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The Role of Social Support and Early Engagement in Addiction Treatment Open Access


Other title
Mixed methods research
Early engagement
Treatment process
Social support
Addiction treatment
Treatment retention
Treatment outcomes
Grounded theory approach
Type of item
Degree grantor
University of Alberta
Author or creator
Hidalgo, Maricon D
Supervisor and department
Wild, T. Cameron (School of Public Health)
Examining committee member and department
Nykiforuk, Candace (School of Public Health)
Caine, Vera (Faculty of Nursing)
Centre for Health Promotion Studies

Date accepted
Graduation date
Master of Science
Degree level
This mixed method thesis examined the relationship between social support and early engagement in residential addiction treatment. Study 1 involved a secondary data analysis of a prospective cohort of clients entering a residential addiction treatment program. The multivariate analyses tested associations between client perceived social support and early engagement and retention in treatment. The study revealed that high level of social support from family was positively correlated with treatment participation. Study 2 involved in-depth qualitative semi-structured interviews with clients (different from those participating in Study 1) attending the same addiction treatment program, using a grounded theory approach. The theory generated from this study described how the treatment centre functioned as a gatekeeper to control clients’ access to social supports. Taken together, findings suggest the importance of treatment process components that use social supports to promote early engagement in addiction treatment. Implications for research and practice are provided.
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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