Majer John M, Chapman Hannah M, Jason Leonard A
Harry S. Truman College, Social Science Department, Chicago, Illinois, USA.
St. Mary's College, St. Mary's City, Maryland, USA.
Alcohol Treat Q. 2016;34(4):386-401. doi: 10.1080/07347324.2016.1217708. Epub 2016 Oct 5.
The relationship between abstinence self-efficacy and substance use at 2 years was examined among a sample ( = 470) of persons with substance use disorders and recent incarceration histories. Participants were assigned to residential (therapeutic community/TC or Oxford House) or nonresidential (usual care) conditions. The authors hypothesized abstinence self-efficacy would predict decreased substance use, and residential treatments would moderate this relationship. A conditional effect was observed, with low levels of abstinence self-efficacy predicting significant increases in substance use in the TC and usual care conditions. Supplemental analyses revealed significant decreases in substance use over time among participants in the Oxford House condition, and a significant conditional effect (gender x treatment condition) in relation to substance use. Findings point to the need for researchers to examine factors that mitigate the relationship between abstinence self-efficacy and substance use outcomes, and for treatment providers to consider the Oxford House model for this population.
在一个有药物使用障碍和近期监禁史的样本（n = 470）中，研究了戒酒自我效能与两年后药物使用之间的关系。参与者被分配到住院治疗（治疗社区/TC或牛津之家）或非住院治疗（常规护理）条件下。作者假设戒酒自我效能会预测药物使用的减少，并且住院治疗会调节这种关系。观察到一种条件效应，即低水平的戒酒自我效能预测在TC和常规护理条件下药物使用会显著增加。补充分析显示，牛津之家条件下的参与者随着时间推移药物使用显著减少，并且在药物使用方面存在显著的条件效应（性别×治疗条件）。研究结果表明，研究人员需要研究减轻戒酒自我效能与药物使用结果之间关系的因素，治疗提供者需要考虑为该人群采用牛津之家模式。
