Profiles of Behavior Change Constructs for Reducing Alcohol Use in Women at Risk of an Alcohol-Exposed Pregnancy

Details

• Alternative Title:
  Psychol Addict Behav
• Personal Author:
  von Sternberg, Kirk ; DiClemente, Carlo C. ; Velasquez, Mary M.
• Description:
  Objective:
  
  Using data from Project CHOICES, a randomized controlled trial to test an intervention to prevent alcohol-exposed pregnancies, this study examined process of change profiles composed of Transtheoretical Model of Change (TTM) constructs for alcohol. The primary purpose was to identify a profile of TTM variables associated with reduced drinking.
  
  Method:
  
  Participants (n=570) were women at risk of an alcohol-exposed pregnancy recruited from high risk settings. Profile analyses compared end-of-treatment (i.e. 3 months post-intake) TTM construct mean profiles for women who reduced drinking to below NIAAA-defined risk levels1 (changers) to women who continued to drink at risk levels (non-changers) at the 9-month follow-up. TTM construct profiles included experiential and behavioral processes of change, pros and cons for change, confidence to reduce drinking, and temptation to drink above risk levels.
  
  Results:
  
  Results revealed a parallelism effect or interaction (p<.001) in the end-oftreatment TTM construct profiles for the changers versus the non-changers at the 9-month follow-up. Changers reported greater pros (p<.001) and lower cons for change (p=.012), greater confidence (p=.030), lower temptation (p<.001) and greater use of the experiential (p<.001) and behavioral processes of change (p<.001). A larger percentage of the women from the CHOICES intervention were in the end-of-treatment profile of the changers (48%) compared to the control condition (39%; p=.042).
  
  Conclusions:
  
  Interventions can potentially be enhanced by clinicians’ understanding what successful change ‘looks like’ for specific clients in terms of their process use, decisional balance and self-efficacy, allowing for tailored interventions targeted to each client’s specific strengths and deficits.
  
  
• Keywords:
  Adult Alcohol Drinking Decisional Balance Decision Making Female Humans Longitudinal Studies Motivation Pregnancy Pregnant Women Processes Of Change Project CHOICES Self-efficacy Self Efficacy Transtheoretical Model

  More +
• Source:
  Psychol Addict Behav. 32(7):749-758
• Pubmed ID:
  30451517
• Pubmed Central ID:
  PMC6314297
• Document Type:
  Journal Article
• Funding:
  U84 DD000438/DD/NCBDD CDC HHSUnited States/ ; Centers for Disease Control and Prevention/
• Volume:
  32
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:380303cb01e88319f540dec9c2c2c4c8a8ecb98680162a7faea22a6ff1119d2b
• Download URL:
  https://stacks.cdc.gov/view/cdc/61809/cdc_61809_DS1.pdf
• File Type:
  [PDF - 380.88 KB ]