Compliance with the Very Integrated Program (VIP) for Smoking Cessation, Nutrition, Physical Activity and Comorbidity Education Among Patients in Treatment for Alcohol and Drug Addiction

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Abstract

Meeting adherence is an important element of compliance in treatment programmes. It is influenced by several factors one being self-efficacy. We aimed to investigate the association between self-efficacy and meeting adherence and other factors of importance for adherence among patients with alcohol and drug addiction who were undergoing an intensive lifestyle intervention. The intervention consisted of a 6-week Very Integrated Programme. High meeting adherence was defined as >75% participation. The association between self-efficacy and meeting adherence were analysed. The qualitative analyses identified themes important for the patients and were performed as text condensation. High self-efficacy was associated with high meeting adherence (ρ = 0.24, p = 0.03). In the multivariate analyses two variables were significant: avoid complications (OR: 0.51, 95% CI: 0.29–0.90) and self-efficacy (OR: 1.28, 95% CI: 1.00–1.63). Reflections on lifestyle change resulted in the themes of Health and Wellbeing, Personal Economy, Acceptance of Change, and Emotions Related to Lifestyle Change. A higher level of self-efficacy was positively associated with meeting adherence. Patients score high on avoiding complications but then adherence to the intervention drops. There was no difference in the reflections on lifestyle change between the group with high adherence and the group with low adherence.

Detaljer

Författare
Enheter & grupper
Externa organisationer
  • Sophiahemmet University
  • Malmö University
  • Malmö Addiction Centre, Region Skåne
  • Region Skåne
  • WHO-CC: Clinical Health Promotion Centre
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi
  • Psykiatri

Nyckelord

  • compliance; lifestyle intervention; meeting adherence; self-ecacy; treatment programs; patient education
Originalspråksvenska
Artikelnummer2285
Antal sidor14
TidskriftInternational Journal of Environmental Research and Public Health
Volym16
Utgivningsnummer13
StatusPublished - 2019 jun 28
PublikationskategoriForskning
Peer review utfördJa