WWW.DISSERTATION.XLIBX.INFO
FREE ELECTRONIC LIBRARY - Dissertations, online materials
 
<< HOME
CONTACTS



Pages:   || 2 | 3 | 4 | 5 |   ...   | 11 |

«AN ABSTRACT OF THE DISSERTATION OF Naomi A. Mandsager for the degree of Doctor of Philosophy in Counseling presented on June 7, 2002. Title: The ...»

-- [ Page 1 ] --

AN

Abstract

OF THE DISSERTATION OF

Naomi A. Mandsager for the degree of Doctor of Philosophy in Counseling

presented on June 7, 2002.

Title: The Predictive Relationship of Religiosity to Readiness to Change in

Addiction Recovery.

Redacted for Privacy

Abstract approved:

J. Cass Dykeman

The prevalence of addiction in society has called researchers, educators,

policy makers, and clinicians to examine and research causes and treatment approaches to address the manifold problems addictions present individuals and society alike. There are many theoretical approaches to understanding addiction and the behavior change processes that lead from addiction to recovery. Religiosity and spirituality have been identified as important factors in addiction, though the exact nature of the relationship is yet to be determined. This dissertation explores the relationship between religiosity and the known treatment outcome mediator.

The purpose of this dissertation is to inform theory, training, and practice in the area of addictions counseling.

This exploratory study investigated the relationship of religiosity to readiness to change in addictive behaviors. The database from Project MATCH was used which included participant scores from the aftercare arm of the clinical trial. A total of 772 scores were used from responses to the RBB and URICA.

Stepwise multiple regression revealed that there were no significant differences detected across variables regarding the relationship of religiosity to readiness to change.

The Predictive Relationship of Religiosity to Readiness to Change in Addiction Recovery by Naomi A. Mandsager

A DISSERTATION

Submitted to Oregon State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy Presented June 7, 2002 Commencement June, 2003 Doctor of Philosophy dissertation of Naomi A. Mandsager presented on June 7, 2002.

APPROVED:

Redacted for Privacy Major Professor, representing Counseling Redacted for Privacy Dean of the School of Education Redacted for Privacy Dean of tITh Graduate School I understand that my dissertation will become part of the permanent collection of Oregon State University libraries. My signature below authorizes release of my dissertation to any reader upon request.

Redacted for Privacy Naomi A. Mandsager, Author

ACKNOWLEDGEMENTS

The author expresses sincere gratitude to all the members of the doctoral committee: Dr. Cass Dykeman, for his mentoring, guidance, and support, Dr. Michael Ingram, for his inspiration and thoughtful input, Dr. Gene Eakin, for his sense of humor and challenging questions, Dr. Dale Pehrsson, for her time and encouraging insight, Dr. Jim Firth, for his generosity and dedication to the profession, Dr. Stephen Giovannoni, for his good natured and uplifting presence, and Dr. Alan Brazier, for his openness and magnanimous contribution as a stand-in committee member.

This study greatly benefited from the research conducted by the Project MATCH Research Group. The field of addiction counseling has been advanced and will continue to be informed by the important work done by this group.

–  –  –

CHAPTER 1: Introduction

Rationale

Addiction Recovery

Overview

–  –  –

Addiction Treatment, Religiosity, and Readiness to Change............... 10 Addiction Recovery and Addiction Treatment

Religiosity and Historical Context in Addiction Recovery............. 11 Transtheoretical Model

