Retention in substance dependence treatment: the relevance of in-treatment factors

In addition to “fixed” patient demographic and background variables, treatment process constructs play an important role in the prediction of treatment retention in substance dependence treatment. The objective of this paper is to analyze the predictive role of repeated measures of treatment readine...

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Veröffentlicht in:Journal of substance abuse treatment 2001-06, Vol.20 (4), p.253-261
Hauptverfasser: De Weert-Van Oene, Gerdien H, Schippers, Gerard M, De Jong, Cor A.J, Schrijvers, Guus J.P
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container_end_page 261
container_issue 4
container_start_page 253
container_title Journal of substance abuse treatment
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creator De Weert-Van Oene, Gerdien H
Schippers, Gerard M
De Jong, Cor A.J
Schrijvers, Guus J.P
description In addition to “fixed” patient demographic and background variables, treatment process constructs play an important role in the prediction of treatment retention in substance dependence treatment. The objective of this paper is to analyze the predictive role of repeated measures of treatment readiness and behavioral intention, and of patients' perception of the therapeutic alliance, while controlling for fixed patient-oriented variables. Ninety-three patients, both alcohol and drug dependents, enrolled in this study, which was conducted in an inpatient treatment setting. Patients completed questionnaires shortly after admission ( t=0) and approximately 2 weeks later ( t=1). Using these measures, 35% of variance of a length of stay in treatment of up to 30 days could be explained. Fixed patient-oriented variables accounted for 21% of variance. Of the cognitive factors, helping alliance was the most important, accounting for an additional 8% of variance. The implications of these results are discussed.
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals; Sociological Abstracts
subjects Addictions
Adult
Attrition
Behavioral intention
Clinical outcomes
Drug Addiction
Environmental Factors
Female
Helping alliance
Humans
Intentionality
Length of Stay
Male
Middle Aged
Motivation
Netherlands
Noncompliance
Patient Compliance - psychology
Patient Discharge
Patient Dropouts - psychology
Patients
Perceptions
Predictive Value of Tests
Prognosis
Psychiatric Status Rating Scales
Regression Analysis
Substance abuse treatment
Substance Abuse Treatment Centers
Substance dependence
Substance-Related Disorders - therapy
Treatment Compliance
Treatment motivation
Treatment Outcomes
title Retention in substance dependence treatment: the relevance of in-treatment factors
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