Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Mário Sérgio
Data de Publicação: 2010
Outros Autores: Ribeiro, Luiz Cláudio, Souza, Grazielle Fialho de, Sousa, Karolina Danielle Carvalho de, Antunes, Marcondes Garcia, Nogueira, Rachel Bueno
Tipo de documento: Artigo
Idioma: por
Título da fonte: HU Revista (Online)
Texto Completo: https://periodicos.ufjf.br/index.php/hurevista/article/view/493
Resumo: Adherence is a practical measure of treatment results assessment. This study aimed to identify patient’s characteristics associated to adherence to an outpatient treatment program for alcoholics. This study included 300 alcoholics that concluded the program´s assessment stage. Firstly, crosstabs were used to verify possible association of adherence to treatment to all other (more than 1,000) variables in the data bank, using Pearson´s Qui-square test (p < 0.1). Later, logistic regression was performed; initially within each dimension of characteristics, and then using the selected variables in a multidimensional model. In the final model, variables significantly associated to adherence were: stable matrimonial relationship; to perceive more than one Brazilian minimum wage; abdominal pain on the last 30 days before evaluation; to tremble if did not drink at regular timing; systolic blood pressure ≤ 130mmHg; solitary consumption. The identification of characteristics associated to greater adherence is expected to contribute to the development of strategies of care of patients that are usually poor responders to regular approaches. A focus on the changing or reinforcement of these characteristics may contribute to improve results in the treatment of alcoholics.Key-words: Alcoholism; Evaluation,  Diagnosis
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spelling Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regressionIdentificação de fatores associados à adesão a um programa ambulatorial de tratamento de alcoolistas por meio de regressão logísticaAlcoolismo. Avaliação. Diagnóstico.Adherence is a practical measure of treatment results assessment. This study aimed to identify patient’s characteristics associated to adherence to an outpatient treatment program for alcoholics. This study included 300 alcoholics that concluded the program´s assessment stage. Firstly, crosstabs were used to verify possible association of adherence to treatment to all other (more than 1,000) variables in the data bank, using Pearson´s Qui-square test (p &lt; 0.1). Later, logistic regression was performed; initially within each dimension of characteristics, and then using the selected variables in a multidimensional model. In the final model, variables significantly associated to adherence were: stable matrimonial relationship; to perceive more than one Brazilian minimum wage; abdominal pain on the last 30 days before evaluation; to tremble if did not drink at regular timing; systolic blood pressure ≤ 130mmHg; solitary consumption. The identification of characteristics associated to greater adherence is expected to contribute to the development of strategies of care of patients that are usually poor responders to regular approaches. A focus on the changing or reinforcement of these characteristics may contribute to improve results in the treatment of alcoholics.Key-words: Alcoholism; Evaluation,&nbsp; DiagnosisAdesão é uma medida prática de avaliação de resultado de tratamento. Buscou-se identificar características dos pacientes, associadas à adesão a um programa ambulatorial de tratamento de alcoolistas. O estudo foi de coorte naturalístico, no qual foram incluídos todos os 300 pacientes alcoolistas, que concluíram a fase de avaliação do programa. Inicialmente, foi testada a associação de variáveis relativas a aspectos sociodemográficos, econômicos, crenças, sentimentos, comportamentos, sintomas e tratamentos, incluídas no protocolo de avaliação dos pacientes com a variável adesão, utilizando o Teste do Qui-quadrado de Pearson (p< 0,1). Posteriormente, foi realizada regressão logística das variáveis, primeiro, dentro de cada dimensão de características, selecionando-se as que seriam incluídas numa análise multidimensional. No modelo final, as variáveis que se associaram significativamente à adesão superior foram: tempo de união acima da média do grupo; receber mais que um salário mínimo; ter apresentado dor abdominal nos 30 dias antes da avaliação; apresentar tremores se não bebia no horário habitual; apresentar pressão arterial sistólica ≤ 130mmHg; costumar beber sozinho à avaliação. Espera-se que a identificação de características associadas à adesão ao tratamento contribua para o desenvolvimento de estratégias de abordagem de pacientes que respondem mal à prática habitual. O foco na modificação ou reforço destas características poderá contribuir para resultados mais favoráveis no tratamento de alcoolistas. Editora UFJF2010-02-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtOrPesquisa exploratóriaapplication/pdfapplication/mswordhttps://periodicos.ufjf.br/index.php/hurevista/article/view/493HU Revista; v. 35 n. 3 (2009)1982-80470103-3123reponame:HU Revista (Online)instname:Universidade Federal de Juiz de Fora (UFJF)instacron:UFJFporhttps://periodicos.ufjf.br/index.php/hurevista/article/view/493/256https://periodicos.ufjf.br/index.php/hurevista/article/view/493/15008Ribeiro, Mário SérgioRibeiro, Luiz CláudioSouza, Grazielle Fialho deSousa, Karolina Danielle Carvalho deAntunes, Marcondes GarciaNogueira, Rachel Buenoinfo:eu-repo/semantics/openAccess2023-05-04T03:53:17Zoai:periodicos.ufjf.br:article/493Revistahttps://periodicos.ufjf.br/index.php/hurevistaPUBhttps://periodicos.ufjf.br/index.php/hurevista/oairevista.hurevista@ufjf.edu.br1982-80470103-3123opendoar:2023-05-04T03:53:17HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)false
dc.title.none.fl_str_mv Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
Identificação de fatores associados à adesão a um programa ambulatorial de tratamento de alcoolistas por meio de regressão logística
title Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
spellingShingle Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
Ribeiro, Mário Sérgio
Alcoolismo. Avaliação. Diagnóstico.
