title: Within-person associations between daily motivation and self-efficacy and drinking among problem drinkers in treatment.
abstract: Gaining a better understanding of the change process holds promise to improve alcohol treatment. Ecological momentary assessment (EMA) coupled with intensive longitudinal data (ILD) approaches have been proposed as promising methods that can advance change process research but have been used infrequently in alcohol use disorder (AUD) treatment research. The current study used these approaches to examine the within-person associations of motivation and self-efficacy and drinking among treatment-seeking problem drinkers. Participants (N = 96) received daily EMA surveys before, during, and after treatment for 7 weeks spread over a 9-month period. Multilevel modeling was used to test the within-person relationships between the change processes and drinking, controlling for between-person associations and prior drinking. Results indicated that daily fluctuations in motivation and self-efficacy significantly predicted drinking over the next 24 hours; however, several theory-driven hypotheses regarding factors that might moderate that relationship were not supported. Overall, results support the advantages of EMA and ILD as methods that can advance AUD treatment research. (PsycINFO Database Record
authors: Department of Psychiatry, Northwell Health.
authors: Jon
authors: J
authors: Morgenstern
authors: Silberman School of Social Work.
authors: Alexis
authors: A
authors: Kuerbis
authors: Department of Psychiatry, Northwell Health.
authors: Jessica
authors: J
authors: Houser
authors: Department of Psychiatry, Northwell Health.
authors: Frederick J
authors: FJ
authors: Muench
authors: Department of Psychiatry, Northwell Health.
authors: Sijing
authors: S
authors: Shao
authors: Center for Alcohol and Addiction Studies, Brown University.
authors: Hayley
authors: H
authors: Treloar
mesh_terms: D000328:Adult; D019973:Alcohol-Related Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D062405:Motivational Interviewing; D020377:Self Efficacy; D057566:Self Report; D016896:Treatment Outcome