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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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  • Karen Hovhannisyan

    (Clinical Health Promotion Centre, WHO Collaborating Centre for Implementation of Evidence-based Clinical Health Promotion, Faculty of Medicine, Lund University and Addiction Centre Malmö, Region Skåne, Södra Förstadsgatan 35, 4th floor, SE 205 02 Malmö, Sweden)

  • Michelle Günther

    (Skånevård Kryh, Medicon Village, Region Skåne, 223 81 Lund, Sweden)

  • Rie Raffing

    (Clinical Health Promotion Centre, WHO Collaborating Centre for Implementation of Evidence-based Clinical Health Promotion, Faculty of Medicine, Lund University and Addiction Centre Malmö, Region Skåne, Södra Förstadsgatan 35, 4th floor, SE 205 02 Malmö, Sweden
    Clinical Health Promotion Centre, WHO Collaborating Centre for Evidence-based Health promotion in Hospitals and Health Services, The Parker Institute, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Nordre Fasanvej 57-59, Entr. 5, 2000 Frederiksberg, Denmark)

  • Maria Wikström

    (Student Health, Malmö University, Neptuniplan 7, 21118 Malmö, Sweden)

  • Johanna Adami

    (President Office, Sophiahemmet University, Box 5605, 114 86 Stockholm, Sweden)

  • Hanne Tønnesen

    (Clinical Health Promotion Centre, WHO Collaborating Centre for Implementation of Evidence-based Clinical Health Promotion, Faculty of Medicine, Lund University and Addiction Centre Malmö, Region Skåne, Södra Förstadsgatan 35, 4th floor, SE 205 02 Malmö, Sweden
    Clinical Health Promotion Centre, WHO Collaborating Centre for Evidence-based Health promotion in Hospitals and Health Services, The Parker Institute, Bispebjerg & Frederiksberg Hospital, University of Copenhagen, Nordre Fasanvej 57-59, Entr. 5, 2000 Frederiksberg, Denmark)

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.

Suggested Citation

  • Karen Hovhannisyan & Michelle Günther & Rie Raffing & Maria Wikström & Johanna Adami & Hanne Tønnesen, 2019. "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," IJERPH, MDPI, vol. 16(13), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:13:p:2285-:d:243671
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    References listed on IDEAS

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    1. Alice W. Y. Leung & Ruth S. M. Chan & Mandy M. M. Sea & Jean Woo, 2017. "An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults," IJERPH, MDPI, vol. 14(8), pages 1-28, August.
    2. Jason L. Vassy & Kelsey E. O’Brien & Jessica L. Waxler & Elyse R. Park & Linda M. Delahanty & Jose C. Florez & James B. Meigs & Richard W. Grant, 2012. "Impact of Literacy and Numeracy on Motivation for Behavior Change After Diabetes Genetic Risk Testing," Medical Decision Making, , vol. 32(4), pages 606-615, July.
    3. Tim Neumann & Mette Rasmussen & Berit L. Heitmann & Hanne Tønnesen, 2013. "Gold Standard Program for Heavy Smokers in a Real-Life Setting," IJERPH, MDPI, vol. 10(9), pages 1-14, September.
    4. Benjamin Saunders & Julius Sim & Tom Kingstone & Shula Baker & Jackie Waterfield & Bernadette Bartlam & Heather Burroughs & Clare Jinks, 2018. "Saturation in qualitative research: exploring its conceptualization and operationalization," Quality & Quantity: International Journal of Methodology, Springer, vol. 52(4), pages 1893-1907, July.
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