Historique
Périodique
Does this patient really want treatment ? Factors associated with baseline and evolving readiness for change among hospitalized substance using adults interested in treatment
(Ce patient veut-il vraiment un traitement ? Facteurs associés à l'évolution de la volonté de changer chez des consommateurs adultes hospitalisés concernés par un traitement)
Auteur(s) :
POLLINI, R. A. ;
O'TOOLE, T. P. ;
FORD, D. ;
BIGELOW, G.
Année
2006
Page(s) :
1904-1918
Langue(s) :
Anglais
Refs biblio. :
33
Domaine :
Plusieurs produits / Several products
Thésaurus mots-clés
HOSPITALISATION
;
MOTIVATION
;
EVOLUTION
;
DEMANDE
;
TRAITEMENT
;
ADULTE
;
CONSOMMATION
Note générale :
Addictive Behaviors, 2006, 31, (10), 1904-1918
Note de contenu :
tabl.
Résumé :
ENGLISH :
Little is known about motivation for treatment and readiness for change during an acute medical event. We present data from a cohort of 353 actively substance abusing adults assessed at baseline and every three days during their hospital admission for readiness to change substance use behaviors (URICA), self-reported motivations for substance abuse treatment, and pain and withdrawal symptoms. Factors independently associated with being in a higher (i.e., contemplation or action) stage of change included female sex (AOR = 2.33; 95% CI: 1.42, 3.81), being on probation or parole (AOR = 2.55; 95% CI: 1.32, 4.93), bipolar disorder (AOR 2.60; 95% CI: 1.20, 5.63), believing they would get sick again if drug use continued (AOR = 2.24; 95% CI: 1.36, 3.70), being tired of using (AOR = 2.91; 95% CI: 1.21, 6.96) and family concerns (AOR = 1.78; 95% CI: 1.08, 2.96). During their hospitalization 43.6% increased from precontemplation or contemplation to a higher stage or remained in the action stage. Believing one would get sick again if substance use continued (AOR = 2.42; 95% CI: 1.07, 5.48), physical health concerns (AOR = 5.28; 95% CI: 1.36, 20.44) and citing tired of using as a primary motivator (AOR = 2.88; 95% CI: 1.10, 7.54) were independently associated with increased stage of change. (Editor's abstract.)
Affiliation :
Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology. E-mail : tpo6georgetown.edu
Etats-Unis. United States.
Etats-Unis. United States.