Training and Practice

Research Question

Hypothesis

Glossary

CHAPTER 2: Literature Review

Introduction

ProjectMATCH

Readinessto Change

–  –  –

Religiosity

History

Predictive Power

Religiosity

Psychology

Nursing

Psychiatry

SocialWork

Counseling

Measurement of Religiosity

Background Variables

Readiness to Change

Project MATCH Methodology

Participants

Procedures

Assessment Instruments and Procedures

Participants and Procedures

Conclusion

CHAPTER3: Method

Participants

Procedures

Measures

–  –  –

Overview

MissingValues

Type of Stepwise Regression Study

BlockI

Block2

Human Subjects Approval

Summary

CHAPTER 4: Results

Introduction

Religious Beliefs and Behaviors: Descriptive Statistics

Stepwise Multiple Regression Analysis

Summary of Findings

CHAPTER 5: Discussion

Variables

Religiosity

Readiness to Change

Limitations

StudyDesign

Causal Modeling and Treatment

–  –  –

Addiction

Addictions Counseling Training Suggestions

Research Implications

Need to Study Treatment Process

Need to Study Treatment Context

Measure Quality of Life as Outcome





Inclusion of Multiple Sites

Need to Test Clinical Applications

Conclusion

–  –  –

The prevalence of addiction in society has called researchers, educators, policy makers, and clinicians to examine and research causes and treatment approaches to address the manifold problems addictions present individuals and society alike. There are many theoretical approaches to understanding addiction and the behavior change processes that lead from addiction to recovery. Religiosity and spirituality have been identified as important factors in addiction, though the exact nature of the relationship is yet to be determined. This dissertation explores the relationship between religiosity and a known treatment outcome mediator. The purpose of this dissertation is to inform theory, training, and practice in the area of addictions counseling.

RATIONALE The need for improvement in addictions treatment is evident given the prevalence of addiction in our society. The total cost of alcohol misuse in the United States is estimated to be approximately $98.6 billion in 1990, including $10.5 billion on funding treatment (Drummond, 1999). From this perspective, the need for research that examines alcohol treatment outcome and informs treatment development is well founded. Project MATCH was developed to meet these needs.

Specifically, Project MATCH was designed to test the general assumption that alcohol treatment matching would improve treatment outcome. Though the outcome of Project MATCH did not show matching effects, the Project MATCH Research Group (1998) noted that the project was useful beyond matching effect.

Relevant here, researchers from Project MATCH have explored variables with regard to religious beliefs and practices and treatment outcome.

Regarding Project MATCH treatments, it was anticipated that clients with higher levels of religiosity would benefit more from the Twelve Step Facilitation (TSF) treatment than would clients in lower religiosity. No relationship beyond a weak prognostic effect of religiosity on treatment outcome was predicted for clients in the Cognitive Behavioral Coping Skills Therapy or Motivational Enhancement Therapy conditions. Tests of matching hypotheses revealed no support for the predicted match among either the outpatient or aftercare samples. It was found that religiosity among TSF clients was linearly related to the degree of therapeutic task compatibility. Other analyses revealed that aftercare clients reported greater religiosity at pretreatment than did outpatient clients and that pretreatment religiosity predicted positive posttreatment drinking outcomes. Though religiosity did not present as a viable matching dimension with the treatments evaluated by Project MATCH, religiosity does appear to have a role in the predictions of the therapeutic relationship among aftercare clients and of posttreatment drinking behavior (Connors, Tonigan, & Miller, 2001).

Various Project MATCH analyses revealed a relationship between client religiosity and therapeutic alliance, and also a relationship between readiness to change and therapeutic alliance to treatment outcome. However, the antecedent variables to readiness to change have yet to be examined as proposed in Figure 1.

As religiosity has been identified as potentially significant to therapeutic relationship, this study aims to determine the place of religiosity in this causal chain.

Figure 1 contains the hypothetical causal chain guiding this study. The variables in regular print represent known relationships. The "Focus of Study" box located within Figure 1 denotes the scope of this dissertation study. The variable religiosity is italicized to represent its relationship to readiness to change is unknown. See Figure 1.

Figure 1: Focus of Study

–  –  –

Few would argue that addiction recovery is important to improve the quality of life for individuals and society as a whole. Improved quality of life can be conceptualized by examining those factors that contribute to increased health, wellness, and social functioning. Specifically, weilness cannot occur outside of recovery for the addicted individual. With recovery, the individual and society are afforded increased opportunity for healthy living.

Most assuredly, one of the many potential goals of addiction recovery is motivation to change addictive behavior and engage in a healthy life style. A person's

–  –  –

effective and on-going recovery, and ultimately a full and satisfying lifestyle.

For these reasons, addiction recovery is the key focus of addictions treatment. Due to changing trends in society, public policy, and the economy, addictions treatment requires efficient and effective approaches. Effective approaches require program evaluation, research, and training that integrates an

–  –  –

Treatment programs should incorporate an understanding and interventions that further contribute to the motivation of clients as motivation helps clients attain recovery goals and enhances the benefits of treatment. Achieving the goals of recovery is contingent upon clients being successful in treatment. Client readiness to change is essential for engagement in treatment and recovery behaviors.

Therefore, it is important that treatment approaches integrate readiness to change to promote addiction recovery. This outcome is the ultimate objective of treatment.

