Self-Efficacy, Therapeutic Alliance, and Alcohol-Use Disorder Treatment Outcomes

Ilgen, Mark A.; Tiêt, Quyên Q.; Finney, John W.; Moos, Rudolf H.

doi:10.15288/jsa.2006.67.465

Cited by 105 publications

(51 citation statements)

References 21 publications

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“…It has been argued that the association between alliance and outcomes may be more complicated in substance abuse treatment than in mental health treatment as the reinforcing effect of the therapeutic alliance may be unable to compete with the more powerful reinforcing effect of the substance (Meier et al 2005). Within Project MATCH, a multi-site study of alcohol dependence designed to evaluate treatment-matching approaches, therapeutic alliance significantly predicted one-year alcohol-related treatment outcomes with no significant interaction by treatment type and after controlling for other sources of variance (Connors et al 1997;Ilgen et al 2006). Interestingly, although client ratings of the therapeutic alliance are typically more strongly related to treatment outcomes than therapist assessments (Horvath and Symonds 1991), in these studies, therapist ratings were more strongly related to treatment outcomes than client ratings (Ilgen et al 2006).…”

mentioning

confidence: 99%

Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

Dowling

Cosic²

2010

Int J Ment Health Addiction

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Previous research examining the factors associated with problem gambling treatment outcomes has examined client factors and to date, treatment characteristics, therapist factors, and client-therapist interactions have essentially remained unexplored. This study aimed to investigate how client engagement variables (client-rated therapeutic alliance, therapist-rated therapeutic alliance, number of sessions attended, and client commitment) relate to treatment outcomes (gambling and general functioning) in a sample of 475 treatment-seeking problem gambling clients using a series of hierarchical regression analyses. Client-rated therapeutic alliance predicted both gambling and general functioning outcomes, but therapist-rated therapeutic alliance only predicted general functioning outcomes. There was no significant relationship between number of sessions and outcomes, but client commitment predicted gambling outcomes. Client satisfaction only mediated the relationships between therapeutic alliance and treatment outcomes. Taken together, the findings indicate that client engagement characteristics, in particular the therapeutic relationship, are active agents of change in psychological interventions for problem gambling.Although relatively new and limited in scope, the literature investigating the efficacy of treatment for problem gambling provides some evidence that this disorder is amenable to intervention, with approximate overall success rates for psychological treatments estimated at 70% at six months follow-up, 50% at one-year follow-up, and 30% at two-year follow-up

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confidence: 99%

Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

Dowling

Cosic²

2010

Int J Ment Health Addiction

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“…Bandura (1977) explains self-efficacy as personal judgments of one's capabilities to organize and execute courses of action to attain the chosen goals (for e.g., a consumer believes that she can wake up early and go to a gym regularly). The role of self-efficacy in motivating changes in consumers' attitudes and intentions has been empirically studied in many healthrelated campaigns like contraceptive behavior (McKinney, 1982), alcoholism (Ilgen et al, 2006), and self-efficacy combine to form the construct efficacy (Witte, 1992;Witte et al, 1996). Therefore,…”

Section: H1bmentioning

confidence: 99%

Threat, efficacy and message framing in consumer healthcare

Nandakumar

Sivakumaran

Kalro

et al. 2017

MIP

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Purpose -The purpose of this paper is to empirically examine the interactive effects of message framing, perceived threat and efficacy appeals on attitudes/intentions towards consumer healthcare communications, particularly, cataract surgery.Design -This paper develops two conceptual models dealing with threat, efficacy and framing and tests them with data collected from two field experiments. Findings -The results reveal that high efficacy messages in combination with high threat or loss-framed messages have a significant positive influence on consumer attitudes and intentions in the consumer healthcare arena.Practical Implications -The findings have managerial value and public policy implications for healthcare officials in developing effective communications material. Specifically, this paper recommends that high threat, high efficacy and loss-framed efficacy messages be used.Originality/Value -This research extends previous work by demonstrating the effectiveness of threat appeals and framing on consumer attitudes and intentions to undergo cataract surgery. It also demonstrates the use of communication models in the healthcare domain.

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“…Fundamental tenets of social cognitive theory (Bandura, 1986) have predicted adherence to health programs and medication regimens, as well as to academic homework and work tasks (Glanz, Rimer, & Lewis, 2002;Schunk, 2008). Specifically, individuals' confidence in their own ability to achieve a goal (i.e., their self-efficacy) is empirically established as the primary determinant of goal attainment for a wide variety of health behaviors (Bandura, 2006;Clark & Dodge, 1999;Gwaltney, Metrik, Kahler, & Shiffman, 2009;Holden, 1991;Ilgen, Tiet, Finney, & Moos, 2006;Luszczynska & Sutton, 2006;Matthew, 2004). Self-efficacy is measured by examining patient confidence to overcome perceived barriers to goal attainment (Bandura, 2001).…”

Section: Social-cognitive Determinants Of Adherencementioning

confidence: 99%

Predicting and Influencing Voice Therapy Adherence Using Social–Cognitive Factors and Mobile Video

Leer

Connor

2015

Am J Speech Lang Pathol

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Purpose: Patient adherence to voice therapy is an established challenge. The purpose of this study was (a) to examine whether adherence to treatment could be predicted from three social-cognitive factors measured at treatment onset: self-efficacy, goal commitment, and the therapeutic alliance, and (b) to test whether the provision of clinician, self-, and peer model mobile treatment videos on MP4 players would influence the same triad of social cognitive factors and the adherence behavior of patients. Method: Forty adults with adducted hyperfunction with and without benign lesions were prospectively randomized to either 4 sessions of voice therapy enhanced by MP4 support or without MP4 support. Adherence between sessions was assessed through self-report. Social cognitive factors and voice outcomes were assessed at the beginning and end of therapy. Utility of MP4 support was assessed via interviews. Results: Self-efficacy and the therapeutic alliance predicted a significant amount of adherence variance. MP4 support significantly increased generalization, self-efficacy for generalization, and the therapeutic alliance. An interaction effect demonstrated that MP4 support was particularly effective for patients who started therapy with poor self-efficacy for generalization. Conclusion: Adherence may be predicted and influenced via social-cognitive means. Mobile technology can extend therapy to extraclinical settings.

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Self-Efficacy, Therapeutic Alliance, and Alcohol-Use Disorder Treatment Outcomes

Cited by 105 publications

References 21 publications

Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

Client Engagement Characteristics Associated with Problem Gambling Treatment Outcomes

Threat, efficacy and message framing in consumer healthcare

Predicting and Influencing Voice Therapy Adherence Using Social–Cognitive Factors and Mobile Video

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