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

• Published in: International journal of environmental research and public health Vol. 16; no. 13; p. 2285
• Main Authors: Hovhannisyan, Karen, Günther, Michelle, Raffing, Rie, Wikström, Maria, Adami, Johanna, Tønnesen, Hanne
• Format: Journal Article
• Language: English; Swedish
• Published: Switzerland MDPI AG 28.06.2019; MDPI
• Subjects: Addictions; Addictive behaviors; Alcohol; Alcoholism - rehabilitation; Behavior; Cigarette smoking; Clinical Medicine; Clinical trials; Comorbidity; compliance; Complications; Confidence intervals; Drug addiction; Exercise; Female; Health Care Service and Management, Health Policy and Services and Health Economy; Health promotion; Health Sciences; Humans; Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi; Hälsovetenskap; Intervention; Klinisk medicin; Life Style; lifestyle intervention; Lifestyles; Male; Medical and Health Sciences; Medicin och hälsovetenskap; meeting adherence; Meetings; Middle Aged; Motivation; Nicotine; Nutrition; Nutritional Status; Pain; Patient Compliance; patient education; Patients; Physical activity; Psychiatry; Psykiatri; Qualitative research; Quality of life; Regression analysis; Self Efficacy; Smoking; Smoking cessation; Smoking Cessation - methods; Statistical analysis; Studies; Substance-Related Disorders - rehabilitation; Text Messaging; treatment programs; Sweden; meeting adherence; treatment programs; compliance; patient education; lifestyle intervention; self-efficacy; self-ecacy
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph16132285

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, = 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.