<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2018-0002_s_006_w2aab3b7b2b1b6b1aab1c18b1Aa"><h3>Introduction</h3><p>Using the modified Theory of Planned Behaviour (mTPB), different indicators of therapeutic success were studied to understand pro-abstinence behavioural orientation during an 18-year after-care period following a 3-month intensive alcoholism treatment. The indicators were: perceived needs satisfaction (NS), normative differential (ND), perceived alcohol utility (UT), beliefs about treatment programme benefits (BE) and behavioural intentions (BI).</p></sec><sec id="j_sjph-2018-0002_s_007_w2aab3b7b2b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>The sample of 167 patients who consecutively started an intensive alcoholism treatment programme has been followed-up for 18 years, using standardised ailed instruments at the end of the treatment, and in the years 4-5, 9 and 18 of follow-up. The last data collection was completed by 32 subjects in 2010. The analysis followed the standard explore-analyse-explore approach. After the initial descriptive exploration of data, multivariate analysis of variance (MANOVA) in SPSS statistical package was set to explore between-groups and within-groups differences over time.</p></sec><sec id="j_sjph-2018-0002_s_008_w2aab3b7b2b1b6b1aab1c18b3Aa"><h3>Results</h3><p>At the between-group level, BI remained stable at the same level as at the end of the treatment programme, whereas BE and UT robustly changed over time and levelled off after 10 years of follow-up. NS and ND show a trend of pro-abstinent orientation and level off after 10 years of follow-up, although the trend is not significant. The same results were confirmed by the within-subject level.</p></sec><sec id="j_sjph-2018-0002_s_009_w2aab3b7b2b1b6b1aab1c18b4Aa"><h3>Conclusions</h3><p>Studied constructs stabilised after ten years of follow-up, apart from BI. The latter suggests that BI level needed for completion of an intensive treatment programme suffices for the maintenance of abstinence when accompanied by the change in perception of alcohol usefulness.</p></sec></abstract>

IntroductionUsing the modified Theory of Planned Behaviour (mTPB), different indicators of therapeutic success were studied to understand pro-abstinence behavioural orientation during an 18-year after-care period following a 3-month intensive alcoholism treatment. The indicators were: perceived needs satisfaction (NS), normative differential (ND), perceived alcohol utility (UT), beliefs about treatment programme benefits (BE) and behavioural intentions (BI).MethodsThe sample of 167 patients who consecutively started an intensive alcoholism treatment programme has been followed-up for 18 years, using standardised ailed instruments at the end of the treatment, and in the years 4-5, 9 and 18 of follow-up. The last data collection was completed by 32 subjects in 2010. The analysis followed the standard explore-analyse-explore approach. After the initial descriptive exploration of data, multivariate analysis of variance (MANOVA) in SPSS statistical package was set to explore between-groups and within-groups differences over time.ResultsAt the between-group level, BI remained stable at the same level as at the end of the treatment programme, whereas BE and UT robustly changed over time and levelled off after 10 years of follow-up. NS and ND show a trend of pro-abstinent orientation and level off after 10 years of follow-up, although the trend is not significant. The same results were confirmed by the within-subject level.ConclusionsStudied constructs stabilised after ten years of follow-up, apart from BI. The latter suggests that BI level needed for completion of an intensive treatment programme suffices for the maintenance of abstinence when accompanied by the change in perception of alcohol usefulness.

A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics – an 18-year follow-up

University Psychiatric Hospital Ljubljana

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

ČASOVNI PROFIL KONSTRUKTOV PRILAGOJENE TEORIJE NAČRTOVANEGA VEDENJA V SLOVENSKEM VZORCU PACIENTOV PO ZDRAVLJENJU ODVISNOSTI OD ALKOHOLA – 18-LETNO SLEDENJE

IntroductionUsing the modified Theory of Planned Behaviour (mTPB), different indicators of therapeutic success were studied to understand pro-abstinence...

			95% CI

Indicator and time point	Mean	SE	L	U
NS
End of treatment	66.5	1.68	63.2	69.8
5-year follow-up	62.7	1.68	59.4	66.0
10-year follow-up	60.7	2.63	55.5	65.9
18-year follow-up	61.0	2.93	55.2	66.7
ND
End of treatment	47.2	1.38	44.4	49.9
5-year follow-up	45.4	1.38	42.7	48.1
10-year follow-up	49.7	2.16	45.4	54.0
18-year follow-up	50.2	2.40	45.5	55.0
UT
End of treatment	42.2	2.14	37.9	46.4
5-year follow-up	30.5	2.14	26.3	34.7
10-year follow-up	26.8	3.36	20.1	33.4
18-year follow-up	28.4	3.74	21.0	35.8
BE
End of treatment	48.4	1.11	46.2	50.6
5-year follow-up	48.4	1.11	46.2	50.6
10-year follow-up	63.7	1.75	60.2	67.1
18-year follow-up	59.3	1.94	55.4	63.1
BI
End of treatment	8.6	0.53	7.5	9.6
5-year follow-up	8.6	0.53	7.5	9.6
10-year follow-up	9.1	0.83	7.5	10.7
18-year follow-up	8.1	0.92	6.3	9.9

Indicator	df	df(error)	Exact F	p-value	Eta2
NS	2.508	37.615	2.882	0.057	0.161
ND	2.813	42.192	0.593	0.612	0.038
UT	1.986	29.790	3.819	0.034	0.203
BE	1.921	28.820	15.938	<0.001	0.515
BI	1.894	28.405	0.385	0.673	0.025

Indicator	Difference	Mean Difference	Std. Error	p-value	95% CI

					L	U
UT	3 - 1	-12.938	4.270	0.051	-25.901	0.026
	4 - 1	-11.688	3.874	0.052	-23.449	0.074
BE	3 - 1	15.250	2.980	0.001	6.203	24.297
	4 - 1	11.375	2.729	0.005	3.088	19.662
	3 - 2	15.250	2.980	0.001	6.203	24.297
	4 - 2	11.375	2.729	0.005	3.088	19.662

A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics – an 18-year follow-up

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 10 - 16

Received: Sep 02, 2017

Accepted: Nov 07, 2017

DOI: https://doi.org/10.2478/sjph-2018-0002

Keywords
long-term abstinence, behavioral indicators, theory of planned behaviour, alcoholism treatment

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Figure 3

Estimated means of mTPB indicators - between-level analysis of variance.

Within-subject model characteristics – Greenhouse- Geisser correction of repeated measures ANOVA.

Significant and marginally significant pairwise comparisons of within-subject differences – repeated measures ANOVA.

A temporal profile of pro-abstinence-oriented constructs from the modified theory of planed behavior in a Slovenian clinical sample of treated alcoholics – an 18-year follow-up

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 10 - 16

Received: Sep 02, 2017

Accepted: Nov 07, 2017

DOI: https://doi.org/10.2478/sjph-2018-0002

Keywordslong-term abstinence, behavioral indicators, theory of planned behaviour, alcoholism treatment

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Figure 2

Figure 3

Estimated means of mTPB indicators - between-level analysis of variance.

Within-subject model characteristics – Greenhouse- Geisser correction of repeated measures ANOVA.

Significant and marginally significant pairwise comparisons of within-subject differences – repeated measures ANOVA.

Keywords
long-term abstinence, behavioral indicators, theory of planned behaviour, alcoholism treatment