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
by
Karen Hovhannisyan 1,*
, Michelle Günther 2, Rie Raffing 1,3,*, Maria Wikström 4, Johanna Adami 5 and Hanne Tønnesen 1,3
Karen Hovhannisyan 1,*, Michelle Günther 2, Rie Raffing 1,3,*, Maria Wikström 4, Johanna Adami 5 and Hanne Tønnesen 1,3
1
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
2
Skånevård Kryh, Medicon Village, Region Skåne, 223 81 Lund, Sweden
3
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
4
Student Health, Malmö University, Neptuniplan 7, 21118 Malmö, Sweden
5
President Office, Sophiahemmet University, Box 5605, 114 86 Stockholm, Sweden
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(13), 2285; https://doi.org/10.3390/ijerph16132285
Received: 14 May 2019 / Revised: 21 June 2019 / Accepted: 23 June 2019 / Published: 28 June 2019
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.
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Keywords:
compliance; lifestyle intervention; meeting adherence; self-efficacy; treatment programs; patient education
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MDPI and ACS Style
Hovhannisyan, K.; Günther, M.; Raffing, R.; Wikström, M.; Adami, J.; Tønnesen, H. 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. Int. J. Environ. Res. Public Health 2019, 16, 2285.
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