금주행위 변화단계별 변화과정, 의사결정 균형 및 자기효능감의 관계

Abstract

Objective: This study aimed to identify the relationships between processes of change, decisional balance and self-efficacy by stages of change in abstinence behavior among users of community addiction management centers in Korea. Based on the findings, it also aimed to provide basic data to develop effective recovery support programs for community addiction management centers and establish addiction prevention policies. Methods: The subjects of this study are 141 users aged 20 or older who are registered under the Community Addiction Management Center of S-gu in G City. Data were collected using self-report surveys on stages of change, processes of change, decisional balance and self-efficacy for alcohol abstinence. The collected data were analyzed using SPSS/WIN 23.0. Results: In terms of the distribution of stages of change in abstinence, 57.5% fell under the maintenance stage, and the processes of change by stages of change showed that those in the maintenance stage had higher scores than those in the precontemplation stage. The scores of cognitive processes were higher at the beginning stages, and the scores of behavioral processes were higher at later stages. The decisional balance of alcohol abstinence showed high levels of awareness of the damages from drinking, and there were significant differences in abstinence self-efficacy by stages of change. Positive correlations were found between stages of change and self-efficacy. For processes of change of alcohol abstinence, the cognitive processes showed positive correlations with the behavioral processes and the decisional balance loss factor, and the behavioral processes had positive correlations with the decisional balance loss factor. In terms of the decisional balance, the benefit factor had negative correlations with self-efficacy. Conclusion: It is necessary to establish strategies on processes of change by considering stages of change in abstinence by users, and develop local community-based alcoholic intervention programs that emphasize the harmfulness of drinking and reinforce self-efficacy. Furthermore, there should be political support to develop such programs and strategies.