Longitudinal Trajectories of Readiness to Change: Alcohol Use and Help-Seeking Behavior

Rice, Samara L.; Hagler, Kylee J.; Tonigan, J. Scott

doi:10.15288/jsad.2014.75.486

Cited by 20 publications

(20 citation statements)

References 31 publications

(32 reference statements)

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“…This suggests that although RAH may potentiate benefits from brief interventions, its impact could be relatively short-lived. Recent data (Rice et al, 2014) support the finding that trajectories of readiness change over time among drinkers. Despite the complexity and diversity in these trajectories, these recent data also demonstrate that taking steps to change drinking increases days of abstinence and reduces drinking.…”

Section: Discussionmentioning

confidence: 66%

Readiness to Change and to Accept Help and Drinking Outcomes in Young Adults of Mexican Origin

Nayak

Bond

et al. 2015

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The purpose of this study was to assess whether readiness to change drinking (RCD) and readiness to accept help (RAH) improve short-and longer term drinking outcomes. Method: Data from a randomized controlled trial of screening and brief intervention (SBI) conducted in a U.S. emergency department at the U.S.-Mexico border are reported. A total of 620 at-risk and dependent Mexican-origin drinkers (56% male), ages 18-30, received either an assessment only or intervention (SBI). Drinking outcomes included drinking days per week, average and maximum drinks per drinking day, heavy drinking (5+ drinks) days per week, and negative consequences. Random effects longitudinal models predicted baseline, 3-month, and 12-month drinking outcomes from baseline RCD and RAH. Models tested if (a) outcomes were significantly reduced at follow-ups and (b) differential reduction occurred by RCD, RAH, and post-intervention changes in readiness among those receiving SBI. Results: For both study groups, outcomes improved from baseline to each follow-up across RCD and RAH status. RCD was not associated with differential improvement in outcomes for either group. In the SBI group, those RAH reported larger reductions at 3 months in average and maximum quantity than those not RAH but did not differ from those not RAH at 12-month outcomes. Among the SBI group, changing from not ready to ready (RTC or RAH) post-intervention was not associated with greater reductions in drinking compared with remaining not ready or ready post-intervention. Conclusions: Baseline RCD is not associated with drinking outcomes. Baseline RAH may facilitate greater reductions in drinking for those receiving SBI and should be further examined as a possible mediator of SBI effects for young adults of Mexican origin. (J. Stud. Alcohol Drugs, 76, 602-606, 2015)

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Section: Discussionmentioning

confidence: 66%

Readiness to Change and to Accept Help and Drinking Outcomes in Young Adults of Mexican Origin

Nayak

Bond

et al. 2015

J. Stud. Alcohol Drugs

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“…Research has identified problem recognition and the perceived costs and benefits of reducing use as key elements of motivation for change and likelihood of taking steps toward reducing substance use (Rice, Hagler, & Tonigan, 2014; Walters, Lee, & Walker, 2012). Hence, the current study tested a model predicting these outcomes from the motivational context of marijuana use to determine how use motives and perceived utility of use in achieving goals are related to motivation for change.…”

Section: Discussionmentioning

confidence: 99%

Marijuana consequences in a motivational context: Goal congruence reduces likelihood of taking steps toward change

Simons

Clarke

Simons

et al. 2016

Addictive Behaviors

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This study tested a model of marijuana use, problems, and motivation and barriers to change among a sample of 422 undergraduate students ages 18 – 25 (M = 19.68, SD = 1.60) who used marijuana at least once in the past 6 months. We tested a structural equation model (SEM) with use motives (i.e., coping, enhancement, and expansion), perceived use utility, and gender as exogenous variables predicting marijuana use behavior (i.e., use and problems), motivation to change (i.e., problem recognition and perceived costs and benefits of change), and the ultimate outcome, taking steps to reduce marijuana use. Controlling for level of use and problems, expansion motives had a direct effect on increased perceived costs of change and enhancement motives had direct inverse effects on problem recognition and perceived benefits of change. However, the total effect of expansion motives on taking steps was not significant. The perceived role of marijuana in achieving personal strivings (i.e., use utility) was inversely associated with problem recognition, perceived benefits of change, and taking steps toward change. In contrast, coping motives, despite being associated with greater perceived costs of change, were positively associated with taking steps. Problem recognition was positively associated with both increased perceived costs and benefits of reducing marijuana use, reflecting individuals’ ambivalence about change. As expected, perceived benefits and costs of reducing use were positively and negatively associated with taking steps toward changing marijuana use, respectively. The results identify individual difference factors that contribute to motivation for change and are consistent with motivational models of change readiness. These results highlight the extent to which integration of marijuana use with personal goal achievement may interfere with taking steps to change use patterns despite associated negative consequences.

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“…This therapeutic construct is often the focus of behavioral intervention approaches which research has shown can be effective in reducing substance abuse behaviors (Smedslund et al 2011). Readiness to change is a focus of counseling approaches such as motivational interviewing (MI), and is assessed to determine if an individual is aware of their problem, is making plans to change their problem behavior, or has already engaged in change behaviors (Miller et al 1996; Rice, et al 2014). Readiness to change has been shown to affect how well an individual engages with the counselor and the therapy, and there is evidence of the indirect effect of pre-treatment readiness to change on treatment outcomes (Rice et al 2014).…”

Section: Introductionmentioning

confidence: 99%

Examining motor vehicle crash involvement and readiness to change on drinking and driving behaviors among injured emergency department patients

Baird

Yang

Strezsak

et al. 2017

Traffic Injury Prevention

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Objective: To measure the effect of motor vehicle crash (MVC) involvement and readiness to change drinking and driving behaviors on subsequent driving and drinking behaviors among injured emergency department (ED) patients who use alcohol at harmful levels. Methods: A secondary analyses of a randomized controlled trial of injured ED patients who screened positive for harmful alcohol use, who at recruitment reported driving in the past 12 months and received at least one of the intended intervention sessions (brief behavioral intervention versus attention placebo control [N = 407]). Outcome variables were: 1) change in six impaired driving behaviors, 2) report of MVCs and traffic violations in the 12 months following recruitment; predictor variables were: 1) treatment assignment, 2) MVC involvement at recruitment, and 3) baseline readiness to change alcohol use and drinking and driving. Results: Modeling of change in the six impaired driving variables indicated that neither the recruitment visits being MVC-related, nor baseline readiness to change alcohol use and drinking and driving behaviors, predicted greater changes in impaired driving over time. Baseline reports of past moving traffic violations and the ED visit being MVC related predicted a greater likelihood of each behavior at 12 months following study recruitment. Conclusions: This study and others have demonstrated that ED patients with harmful alcohol use are willing to engage in behavioral interventions directed at changing risky behaviors. However, this study did not demonstrate that patients considered having the potential to be more engaged with the intervention, because their ED visit was MVC-related and/or they had expressed intent to change their risky alcohol use and drinking and driving behaviors, were more likely to change these risky behaviors.

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Longitudinal Trajectories of Readiness to Change: Alcohol Use and Help-Seeking Behavior

Cited by 20 publications

References 31 publications

Readiness to Change and to Accept Help and Drinking Outcomes in Young Adults of Mexican Origin

Readiness to Change and to Accept Help and Drinking Outcomes in Young Adults of Mexican Origin

Marijuana consequences in a motivational context: Goal congruence reduces likelihood of taking steps toward change

Examining motor vehicle crash involvement and readiness to change on drinking and driving behaviors among injured emergency department patients

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