Titre : | Does this patient really want treatment ? Factors associated with baseline and evolving readiness for change among hospitalized substance using adults interested in treatment |
Titre traduit : | (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) |
Auteurs : | R. A. POLLINI ; T. P. O'TOOLE ; D. FORD ; G. BIGELOW |
Type de document : | Périodique |
Année de publication : | 2006 |
Format : | 1904-1918 / tabl. |
Note générale : |
Addictive Behaviors, 2006, 31, (10), 1904-1918 |
Langues: | Anglais |
Discipline : | TRA (Traitement et prise en charge / Treatment and care) |
Mots-clés : |
Thésaurus mots-clés HOSPITALISATION ; MOTIVATION ; EVOLUTION ; DEMANDE ; TRAITEMENT ; ADULTE ; CONSOMMATION |
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.) |
Note de contenu : | tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 33 |
Affiliation : |
Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology. E-mail : tpo6georgetown.edu Etats-Unis. United States. |
Numéro Toxibase : | 405268 |
Centre Emetteur : | 04 CIRDD-51 |
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