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Being white was a negative predictor of change in readiness (white versus other: -1.41, p = 0.002).
Also, the interpretation of a 6 month change in readiness on a continuous scale for someone who continues to drink risky amounts is difficult, since it not clear how one would interpret a change in some number of points.
A discussion between the physician and the subject about alcohol predicted a positive change in readiness immediately after the visit (confirmed by the RTCQ), but paradoxically, was associated with less improvement in drinking or importance (but no change in VAS- or RTCQ-measured readiness).
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We identified few predictors of changes in "readiness to change" and none that were consistent across measures or time.
We assessed the outcomes changes in readiness, importance, and confidence between pre- and immediate post-visit assessments.
We were also able to describe changes in readiness, importance or confidence and drinking over a 6 month period.
These changes in readiness are seen as short term goals on the way to decreased consumption [ 7, 8].
Analysis of objective one, secondary outcomes: Changes in readiness stages and smoking cessation will be compared between arms using chi-square tests.
Not having a partner was a positive predictor of immediate changes in readiness but a negative predictor of improvement in two measures 6 months later.
To our knowledge, this is the first study to explore changes in readiness, importance and confidence during a single primary care visit.
Then, the coach will provide 10-minutes of feedback based on any changes in readiness, confidence, and perceived benefits or concerns that have occurred since the initial assessment.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com