Does stage tailoring matter in brief alcohol interventions for job-seekers? A randomized controlled trial.
Aims To investigate whether or not a stage tailored intervention is more effective than a non-stage tailored intervention of the same intensity in reducing alcohol use among job-seekers with unhealthy alcohol use, and whether initial motivation to change is a moderator of efficacy. Design A three-gr...
| Publicado en: | Addiction Vol. 109; no. 11; pp. 1845 - 1857 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Wiley-Blackwell
Nov2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103900958&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103900958 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Nov2014 vid: 109 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 103900958 98741741 10.1111/add.12677 NLM24981701 103900958 ppf: 1845 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Does stage tailoring matter in brief alcohol interventions for job-seekers? A randomized controlled trial. aug: au: Freyer-Adam, Jennis Baumann, Sophie Schnuerer, Inga Haberecht, Katja Bischof, Gallus John, Ulrich Gaertner, Beate affil: Institute of Social Medicine and Prevention, University Medicine Greifswald sug: subj: Alcohol Abuse Employment Job Application Behavioral Changes Motivation Transtheoretical Stages of Change Model Ajzen's Theory of Planned Behavior Human Funding Source Randomized Controlled Trials Female Male Germany Comparative Studies Pretest-Posttest Design Descriptive Statistics Computers, Hand-Held T-Tests Data Collection, Computer Assisted Data Analysis Software Questionnaires Logistic Regression Adult Adolescence Young Adult Middle Age Adult: 19-44 years Adolescent: 13-18 years Middle Aged: 45-64 years Female Male ab: Aims To investigate whether or not a stage tailored intervention is more effective than a non-stage tailored intervention of the same intensity in reducing alcohol use among job-seekers with unhealthy alcohol use, and whether initial motivation to change is a moderator of efficacy. Design A three-group randomized controlled trial with 3-, 6- and 15-month follow-ups. Setting Three job agencies in Germany. Participants A total of 1243 job-seekers with unhealthy alcohol use were randomized to (i) stage tailored intervention based on the transtheoretical model of change ( ST), (ii) non-stage tailored intervention based on the theory of planned behaviour ( NST) and (iii) assessment only (controls). Participants received feedback letters and manuals at baseline and 3 months later. Measurements Piecewise latent growth models were calculated measuring change in 'alcohol use' from baseline to month 3 (active intervention phase) and from months 3 to 15 (post-intervention phase, primary outcome). Motivation to change was included as a 4-point continuous measure. Findings All groups reduced alcohol use from months 0 to 3 (controls: mean = −0.866, NST: mean = −0.883, ST: mean = −0.718, Ps ≤ 0.001). Post-intervention (months 3-15), low-motivated individuals in the ST group showed a greater reduction than those in the control group (β = 0.135, P = 0.039, Cohen's d = 0.42) and in the NST group (β = 0.180, P = 0.009, Cohen's d = 0.55). In contrast, compared to the ST group (β = 0.030, P = 0.361), alcohol use decreased more strongly with higher initial motivation in the NST group (β = −0.118, P = 0.010). Conclusions Among job-seekers with high levels of alcohol consumption, an intervention tailored to motivational 'stage of change' was more effective than a non-stage tailored intervention for reducing alcohol use 15 months after baseline assessment in participants with low initial motivation to change. pubtype: Academic Journal doctype: pictorial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|