OVERVIEW This dissertation explores the relationship between client religiosity and readiness to change in addiction recovery. First, in this chapter, a description of the purpose of the current study will outline the overall objectives of this investigation.

The discussion of research goals will outline the advantages of the present study followed by an account of the potential ramifications of this research project. The reasoning for the selection of the criterion variable will be presented according to the importance of the research question. Next, an explanation of the research question and the hypothesis will be detailed, including a rationale for the background variables included in this investigation. Finally, a glossary of technical terms relevant to this study is provided.

Research Goals As an exploratory study, this dissertation seeks to provide new knowledge about the nature of the relationship between client religiosity and readiness to change in addiction recovery. Improved client readiness to change (motivation) is a step toward positive outcomes in addictions treatment, and ultimately, addictions recovery. Therefore, it is important to determine the relationship between religiosity and readiness to change as this relationship may serve to further inform the aforementioned causal chain. As will be detailed in Chapter 2, present research points to a strong link between readiness to change (motivation) and addiction recovery. Though, notably, is the addiction research on the relationship of religiosity and readiness to change is lacking.

Previous Research Problems Project MATCH was designed and implemented in response to previous research problems, particularly in the area of statistical power, and to provide a rigorous test of the most promising matching hypotheses (PMRG, 1997). Weak measures, limited sample size, infidelity of treatment, and client homogeneity have confounded past outcome research. There are many reasons for the research field to value Project MATCH. This study has taken great strides in methodological research quality (Drummond, 1999).

Power One common problem in addiction outcome research has been statistical power. This problem has occurred because of the cost and logistics involved in putting together clinical trials with a sufficient number of subjects. Large sample sizes are important as the probability of a correct rejection of the null hypothesis increases with sample size. Project MATCH addressed this research problem by recruiting a large enough samples size to provided sufficient statistical power to assess treatment matching effects on a wide range of variables (Drummond, 1999).

Measures In past addictions outcome research, the measures implemented have not been rigorously tested for reliability and validity. In addition, collateral information sources have been neglected as viable measures for informing validity of the studies. Project MATCH addressed these problems by using standardized, validated research instruments to measure outcome, by minimizing missing data by follow-up and by evaluating the validity of self-reports via collateral reports and blood specimens for analysis heavy drinking. These precautionary interventions reduced the potential for bias and increase the internal validity of the study (Drummond, 1999).



Pages:   || 2 | 3 | 4 | 5 |   ...   | 11 |


Similar works:

«The Caracteristics of Childhood Onset Depression According to Depressive Symptoms, Comorbidities and Quality of Life Ph.D. Thesis Ildikó Baji MD Szeged The Caracteristics of Childhood Onset Depression According to Depressive Symptoms, Comorbidities and Quality of Life Ph.D. Thesis Ildikó Baji MD University of Szeged Faculty of Medicine Department of Pediatrics Child and Adolescent Psychiatry Unit Doctoral School of Clinical Medicine-Clinical and Experimental Neuroscience Supervisor: Ágnes...»

«Better Start Initiative Useful Links For parents and carers of children with disability Contents Page 3 Questions to ask your service provider Page 4 Carer Support Page 4 Early Intervention, Education & Childcare Page 6 Having fun with children Page 6 Parenting Page 8 Toy Libraries Page 9 Government Schemes & Payments Page 13 Advocacy Page 15 Legal Services Page 15 Counselling & Support groups Page 17 Foundations Page 18 Respite & Future Planning Page 18 Health & Wellbeing Page 20 Disability...»

«The peace and quiet of a remote homestead in the 1880s American West is shattered by the arrival of two shadowy outriders searching for ‘the healer’. When the farmer refuses to help them, they raze the house to the ground using guns that shoot bolts of energy instead of bullets... In the town of redwater, the Doctor and Martha learn of a snake-oil salesman whose patent medicines actually cure his patients. But when the Doctor and Martha investigate they discover the truth is stranger, and...»

«University of Helsinki and Department of Medicine, Pulmonary Division, Helsinki University Central Hospital Helsinki, Finland Non-invasive biomarkers of oxidative stress and cell defence in COPD and asthma; specific emphasis on smoking cessation Noora Louhelainen ACADEMIC DISSERTATION To be presented, with the permission of the Faculty of Medicine, University of Helsinki, for public examination in Biomedicum Helsinki 1, Haartmaninkatu 8, Helsinki, on September 14th 2012, at 12 noon Helsinki...»

