 12-step facilitation intervention conducted on an inpatient detoxification ward in Norway (N = 140). Surveys at baseline included a TPB questionnaire. The behavioral target was to attend at least two TSG meetings per month in the 6-month follow-up period. Structural equation modeling was used to analyze the predictors of behavior at follow-up.

Results

We found that attitudes, the moral norm, and perceived behavior control accounted for 81 % of the variance in the intention to participate regularly in TSGs after treatment. Subjective norms did not significantly influence the intention to participate. Moreover, the intention to participate significantly predicted behavior (β = 0.42, p < 0.001). In contrast to theory, there was a substantial, model-independent pathway from past to later behavior (β = 0.22, p = 0.047). The model explained 46 % (p < 0.001) of the variance in behavior. Attending ≥ 12 TSG meetings in the follow-up period was associated with a high percentage of abstinent days at follow-up (β = 0.38, p = 0.023).

Conclusions

The present TPB questionnaire worked well for assessing patient intentions to attend a TSG. Treatment providers should encourage patient intentions to participate in TSGs post-detoxification.
Appendix
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Metadata
Title
Predicting patient post-detoxification engagement in 12-step groups with an extended version of the theory of planned behavior
Authors
John-Kåre Vederhus
Sarah E. Zemore
Jostein Rise
Thomas Clausen
Magnhild Høie
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2015
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/s13722-015-0036-3

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