Dropouts from Treatment

Rosenberg, Chaim M.; Raynes, Anthony E.

doi:10.1177/070674377301800310

Cited by 20 publications

(5 citation statements)

References 12 publications

(6 reference statements)

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“…An early clue as to the importance of therapist behavior lay in studies of drop out from alcoholism treatment. With great consistency, such studies reported that client characteristics differentiated minimally between those leaving versus those remaining in treatment, but that dropouts were disproportionately distributed among staff with whom clients had had contact (Greenwald & Bartmeier, 1963; Raynes & Patch, 1971; Rosenberg, Gerrein, Manohar, & Liftik, 1976; Rosenberg & Raynes, 1973). Greenwald and Bartmeier (1963) found that supervisor ratings of therapeutic effectiveness were significantly correlated ( r = .65) with rate of irregular discharge, although it is unclear whether the ratings were contaminated by knowledge of dropouts.…”

Section: Nonspecific Determinants Of Motivationmentioning

confidence: 99%

Motivation for treatment: A review with special emphasis on alcoholism.

Miller

1985

Psychological Bulletin

564

283

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Motivation is often regarded as a client attribute related to maladaptive defense mechanisms, and it is used to explain unfavorable treatment outcome. This article provides an integrative review of research relating motivational variables and interventions to treatment entry, compliance, and outcome; special focus is on alcoholism and other addictive behaviors. Empirical evidence is considered regarding motivational interventions including advice, feedback, goal setting, role playing, modeling, contingencies, continuity of care, voluntary choice, and modification of behavior attractiveness. Beyond these specific interventions, nonspecific aspects of motivation are reviewed including client characteristics (distress, self-esteem, locus of control, severity, conceptual level), environmental variables, and therapist characteristics (hostility, expectancy, empathy). A dynamic conceptualization of treatment motivation is proposed as an alternative to a trait model.

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Section: Nonspecific Determinants Of Motivationmentioning

confidence: 99%

Motivation for treatment: A review with special emphasis on alcoholism.

Miller

1985

Psychological Bulletin

564

283

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“…Although attendance in the initial session (intake) has been reported as high as 85% (Noonan, 1973), most studies have indicated less favorable results. In fact, when mental health services fail to implement interventions that are specifically designed to improve attendance, only 22 to 70% (usually about 50%) of patients have been found to attend their first scheduled session (Allan, 1988;Burgoyne, Acosta, & Yamamoto, 1990;Campbell, Scilagyi, Rodewald, Doane, & Roghmann, 1994;Gottesfeld & Martinez, 1972;Hershorn & Rivas, 1993;Hochstadt & Trybula, 1980;Kourany, Garber, & Tornusciolo, 1990;Levy & Claravall, 1977;McKernan, McKay, McCadam, & Gonzalez, 1996;Nazarian, Mechaber, Charney, & Coulter, 1974;Overall & Aronson, 1963;Parrish, Charlop, & Fenton, 1984;Raynes & Warren, 1971;Rosenberg & Raynes, 1973;Ross, Friman, & Christopherson, 1993;Shepard & Moseley, 1976;Smith, Wienman, & Wait, 1990;Swenson & Pakarik, 1988;Tantum & Klerman, 1979;Turner & Vernon, 1976;Webster, 1992). Initial session attendance in substance abuse clinics is also about 50% (Gariti et al, 1995), and substance abuse, young age, and antisocial behavior have all been found to be associated with missed appointments (Cohen & Richardson, 1970;Deyo & Inui, 1980;Matas, Staley, & Griffin, 1992).…”

Section: Introductionmentioning

confidence: 98%

Improving Initial Session Attendance of Substance Abusing and Conduct Disordered Adolescents: A Controlled Study

Donohue

Azrin

Lawson

et al. 1999

Journal of Child & Adolescent Substance Abuse

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The present controlled study was the first to demonstrate a method of improving first session attendance in a population of conduct disordered and substance abusing adolescents. The results indicated that an intensive intervention involving the youth and parent was more effective in improving session attendance than a less intensive intervention that excluded the youth's involvement. The intensive intervention resulted in greater attendance to the first appointment (60% vs. 89%), greater attendance to appointments throughout the study (57% vs. 83%), and greater promptness to sessions that were attended (5.8 mins. vs. 0.8 mins.). Implications of this study are discussed in light of these results. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-342-9678.

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“…Examination of the medical compliance literature reveals a notable similarity in participant dropout rates for a variety of therapeutic regimens (Baekeland & Lundwall, 1975;Blackwell, 1976;Hunt & Bespalec, 1974;Rosenberg & Raynes, 1973). More specifically, the relapse rates following treatment for the major addictions of smoking, alcoholism, and heroin dependence all follow curves similar to those representing adherence to voluntary exercise programs across 18 months (Morgan, 1977a).…”

mentioning

confidence: 99%

Self‐Motivation and Adherence to Habitual Physical Activity¹

Dishman

Ickes²,

Morgan³

1980

J Applied Social Pyschol

225

106

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The purpose of this investigation was to develop and refine a psychometric measure of self‐motivation and assess its relationship to adherence to programs of habitual physical activity. Following construction of a Self‐Motivation Inventory, a series of studies were conducted involving the pretesting of undergraduate males and females (N= 401) and subsequent validation work involving intercollegiate women athletes (N= 64) and adult males (N= 66) in actual exercise settings. Results of the psychometric work provided evidence for the logical validity, internal consistency, and test‐retest reliability of the self‐motivation construct. In addition, convergent and discriminant evidence was provided for construct validity through self‐motivation's pattern of association with other conceptually relevant psychometric variables. Finally, from the standpoint of behavioral validation, self‐motivation proved to be the best discriminator between exercise adherers and dropouts among the psychological variables employed and was strongly related to program adherence in both exercise settings. In fact, when combined with selected morphologic variables in a psychobiologic framework, self‐motivation scores were found to accurately classify participants according to their adherence status in approximately 80% of all cases and to account for nearly 50% of the variance in exercise adherence behavior.

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Dropouts from Treatment

Cited by 20 publications

References 12 publications

Motivation for treatment: A review with special emphasis on alcoholism.

Motivation for treatment: A review with special emphasis on alcoholism.

Improving Initial Session Attendance of Substance Abusing and Conduct Disordered Adolescents: A Controlled Study

Self‐Motivation and Adherence to Habitual Physical Activity¹

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Dropouts from Treatment

Cited by 20 publications

References 12 publications

Motivation for treatment: A review with special emphasis on alcoholism.

Motivation for treatment: A review with special emphasis on alcoholism.

Improving Initial Session Attendance of Substance Abusing and Conduct Disordered Adolescents: A Controlled Study

Self‐Motivation and Adherence to Habitual Physical Activity1

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Self‐Motivation and Adherence to Habitual Physical Activity¹