Models of addiction and types of interventions: An integrative look

Simon, Roland; West, Robert

doi:10.7895/ijadr.v4i1.198

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…Use of the COM-B model is widespread with respect to: (a) guiding data collection and analysis in qualitative studies (Atkins, Kelly, Littleford, Leng, & Michie, 2017), (b) informing intervention development (Barker, Atkins, & de Lusignan, 2016), and (c) explaining the findings of systematic reviews (Simon & West, 2015). However, despite the widespread use of COM-B, there is currently no standard measure that operationalizes fully each of the six domains of the model.…”

Section: Statement Of Contributionmentioning

confidence: 99%

Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Keyworth

Epton

Goldthorpe

et al. 2020

British J Health Psychol

113

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Objectives. The Capabilities, Opportunities, Motivations, Behaviour (COM-B) model is being used extensively to inform intervention design, but there is no standard measure with which to test the predictive validity of COM or to assess the impact of interventions on COM. We describe the development, reliability, validity, and acceptability of a generic 6-item self-evaluation COM questionnaire.Design and methods. The questionnaire was formulated by behaviour change experts. Acceptability was tested in two independent samples of health care professionals (N = 13 and N = 85, respectively) and a sample of people with low socio-economic status (N = 214). Acceptability (missing data analyses and user feedback), reliability (testretest reliability and Bland-Altman plots) and validity (floor and ceiling effects, Pearson's correlation coefficient [r], exploratory factor analysis [EFA], and confirmatory factor analysis [CFA]) were tested using a national survey of 1,387 health care professionals.Results. The questionnaire demonstrated acceptability (missing data for individual items: 5.9-7.7% at baseline and 18.1-32.5% at follow-up), reliability (ICCs .554-.833), and validity (floor effects 0.6-5.5% and ceiling effects 4.1-22.9%; pairwise correlations rs significantly <1.0). The regression models accounted for between 21 and 47% of the variance in behaviour. CFA (three-factor model) demonstrated a good model fit, (v 2 [6] = 7.34, p = .29, RMSEA = .02, CFI = .99, TLI = .99, BIC = 13,510.420, AIC = 13,428.067).Conclusions. The novel six-item questionnaire shows evidence of acceptability, validity, and reliability for self-evaluating capabilities, opportunities, and motivations. Future research should aim to use this tool in different populations to obtain further support for its reliability and validity.This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Section: Statement Of Contributionmentioning

confidence: 99%

Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Keyworth

Epton

Goldthorpe

et al. 2020

British J Health Psychol

113

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“…Sulkunen provides tools for approaching the structuring of addictive behavior in both scientific and lay discourse through an images theory of addiction. Simon and West (2015) give an overview of different models of addiction that may serve as a theoretical framework on which further development of prevention…”

Section: Key Controversiesmentioning

confidence: 99%

Addiction: A highly successful, essentially contested concept

Borch¹,

Rantala

2015

IJADR

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Borch, A., & Rantala, V. (2015). Addiction: A highly successful, essentially contested concept. The International Journal Of Alcohol And Drug Research, 4(1), 1-4. doi:http://dx.doi.org/10.7895/ijadr.v4i1.200Within two or three decades an increasing use of the concept of addiction has been observed in the media, in expert discourses, in popular culture, and in everyday talk. The concept does not only cover traditional substance use but also a growing range of behaviors like gambling, internet use, sex, eating, work, and shopping. One important reason behind the concept’s “use value” lies most likely in the fact that it can be adapted to so many different situations of contemporary life. The concept also integrates everyday talk with medical and scientific discourse (Room, Hellman, & Stenius, this issue; Valverde, 1998). The scientific sector is supposed to produce the most reliable, transparent, objective, and impersonal knowledge (Warshal, 2010), and as such the concept holds the credibility label of being “made by science.”

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“…12 Defining recovery from SUD is contentious and increasingly described as a process rather than an event. 13 Although many heterogeneous models of addiction exist, 14 there is little research on the journey from drug initiation through to recovery that is not biologically based or of known relevance to young people, women and to Low-and-Middle-Income-Countries (LMIC). In the present article, we describe the typical routes through SUD to recovery as narrated by young Indian people who have walked this path.…”

Section: Introductionmentioning

confidence: 99%

Pathways to recovery model of youth substance misuse in Assam, India

Madill

Duara

Goswami³

et al. 2022

Health Expectations

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Introduction There are global calls for better understanding of substance use disorder (SUD) to inform prevention, risk reduction and treatment of this relapse‐prone disorder. Our aim in this article is to understand the pathways to recovery of youth in Assam, India who have suffered SUD. Methods We recruited 15 participants (11 men and 4 women) via two rehabilitation facilities. All are addicts‐in‐recovery aged 19–24 years. Material was generated through photo‐led interviews, analysed using an inductive variant of thematic analysis and the resulting model refined through expert and participant checks. Results We present a multiroute, multidirectional pathway to recovery model. It has three phases, Recreational Use , Addiction ( Relaxed , Chaotic , Strategic ) and Supported Recovery , each phase consisting of cycling between, or transitioning through, a series of stages. Conclusions The model enhances psycho‐socio‐cultural insights into the experience of risk and recovery, and informs prevention and treatment for youth substance misuse in Assam. This is the first model of its kind and an important public health resource. We discuss the possible transferability of the model to a wider range of contexts. Patient or Public Contribution The model presented was generated through analysis of interviews with addicts‐in‐recovery. Four of these addicts‐in‐recovery, and two mental health and rehabilitation service providers, conducted participant and expert checks of the model leading to its improvement.

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Models of addiction and types of interventions: An integrative look

Cited by 5 publications

References 33 publications

Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Addiction: A highly successful, essentially contested concept

Pathways to recovery model of youth substance misuse in Assam, India

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