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Reduced alcohol use increases drink-refusal self-efficacy: Evidence from a contingency management study for DWI arrestees.


ABSTRACT:

Background

Several therapies and interventions to reduce drinking first target drink-refusal self-efficacy (DRSE) to influence drinking behavior. While higher self-efficacy scores are correlated with better outcomes, it is unclear that increased self-efficacy is the causative step leading to improved outcomes. Instead, this correlation may result from reduced drinking that increased self-efficacy. The current study sought to understand how changes in drinking behavior can influence DRSE.

Methods

Data were from 211 driving while intoxicated (DWI) arrestees participating in an 8-week contingency management (CM) study to reduce drinking. Some of participants were mandated by the courts to wear transdermal alcohol monitoring devices (Mandated group) and some were not mandated (Non Mandated group). All wore a transdermal alcohol monitor during the 8-week study and were randomized to CM or a Control condition stratified by the mandate group. Participants completed weekly assessments of DRSE. Group-based trajectory-modeling identified three drinking behavior trajectory groups.

Results

While there were no differences in baseline DRSE between the three trajectory groups, participants in the low- and moderate-frequency drinking behavior groups significantly increased DRSE across the study.

Conclusion

The present study indicates that being able to maintain abstinence or reduce heavy drinking may increase DRSE.

SUBMITTER: Wood EE 

PROVIDER: S-EPMC9784176 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Reduced alcohol use increases drink-refusal self-efficacy: Evidence from a contingency management study for DWI arrestees.

Wood Erin E EE   Liang Yuanyuan Y   Moon Tae-Joon TJ   Wasserman Alexander M AM   Lamb R J RJ   Roache John D JD   Hill-Kapturczak Nathalie N   Dougherty Donald M DM  

Drug and alcohol dependence 20221119


<h4>Background</h4>Several therapies and interventions to reduce drinking first target drink-refusal self-efficacy (DRSE) to influence drinking behavior. While higher self-efficacy scores are correlated with better outcomes, it is unclear that increased self-efficacy is the causative step leading to improved outcomes. Instead, this correlation may result from reduced drinking that increased self-efficacy. The current study sought to understand how changes in drinking behavior can influence DRSE.  ...[more]

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