An investigation into the impact of brief motivational intervention at the start of an outpatient day programme for alcohol dependence
An investigation into the impact of brief motivational intervention at the start of an outpatient day programme for alcohol dependence
Motivational intervention, a strategy to increase motivation for change, was tested as an addition to an outpatient treatment programme for alcohol dependence. Admissions to the programme were randomly allocated to either a motivational or educational procedure. The three motivational constructs of the SOCRATES-8A Readiness to Change questionnaire (Ambivalence about change, Recognition of problems, Taking Steps to change) were used as measures of motivation for change. At one week follow-up, the motivational participants reported a significantly greater level of problem recognition than the educational group. The Recognition scores of the motivational group rose significantly, whilst the scores of the educational procedure decreased significantly. In addition, the motivational group's post-intervention scores were significantly higher on the Taking Steps scale and significantly lower on the Ambivalence scale than the educational group. However, there was no difference between the groups on measures of engagement in treatment. Further to this, no support was found for the prediction that low motivational scores on the post-intervention Recognition and Taking Steps scales would be predictive of drop-out. It is concluded that whilst the results support the efficacy of motivational intervention for decreasing self-reported levels of ambivalence about change and for increasing of problem recognition and taking steps towards change, more detailed research with a longer follow-up period is needed to determine whether this has any impact on other vectors of motivation for change, such as participation in treatment, outcome expectancy and drinking behaviour.
University of Southampton
Dench, Samantha Susan
1fe707bd-b8cd-4ece-a9cc-609f06d72650
1997
Dench, Samantha Susan
1fe707bd-b8cd-4ece-a9cc-609f06d72650
Dench, Samantha Susan
(1997)
An investigation into the impact of brief motivational intervention at the start of an outpatient day programme for alcohol dependence.
University of Southampton, Doctoral Thesis.
Record type:
Thesis
(Doctoral)
Abstract
Motivational intervention, a strategy to increase motivation for change, was tested as an addition to an outpatient treatment programme for alcohol dependence. Admissions to the programme were randomly allocated to either a motivational or educational procedure. The three motivational constructs of the SOCRATES-8A Readiness to Change questionnaire (Ambivalence about change, Recognition of problems, Taking Steps to change) were used as measures of motivation for change. At one week follow-up, the motivational participants reported a significantly greater level of problem recognition than the educational group. The Recognition scores of the motivational group rose significantly, whilst the scores of the educational procedure decreased significantly. In addition, the motivational group's post-intervention scores were significantly higher on the Taking Steps scale and significantly lower on the Ambivalence scale than the educational group. However, there was no difference between the groups on measures of engagement in treatment. Further to this, no support was found for the prediction that low motivational scores on the post-intervention Recognition and Taking Steps scales would be predictive of drop-out. It is concluded that whilst the results support the efficacy of motivational intervention for decreasing self-reported levels of ambivalence about change and for increasing of problem recognition and taking steps towards change, more detailed research with a longer follow-up period is needed to determine whether this has any impact on other vectors of motivation for change, such as participation in treatment, outcome expectancy and drinking behaviour.
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Published date: 1997
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Local EPrints ID: 467108
URI: http://eprints.soton.ac.uk/id/eprint/467108
PURE UUID: f078f8fe-7b83-4ab4-a350-deeec5adeebc
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Date deposited: 05 Jul 2022 08:12
Last modified: 16 Mar 2024 20:59
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Author:
Samantha Susan Dench
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