The predictive value of participant subgroups in a temporary alcohol abstinence challenge: compliance with abstinence and changes in drinking behaviour.

Introduction Dividing participants of Temporary alcohol Abstinence Challenges (TACs) into subgroups can improve intervention effectiveness by identifying individuals who require extra support. In a previous study, participant subgroups were identified based on determinants of behaviour change, inclu...

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Publicado en:Alcohol & Alcoholism Vol. 60; no. 4; pp. 1 - 11
Autores principales: Kools, Nathalie, Rozema, Andrea D, van de Mheen, Dike, Bovens, Rob H L M, Mathijssen, Jolanda J P
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jul2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2025
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        atl: The predictive value of participant subgroups in a temporary alcohol abstinence challenge: compliance with abstinence and changes in drinking behaviour.
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          Kools, Nathalie
          Rozema, Andrea D
          van de Mheen, Dike
          Bovens, Rob H L M
          Mathijssen, Jolanda J P
        affil: Department of Tranzo Scientific Centre for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, PO box 90153, 5000 LE Tilburg, the Netherlands
      sug:
        subj:
          Prediction Models
          Alcohol Abstinence
          Drinking Behavior Evaluation
          Alcohol Drinking
          Patient Compliance
          Behavioral Changes Evaluation
          Human
          Funding Source
          Netherlands
          Questionnaires
          Logistic Regression
          Structural Equation Modeling
          Alcoholism Psychosocial Factors
          Descriptive Statistics
          Middle Age
          Aged
          Male
          Female
          Self-Efficacy
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Introduction Dividing participants of Temporary alcohol Abstinence Challenges (TACs) into subgroups can improve intervention effectiveness by identifying individuals who require extra support. In a previous study, participant subgroups were identified based on determinants of behaviour change, including drinking refusal self-efficacy, craving, and behavioural automaticity. However, the predictive value of these subgroups for TAC success remains unknown. This study examined their predictive value for (i) abstinence during a TAC and (ii) changes in drinking behaviour. Methods Data were analysed from 1800 Dutch TAC participants who completed baseline and eight-month follow-up questionnaires. Binary logistic regression assessed the effect of subgroup on abstinence. Ordinal and binary logistic regressions within Generalized Estimating Equation models examined subgroup effects on drinking behaviour changes, including drinking frequency, glasses per drinking day, and excessive volumes. Results TAC subgroups differed in abstinence and in changes in drinking frequency and glasses per drinking day on weekdays. 'Habitual drinkers with perceived control to refuse' and 'drinkers in control' were more likely to abstain during the challenge than 'ordinary drinkers', whereas 'drinkers not in control' were less likely to abstain. 'Drinkers in control' showed smaller reductions in drinking frequency and glasses per drinking day on weekdays compared with 'ordinary drinkers'. No significant differences were found in changes in excessive drinking volumes and glasses per drinking day on weekends. Conclusions This study demonstrated the predictive value of subgroups for abstinence but found limited predictive value for changes in drinking behaviour after the challenge. Future research could explore personalized support to optimize behaviour change.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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