title: Abstinence self-efficacy and abstinence 1 year after substance use disorder treatment.
abstract: To better understand the relationship between abstinence self-efficacy and treatment outcomes in substance use disorder patients, experts in the field need more information about the levels of abstinence self-efficacy most predictive of treatment outcomes. Participants (N = 2,967) from 15 residential substance use disorder treatment programs were assessed at treatment entry, discharge, and 1-year follow-up. A signal detection analysis compared the ability of different measures of self-efficacy to predict 1-year abstinence and identified the optimal cutoffs for significant predictors. The maximal level of abstinence self-efficacy (i.e., 100% confident) measured at discharge was the strongest predictor of 1-year abstinence. Treatment providers should focus on obtaining high levels of abstinence self-efficacy during treatment with the goal of achieving 100% confidence in abstinence.
authors.affiliation: Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, CA 94025, USA. mark.ilgen@med.va.gov
authors.forename: Mark
authors.initials: M
authors.lastname: Ilgen
authors.forename: John
authors.initials: J
authors.lastname: McKellar
authors.forename: Quyen
authors.initials: Q
authors.lastname: Tiet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D008875:Middle Aged; D012372:ROC Curve; D012074:Remission Induction; D020377:Self Efficacy; D019966:Substance-Related Disorders / Q000628:therapy*; D013997:Time Factors