Effectiveness of a psychoeducational programme in enhancing motivation to change alcohol‐addictive behaviour

• Published in: Journal of clinical nursing Vol. 26; no. 21-22; pp. 3724 - 3733
• Main Authors: Yeh, Mei‐Yu, Tung, Tao‐Hsin, Horng, Fen‐Fang, Sung, Su‐Ching
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.11.2017
• Subjects: Addictive behaviors; addictive behaviour; Adult; alcohol dependence; Alcohol use; Alcoholism - psychology; Alcoholism - therapy; Behavior, Addictive - psychology; Behavioral psychology; Case-Control Studies; change motivation; Female; Humans; Male; Middle Aged; Motivation; Non-Randomized Controlled Trials as Topic; Nursing; Program Development - methods; psychoeducation; Surveys and Questionnaires; Taiwan; psychoeducation; alcohol dependence; change motivation; addictive behaviour
• ISSN: 0962-1067; 1365-2702
• DOI: 10.1111/jocn.13744

Aims and objectives To evaluate the effectiveness of a psychoeducational programme in enhancing motivation to change alcohol‐addictive behaviour. Background The prevalence of alcohol abuse has increased over the past 10 years, and the age of initial alcohol use has decreased gradually in Taiwan. Alcohol dependence is one of the leading causes of disability and has led to increases in the incidence of crime and violence, with alcohol abuse identified as a problem in society. Design A quasi‐experimental design with nonequivalent pre/post‐testing was used. Methods Alcohol‐dependent inpatients undergoing alcohol treatment were selected from the psychiatric ward of a teaching hospital in northern Taiwan. The effectiveness of the psychoeducational programme in enhancing motivation to change alcohol‐addictive behaviour was evaluated with the Severity of Alcohol Dependence Data Questionnaire and the Stages of Change Readiness and Treatment Eagerness Scale. In total, 24 and 51 participants were recruited to the experimental and control groups, respectively, for the baseline survey, and 14 and 17 were in the final survey, respectively. Results After adjustment for baseline survey scores, the experimental group showed significantly greater increases in recognition and ambivalence relative to those observed in the control group. Conclusions The results not only showed that the psychoeducational programme was effective in reinforcing addicted inpatients' motivation for changing their drinking behaviour but also provided clinical nurses with practical methods via which to enhance patient motivation. Relevance to clinical practice The psychoeducational programme could assist clinical nurses in helping alcohol‐dependent patients to recognise the nature of their problematic drinking; increase participants' ambivalence towards their drinking behaviour, leading to the contemplation of change; and strengthen the possibility that they will change their addictive behaviour.