«A Dose of Reality: Assessing the Federal Trade Commission/Department of Justice Report in an Uninsured, Underserved, and Vulnerable Population Context Sara Rosenbaum George Washington University Abstract  Despite the size of their report, the Federal Trade Commission and Department of Justice pay virtually no attention to tens of millions of uninsured and underinsured persons. By focusing on an increasingly rarified group of health care customers — healthy, affluent, and highly insured —...»

«ROSE MARIE WARD, PHD Associate Professor of Kinesiology and Health Miami University Oxford, OH 45056 EDUCATION: Ph.D., May 2002 Experimental Psychology, University of Rhode Island, Kingston, RI Dissertation: Highly Significant Findings in Psychology: A Power and Effect Size Survey *** Major Professor: Joseph S. Rossi, Ph.D. Emphasis: Statistical Power, Research Methodology, Measurement Development, Multivariate Statistics, Health Psychology M.A., May 2001 Experimental Psychology, University of...»

«2015 CFA ANNUAL MEETING Friday, July 3, 2015 (32) CALL MEETING TO ORDER. President Mark Hannon called the meeting to order at 9:00 a.m. 108 (33) WELCOME FROM HOST REGION. Hannon: I’m going to start with introducing the regional director of our host region, John Colilla. Colilla: Good morning CFA! The President, Mark Hannon, the Board of Directors and the CFA delegation – welcome to Toronto and the Great Lakes Region. I would like to thank Central Office, Loretta Baugh, Rosina McGlynn for...»

«ENZYMATIC OXIDATION OF STEROIDS BY CELL-FREE EXTRACTS OF PSEUDOMONAS TESTOSTERONI: ISOLATION OF CLEAVAGE PRODUCTS OF RING A* BY DENNIS A. SHAw,t LouISE F. BORKENHAGEN, AND PAUL TALALAYt DEPARTMENT OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS, JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE, BALTIMORE, AND THE BEN MAY LABORATORY FOR CANCER RESEARCH, UNIVERSITY OF CHICAGO Communicated by Charles Huggins, July 1, 1966 A variety of microorganisms are able to grow on media containing steroids as the...»

«An international vision for wheat improvement May 2013 www.wheatinitiative.org Introduction Population growth, climate change and unsustainable use of natural resources have already a negative impact on food security in some regions of the world. In the absence of global commitment to build food systems adapted to climate change and ensuring food security while minimizing greenhouse gases emissions and sustaining our natural resource base, this negative impact is likely to increase and lead to...»

«2 Occupational and Environmental Exposure to Asbestos Dennis J. Darcey and Tony Alleman Introduction The usefulness of asbestos as an industrial material must be considered to understand the breadth of its consequent public health impact. Since its discovery as an indestructible material centuries ago, it has been used in countless applications, often because no identified substance rivals its engineering or commercial performance. Asbestos applications result from its many unique physical...»

«Food Cultures: Growing Cooking Eating “An exploration of improving food practices in young men and older adults in Plymouth” Research Report Written by Dr Clare Pettinger RD RNutr (Public Health)* Ed Whitelaw MSc (Econ) BSc** *School of Health Professions, University of Plymouth **Real Ideas Organisation CIC (RIO) Contents Executive Summary 1.0) Introduction 2.0) Process, Projects & Partners 3.0) Research Methodology 3.1) Quantitative survey design 3.2) Qualitative survey design 3.3)...»

«Abelle Vinel and Jacques Pialoux Ancient Egyptian Medicine and Traditional Chinese Medicine Conferen ce given at the R.E.F.S. Congress (Registre Europ éen et Françai s de Sinerg étique), on 31 October 2005 in Aixen-Proven ce Contents Page Introduction 2 Principal so urces: Papyri and bas-reli efs 3 The Ebers Papyrus 5 Status of doctor s 7 Training of doctors 8 Myth s, Incantatio ns an d Magi c 10 Protective incantation s for the W’ab priest of Sakhm et 11 Anatomo-ph ysiol ogy I: Energetic...»





 
<<  HOME   |    CONTACTS
2016 www.dissertation.xlibx.info - Dissertations, online materials

Materials of this site are available for review, all rights belong to their respective owners.
If you do not agree with the fact that your material is placed on this site, please, email us, we will within 1-2 business days delete him.