Readiness to Change of Problem Drinkers in a General Hospital

Chun-Hsin Chen; Ming-Chyi Huang; Winston W. Shen

doi:10.29478/TJP.200609.0005

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P201 - 211

Health & Medical Care > Social Medicine

DOI： 10.29478/TJP

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Readiness to Change of Problem Drinkers in a General Hospital

某綜合醫院問題性飲酒者之改變動機調查

陳俊興(Chun-Hsin Chen) ；黃名琪(Ming-Chyi Huang) ；沈武典(Winston W. Shen)

台灣精神醫學； 20卷3期 (2006 / 09 / 01) ， P201 - 211

英文 DOI： 10.29478/TJP.200609.0005

問題性飲酒；準備改變；改變階段；酒精使用疾患確認測驗； problem drinking ； readiness to change ； stages of change ； Alcohol Use Disorders Identification Test

Abstract │ Reference (27) │ Times Cited (4) │ Altmetrics

Abstract 〈TOP〉

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Background and Purpose: Problem drinking is a common problem among inpatients in general hospitals. Assessment of the readiness to change of patients with problem drinking plays the pivotal role in determining the appropriate intervention. The purpose of this study was to investigate the readiness to change among patients with problem drinking in a general hospital. Methods: Problem drinking was identified by screening nonpsychiatric inpatients using the Alcohol Use Disorders Identification Test (AUDIT) at a cutoff point of 8. The stage of readiness to change was assessed using the Readiness to Change Questionnaire (RCQ). Results: Among the 1,171 inpatients screened, 1,007 (86.0%) had a negative result and 164 (14.0%) a positive result for problem drinking. Among the 105 problem drinkers who completed the RCQ, 75 (71.4%) were classified as being in the precontemplation (PC) stage of readiness to change, 16 (15.2%) in the contemplation (C) stage, and 14 (13.3%) in the action (A) stage. Neither demographic correlates nor AUDIT scores were associated with the stage of readiness to change among patients with problem drinking. Conclusion: Patients with problem drinking identified by inpatient screening in this study from Taiwan were predominantly in the readiness to change stages of PC and C and rarely in stage A. These findings suggest that enhancing motivation should a primary focus of hospital-based therapy for patients with problem drinking.

Reference ( 27 ) 〈TOP〉

Allen JP,Litten RZ,Fertig JB,Babor TF(1997).A review of research on the Alcohol Use Disorders Identification Test (AUDIT).Alcohol Clin Exp Res,21,613-619.
Babor TF,Higgins-Biddle JC(2001).A manual for use in primary care.Geneva:World Health Organization.
Bien TH,Miller WR,Tonigan JS(1993).Brief interventions for alcohol problems: a review.Addiction,88,316-336.
Bradley KA,Bush KR,McDonell MB,Malone T,Fihn SD(1998).Screening for problem drinking: comparison of CAGE and AUDIT. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test.J Gen Intern Med,13,379-388.
Chen CC,Yeh EK,Hwu HG,Lin SK,Wang JJ,Yeh YL(1987).Drinking problem in inpatients of a general hospital: lifetime prevalence of alcohol abuse and dependence.Chinese J Psychiatry,1,166-172.

Times Cited ( 4 ) 〈TOP〉

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