Does readiness to change predict subsequent alcohol consumption in medical inpatients with unhealthy alcohol use?
Does readiness to change predict subsequent alcohol consumption in medical inpatients with unhealthy alcohol use?
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DOI：
10.1016/j.addbeh.2009.03.034
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发表时间：
2009-08-01
影响因子：
4.4
通讯作者：
Saitz, Richard
中科院分区：
文献类型：
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作者：
Bertholet, Nicolas;Cheng, Debbie M.;Saitz, Richard
我们研究了 267 名不健康饮酒的住院患者是否愿意改变，以预测 3 个月后的饮酒量（每天饮酒量）。我们使用了 3 种改变准备程度衡量标准：1 至 10 视觉模拟量表 (VAS) 以及改变准备阶段和治疗渴望量表的两个因素：问题感知 (PP) 和采取行动 (TA)。 VAS 测量准备度最高的受试者在 3 个月后消耗的饮料明显减少 I 发生率比 (IRR) 和 95% 置信区间 (Cl)：0.57 (0.36, 0.91) 最高与最低三分位]。较高的 PP 与更多饮酒相关 [IRR (95%CI)：1.94 (1.02, 3.68) 第三与最低四分位数]。 TA 得分越高，饮酒量越少相关 [IRR (95%CI)：0.42 (0.23, 0.78) 最高与最低四分位数]。对问题的看法与更多饮酒的关系可能反映了严重程度，而不是与改变能力相关的准备程度；高水平的“采取行动”似乎预示着饮酒量会减少。尽管评估改变的准备情况可能具有临床实用性，但评估患者计划的行动可能对未来饮酒量的改善具有更大的预测价值。 (C) 2009 Elsevier Ltd. 保留所有权利。
We studied whether readiness to change predicts alcohol consumption (drinks per day) 3 months later in 267 medical inpatients with unhealthy alcohol use. We used 3 readiness to change measures: a 1 to 10 visual analog scale (VAS) and two factors of the Stages of Change Readiness and Treatment Eagerness Scale: Perception of Problems (PP) and Taking Action (TA). Subjects with the highest level of VAS-measured readiness consumed significantly fewer drinks 3 months later I Incidence rate ratio (IRR) and 95% confidence interval (Cl): 0.57 (0.36, 0.91) highest vs. lowest tertile]. Greater PP was associated with more drinking [IRR (95%CI): 1.94 (1.02, 3.68) third vs. lowest quartile]. Greater TA scores were associated with less drinking [IRR (95%CI): 0.42 (0.23, 0.78) highest vs. lowest quartile]. Perception of Problems' association with more drinking may reflect severity rather than an aspect of readiness associated with ability to change; high levels of Taking Action appear to predict less drinking. Although assessing readiness to change may have clinical utility, assessing the patient's planned actions may have more predictive value for future improvement in alcohol consumption. (C) 2009 Elsevier Ltd. All rights reserved.