Kelly Peter J, Leung Joanne, Deane Frank P, Lyons Geoffrey C B
Illawarra Institute for Mental Health, School of Psychology, University of Wollongong, Wollongong, Australia.
School of Psychology, University of Newcastle, Newcastle, Australia.
Drug Alcohol Rev. 2016 Nov;35(6):678-685. doi: 10.1111/dar.12332. Epub 2015 Sep 30.
Despite clinical recommendations that further treatment is critical for successful recovery following drug and alcohol detoxification, a large proportion of clients fail to attend treatment after detoxification. In this study, individual factors and constructs based on motivational and volitional models of health behaviour were examined as predictors of post-detoxification treatment attendance.
The sample consisted of 220 substance-dependent individuals participating in short-term detoxification programs provided by The Australian Salvation Army. The Theory of Planned Behaviour and Implementation Intentions were used to predict attendance at subsequent treatment.
Follow-up data were collected for 177 participants (81%), with 104 (80%) of those participants reporting that they had either attended further formal treatment (e.g. residential rehabilitation programs, outpatient counselling) or mutual support groups in the 2 weeks after leaving the detoxification program. Logistic regression examined the predictors of further treatment attendance. The full model accounted for 21% of the variance in treatment attendance, with attitude and Implementation Intentions contributing significantly to the prediction.
Findings from the present study would suggest that assisting clients to develop a specific treatment plan, as well as helping clients to build positive perceptions about subsequent treatment, will promote greater attendance at further treatment following detoxification. [Kelly PJ, Leung J, Deane FP, Lyons GCB. Predicting client attendance at further treatment following drug and alcohol detoxification: Theory of Planned Behaviour and Implementation Intentions. Drug Alcohol Rev 2016;35:678-685].
尽管临床建议指出，药物和酒精脱毒后进一步治疗对于成功康复至关重要，但很大一部分患者在脱毒后未能接受治疗。在本研究中，基于健康行为动机和意志模型的个体因素及结构被作为脱毒后治疗参与情况的预测指标进行了检验。
样本包括220名参加澳大利亚救世军提供的短期脱毒项目的药物依赖个体。计划行为理论和实施意图被用于预测后续治疗的参与情况。
收集了177名参与者（81%）的随访数据，其中104名（80%）参与者报告称，他们在离开脱毒项目后的2周内参加了进一步的正规治疗（如住院康复项目、门诊咨询）或互助小组。逻辑回归分析了进一步治疗参与情况的预测因素。完整模型解释了治疗参与情况中21%的方差变异，态度和实施意图对预测有显著贡献。
本研究结果表明，协助患者制定具体的治疗计划，以及帮助患者对后续治疗形成积极看法，将促进脱毒后更多患者接受进一步治疗。[凯利PJ、梁J、迪恩FP、莱昂斯GCB。预测药物和酒精脱毒后患者接受进一步治疗的情况：计划行为理论和实施意图。《药物与酒精评论》2016年；35：678 - 685]
