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Go to PosterPresentations.com and click on the FB icon Sense of Coherence, Attachment, and Activity Participation in Individuals Who are on Probation for Drug Use: One-Year Follow-up and Implications to Occupational Therapy Study Design – Longitudinal design Research Participants – Recruited from a city hospital where first-time offenders of illegal drug use were ordered by the court to receive one-year rehab and prevention program During the first month admitted into the mandatory program, urine tests were taken once every week. Test frequency may be prolonged up to once in three weeks if test results are negative. – 201 individuals of the program consented to participate during the time of this study Had the cognitive abilities to comprehend and respond to the scales used in this study Research Instruments – Sense of Coherence Scale (SOCS) – Activity Participation and Restriction Questionnaire (APRQ) – Attachment Style Questionnaire (ASQ) – Interpersonal Support Evaluation List (ISEL) Procedure – Convenient sampling method – Consented participants spent about 1.5 hours responding to the scales. – One year later, 68 individuals completed the 30-min to follow-up test. Data Analysis – Descriptive statistics; Inferential statistics, incl. t- test, Pearson’s product-moment correlation; Multiple regression Background Essential Yeh, MS, OT¹; Chinyu Wu, PhD, OT/L²; Su Lien Wen, MD¹ ¹Taipei City Hospital, Taipei, Taiwan;²University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Results Purpose of Study – To explore sense of coherence (SOC) in first-time drug use offenders and its relationship with attachment and activity participation. Salutogenesis Theory (Antonovsky, 1979,1987) – SOC is the major concept of salutogenesis theory which explains how people dealing with stressful situations remain in healthy state. – Three components of SOC: Comprehensibility, Manageability, & Meaningfulness Methods SOCS, APRQ, ASQ & ISEL Scores Results Results: Baseline Regression Results Results: Discussions Activity Participation & Attachment Style can predict 46.5% Sense of Coherence. Individuals who finished follow-up had higher Meaningfulness of Sense of Coherence & Appraisal Support than previous individuals. Individuals who had Positive Urine Test result in Follow-up stage presented more Sense of Involvement and less Negative Affects in Activity Participation than previous individuals. Limitation: The individuals in probation stage controlled the nature of illicit drug using behaviors. Demographics (N= 201) Results: Compare with Urine Test Results Percentages Using Illicit Drugs Type Amphetamine58% MDMA20% Ketamine12% Using Reasons Out of Curiosity53% Peers Introduction19% Feel Stressors11% Urine Test Results PositiveNegative A. SOCS 1. Baseline 56.10(13.54)57.62(10.90) 2. Follow-up 62.89(15.05)64.11(14.08) B. APRQ 1. Sense of Involvement 7.30(2.16)7.74(1.42) 2. Positive Affects 6.10(1.97)6.95(1.60) 3. Negative Affects 3.60(1.58)3.79(1.20) 4. Self Worth 5.80(1.99)7.08(1.69) 5. Expected Involvement 5.70(3.47)5.52(3.70) 6. Negative Affects Due to Restriction 3.30(2.11)3.41(2.58) C. ASQ 1. Insecure-Avoidant 13.60(4.84)15.59(4.72) 2. Secure Attachment 24.10(5.22)23.62(4.56) 3. Disorganized Attachment 20.20(5.18)22.23(4.60) 4. Insecure-Ambivalent 19.10(6.66)18.62(4.68) D. ISEL 1. Appraisal 31.80(4.78)32.46(5.16) 2. Tangible 29.20(5.39)30.73(5.05) 3. Self-esteem 27.70(4.86)28.41(4.68) 4. Belonging 34.90(4.07)32.52(6.02) Results: Compare Baseline & Follow-up with Urine Test Compare Finished Follow-up with previous individuals: – SOC Meaningfulness (t=-1.98, p=.05)& ISEL Appraisal (t=-2.18, p=.03) had significant different Compare Follow-up Positive Urine Test with previous individuals: – APRQ Sense of Involvement (t=-11.93, p=.000) & Negative Affects (t=9.00, p=.000) Results: Before & After SOC