An empirically based typology of temporary alcohol abstinence challenge participants using latent class analysis

IF 3 3区 医学 Q2 SUBSTANCE ABUSE Drug and alcohol review Pub Date : 2024-08-18 DOI:10.1111/dar.13924
Nathalie Kools, Andrea D. Rozema, Jeroen K. Vermunt, Rob H. L. M. Bovens, Dike van de Mheen, Jolanda J. P. Mathijssen
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Abstract

Introduction

Identifying subgroups of Temporary (alcohol) Abstinence Challenge (TAC) participants may offer opportunities to enhance intervention effectiveness. However, knowledge about such subgroups is missing. This study aimed to (i) describe a TAC population; (ii) identify subgroups of participants based on determinants of changes in drinking behaviour; and (iii) characterise subgroups in terms of sociodemographic and other characteristics.

Methods

Data from 3803 Dutch TAC participants were analysed to identify subgroups using three-step Latent Class Analysis. Classes were based on determinants of changes in drinking behaviour (i.e., drinking refusal self-efficacy, craving and behavioural automaticity) and were characterised by sociodemographic characteristics, drinking behaviour, previous participation in TACs, self-reported health and life satisfaction.

Results

The majority of TAC participants were female, highly educated, employed, 53 years old on average, participated in previous TACs and reported relatively high alcohol use. Four classes of participants were identified: (i) ‘ordinary drinkers’ (49.0%); (ii) ‘drinkers in control’ (21.4%); (iii) ‘habitual drinkers with perceived control to refuse’ (18.4%); and (iv) ‘drinkers not in control’ (11.2%). Class 2 drank least often and non-excessive volumes, while other classes typically drank 4 or more days per week and 3 to 4 glasses per drinking day, with the highest alcohol use found in class 4.

Discussion and Conclusions

Different configurations of determinants in this study's four subgroups may require different intervention approaches and might inform personalised support. Future research is needed to examine the predictive value of these subgroups on post-challenge drinking behaviour to assess support needs and participation value.

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利用潜类分析法,根据经验对临时戒酒挑战参与者进行分类。
导言:识别临时戒酒挑战赛(TAC)参与者中的亚群体可能为提高干预效果提供机会。然而,有关此类亚群的知识尚缺。本研究旨在:(i) 描述临时戒酒挑战人群;(ii) 根据饮酒行为变化的决定因素确定参与者亚群;(iii) 从社会人口学和其他特征方面描述亚群的特征:对 3803 名荷兰 TAC 参与者的数据进行分析,采用三步潜类分析法确定亚组。这些类别是基于改变饮酒行为的决定因素(即拒绝饮酒的自我效能感、渴望和行为自动性),并根据社会人口学特征、饮酒行为、以前参加戒酒中心的情况、自我报告的健康状况和生活满意度来确定:大多数戒酒中心参与者为女性,受过高等教育,有工作,平均年龄 53 岁,曾参加过戒酒中心活动,并报告了相对较高的饮酒量。参与者分为四类(i) "普通饮酒者"(49.0%);(ii) "有控制能力的饮酒者"(21.4%);(iii) "有控制能力的习惯性饮酒者"(18.4%);(iv) "无控制能力的饮酒者"(11.2%)。第 2 类饮酒频率最低,饮酒量也不多,而其他类别一般每周饮酒 4 天或以上,每天饮酒 3 至 4 杯,其中第 4 类饮酒量最高:在本研究的四个分组中,不同的决定因素可能需要不同的干预方法,并可能为个性化支持提供依据。未来的研究需要考察这些分组对挑战后饮酒行为的预测价值,以评估支持需求和参与价值。
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来源期刊
Drug and alcohol review
Drug and alcohol review SUBSTANCE ABUSE-
CiteScore
4.80
自引率
10.50%
发文量
151
期刊介绍: Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.
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