A study to eveluate the outcome of psychosocial intervention on motivation and readiness to change among individuals with alcohol use disorder at Dharwad institute of mental health and neurosciences (DIMHANS) Dharwad

Abstract

Background of the study and objectives: The aim of the study was to evaluate the outcome of psychosocial intervention on Motivation and Readiness to change among individuals with Alcohol use disorder at DIMHANS, Dharwad. The study was conducted with following objectives: (1) To assess the motivation and readiness to change among individuals with Alcohol Use Disorder. (2) To evaluate the effectiveness of psychosocial intervention by comparing post-intervention motivation and readiness to change scores of experimental and control group subjects. (3) To find out the correlation between motivation and readiness to change (4) To find out association between motivation and readiness to change with selected demographic and clinical characteristics of individuals with alcohol use disorder.Research methodology: For the present study, quasi experimental non-equivalent control group pre-test post-test design was adopted. The independent variable was psychosocial intervention and dependent variable was Motivation and Readiness to change scores of alcohol use disorder patients. By using convenient sampling technique 60 alcohol use disorder patients were selected from psychiatric wards of DIMHANS Dharwad, based on the convenience first 30 subjects were taken to control group and next 30 subjects were taken to experimental group.The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES) and University of Rhode Island Change Assessment Scale – URICA was used to collect the data on assessing Motivation and Readiness to change among individuals with alcohol use disorder. The pre-test was conducted for both experimental and control group subjects. Psychosocial intervention was administered to experimental group subjects in 4 sessions for 10 days. Post-test was conducted on 11th day after the intervention for both the groups.Results: Majority (70%) were in the age group 18-40yrs. 60% of the subjects were having secondary education. 28.33% of the subjects were farmers and private workers. 81.67% of the subjects were married. Largest proportions of participants were residing in rural area. In terms of clinical characteristics, 93.33% of the subjects were having the family history of substance abuse, 63.33% of the subjects were started to consume alcohol above the age of 18 years, among them 80% of the subjects were having peer pressure.Subjects in experimental group improved in motivation and readiness to change scores compared to control group subjects at post-tests level. There was a significant positive correlation between motivation and readiness to change scores among alcohol subjects.Interpretation and conclusion: The present study implies that nurse should involve in conducting psycho social intervention programme to improve the Motivation and readiness to change behaviour of alcohol dependents and help them to have a balanced lifestyle.