title_short Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
title_full Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
title_fullStr Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
title_full_unstemmed Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
title_sort Identification of factors associated to adherence to an outpatient treatment program for alcoholics by means of logistic regression
author Ribeiro, Mário Sérgio
author_facet Ribeiro, Mário Sérgio
Ribeiro, Luiz Cláudio
Souza, Grazielle Fialho de
Sousa, Karolina Danielle Carvalho de
Antunes, Marcondes Garcia
Nogueira, Rachel Bueno
author_role author
author2 Ribeiro, Luiz Cláudio
Souza, Grazielle Fialho de
Sousa, Karolina Danielle Carvalho de
Antunes, Marcondes Garcia
Nogueira, Rachel Bueno
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Ribeiro, Mário Sérgio
Ribeiro, Luiz Cláudio
Souza, Grazielle Fialho de
Sousa, Karolina Danielle Carvalho de
Antunes, Marcondes Garcia
Nogueira, Rachel Bueno
dc.subject.por.fl_str_mv Alcoolismo. Avaliação. Diagnóstico.
topic Alcoolismo. Avaliação. Diagnóstico.
description Adherence is a practical measure of treatment results assessment. This study aimed to identify patient’s characteristics associated to adherence to an outpatient treatment program for alcoholics. This study included 300 alcoholics that concluded the program´s assessment stage. Firstly, crosstabs were used to verify possible association of adherence to treatment to all other (more than 1,000) variables in the data bank, using Pearson´s Qui-square test (p &lt; 0.1). Later, logistic regression was performed; initially within each dimension of characteristics, and then using the selected variables in a multidimensional model. In the final model, variables significantly associated to adherence were: stable matrimonial relationship; to perceive more than one Brazilian minimum wage; abdominal pain on the last 30 days before evaluation; to tremble if did not drink at regular timing; systolic blood pressure ≤ 130mmHg; solitary consumption. The identification of characteristics associated to greater adherence is expected to contribute to the development of strategies of care of patients that are usually poor responders to regular approaches. A focus on the changing or reinforcement of these characteristics may contribute to improve results in the treatment of alcoholics.Key-words: Alcoholism; Evaluation,&nbsp; Diagnosis
publishDate 2010
dc.date.none.fl_str_mv 2010-02-05
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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Pesquisa exploratória
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufjf.br/index.php/hurevista/article/view/493
url https://periodicos.ufjf.br/index.php/hurevista/article/view/493
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://periodicos.ufjf.br/index.php/hurevista/article/view/493/256
https://periodicos.ufjf.br/index.php/hurevista/article/view/493/15008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/msword
dc.publisher.none.fl_str_mv Editora UFJF
publisher.none.fl_str_mv Editora UFJF
dc.source.none.fl_str_mv HU Revista; v. 35 n. 3 (2009)
1982-8047
0103-3123
reponame:HU Revista (Online)
instname:Universidade Federal de Juiz de Fora (UFJF)
instacron:UFJF
instname_str Universidade Federal de Juiz de Fora (UFJF)
instacron_str UFJF
institution UFJF
reponame_str HU Revista (Online)
collection HU Revista (Online)
repository.name.fl_str_mv HU Revista (Online) - Universidade Federal de Juiz de Fora (UFJF)
repository.mail.fl_str_mv revista.hurevista@ufjf.edu.br
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