PMID- 38546557
OWN - NLM
STAT- Publisher
LR  - 20240328
IS  - 1939-1501 (Electronic)
IS  - 0893-164X (Linking)
DP  - 2024 Mar 28
TI  - Using causal mediation to examine self-efficacy as a mechanism through which 
      continuing care interventions reduce alcohol use.
LID - 10.1037/adb0001011 [doi]
AB  - OBJECTIVE: Understanding the causal mechanisms through which telephone and mobile 
      health continuing care approaches reduce alcohol use can help develop more 
      efficient interventions that effectively target these mechanisms. Self-efficacy 
      for successfully coping with high-risk alcohol relapse situations is a 
      theoretically and empirically supported mediator of alcohol treatment. This 
      secondary analysis aims to examine self-efficacy as a mechanism through which 
      remote-delivered continuing care interventions reduce alcohol use. METHOD: The 
      study included 262 adults (M(age) = 46.9, SD = 7.4) who had completed 3 weeks of 
      an intensive outpatient alcohol treatment program. The sample was predominantly 
      male (71%), African American (82%), and completed a high school education (71%). 
      The four-arm randomized clinical trial compared three active continuing care 
      interventions (telephone monitoring and counseling [TMC], addiction comprehensive 
      health enhancement support system [ACHESS], and combined delivery of TMC and 
      ACHESS) to usual care and assessed longitudinal measures of alcohol use and 
      self-efficacy. Analyses employed the potential outcomes framework and sensitivity 
      analyses to address threats to causal inference resulting from an observed 
      mediator variable. RESULTS: Relative to usual care, the two intervention 
      conditions that included TMC reduced alcohol use through improvements to 
      self-efficacy. There was no evidence that self-efficacy mediated the effect of 
      ACHESS on alcohol use. CONCLUSIONS: Based on our findings, self-efficacy is an 
      important mechanism through which telephone continuing care interventions affect 
      alcohol use. Future research to identify which components of TMC influence 
      self-efficacy and factors that mediate ACHESS effects could enhance the 
      effectiveness of remote delivery of continuing care. (PsycInfo Database Record 
      (c) 2024 APA, all rights reserved).
FAU - Brincks, Ahnalee M
AU  - Brincks AM
AUID- ORCID: 0000-0002-5049-1229
AD  - Department of Human Development and Family Studies, Michigan State University.
FAU - MacKinnon, David P
AU  - MacKinnon DP
AUID- ORCID: 0000-0003-0866-6010
AD  - Department of Psychology, Arizona State University.
FAU - Gustafson, David H
AU  - Gustafson DH
AUID- ORCID: 0000-0002-0660-1902
AD  - Center for Health Enhancement System Studies, University of Wisconsin-Madison.
FAU - McKay, James R
AU  - McKay JR
AUID- ORCID: 0000-0001-5876-1687
AD  - Department of Psychiatry, University of Pennsylvania.
LA  - eng
GR  - DA/NIDA NIH HHS/United States
GR  - AA/NIAAA NIH HHS/United States
PT  - Journal Article
DEP - 20240328
PL  - United States
TA  - Psychol Addict Behav
JT  - Psychology of addictive behaviors : journal of the Society of Psychologists in 
      Addictive Behaviors
JID - 8802734
SB  - IM
EDAT- 2024/03/28 12:49
MHDA- 2024/03/28 12:49
CRDT- 2024/03/28 11:32
PHST- 2024/03/28 12:49 [medline]
PHST- 2024/03/28 12:49 [pubmed]
PHST- 2024/03/28 11:32 [entrez]
AID - 2024-69065-001 [pii]
AID - 10.1037/adb0001011 [doi]
PST - aheadofprint
SO  - Psychol Addict Behav. 2024 Mar 28. doi: 10.1037/adb0001011.