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Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders

BACKGROUND: Health care workers in the addiction field have long emphasised the importance of a patient’s motivation on the outcome of treatments for substance use disorders (SUDs). Many patients entering treatment are not yet ready to make the changes required for recovery and are often unprepared...

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Autores principales: Opsal, Anne, Kristensen, Øistein, Clausen, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836455/
https://www.ncbi.nlm.nih.gov/pubmed/31694664
http://dx.doi.org/10.1186/s13011-019-0237-y
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author Opsal, Anne
Kristensen, Øistein
Clausen, Thomas
author_facet Opsal, Anne
Kristensen, Øistein
Clausen, Thomas
author_sort Opsal, Anne
collection PubMed
description BACKGROUND: Health care workers in the addiction field have long emphasised the importance of a patient’s motivation on the outcome of treatments for substance use disorders (SUDs). Many patients entering treatment are not yet ready to make the changes required for recovery and are often unprepared or sometimes unwilling to modify their behaviour. The present study compared stages of readiness to change and readiness to seek help among patients with SUDs involuntarily and voluntarily admitted to treatment to investigate whether changes in the stages of readiness at admission predict drug control outcomes at follow-up. METHODS: This prospective study included 65 involuntarily and 137 voluntarily admitted patients treated in three addiction centres in Southern Norway. Patients were evaluated using the Europ-ASI, Readiness to Change Questionnaire (RTCQ), and Treatment Readiness Tool (TReaT). RESULTS: The involuntarily admitted patients had significantly lower levels of motivation to change than the voluntarily admitted patients at the time of admission (39% vs. 59%). The majority of both involuntarily and voluntarily admitted patients were in the highest stage (preparation) for readiness to seek help at admission and continued to be in this stage at discharge. The stage of readiness to change at admission did not predict abstinence at follow-up. The only significant predictor of ongoing drug use at 6 months was SUD severity at baseline. CONCLUSIONS: The majority of involuntarily admitted patients scored high on motivation to seek help. Their motivation was stable at a fairly high level during their stay, and even improved in some patients. Thus, they were approaching the motivation stage similar to the voluntarily admitted patients at the end of hospitalization. Therapists should focus on both motivating patients in treatment and adapting the treatment according to SUD severity. TRIAL REGISTRATION: ClinicalTrials.gov, NCT00970372. Registered 1 September 2008, https://clinicaltrials.gov/ct2/show/NCT00970372. The trial was registered before the first participant was enrolled. The fist participant was enrolled September 02, 2009.
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spelling pubmed-68364552019-11-08 Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders Opsal, Anne Kristensen, Øistein Clausen, Thomas Subst Abuse Treat Prev Policy Research BACKGROUND: Health care workers in the addiction field have long emphasised the importance of a patient’s motivation on the outcome of treatments for substance use disorders (SUDs). Many patients entering treatment are not yet ready to make the changes required for recovery and are often unprepared or sometimes unwilling to modify their behaviour. The present study compared stages of readiness to change and readiness to seek help among patients with SUDs involuntarily and voluntarily admitted to treatment to investigate whether changes in the stages of readiness at admission predict drug control outcomes at follow-up. METHODS: This prospective study included 65 involuntarily and 137 voluntarily admitted patients treated in three addiction centres in Southern Norway. Patients were evaluated using the Europ-ASI, Readiness to Change Questionnaire (RTCQ), and Treatment Readiness Tool (TReaT). RESULTS: The involuntarily admitted patients had significantly lower levels of motivation to change than the voluntarily admitted patients at the time of admission (39% vs. 59%). The majority of both involuntarily and voluntarily admitted patients were in the highest stage (preparation) for readiness to seek help at admission and continued to be in this stage at discharge. The stage of readiness to change at admission did not predict abstinence at follow-up. The only significant predictor of ongoing drug use at 6 months was SUD severity at baseline. CONCLUSIONS: The majority of involuntarily admitted patients scored high on motivation to seek help. Their motivation was stable at a fairly high level during their stay, and even improved in some patients. Thus, they were approaching the motivation stage similar to the voluntarily admitted patients at the end of hospitalization. Therapists should focus on both motivating patients in treatment and adapting the treatment according to SUD severity. TRIAL REGISTRATION: ClinicalTrials.gov, NCT00970372. Registered 1 September 2008, https://clinicaltrials.gov/ct2/show/NCT00970372. The trial was registered before the first participant was enrolled. The fist participant was enrolled September 02, 2009. BioMed Central 2019-11-06 /pmc/articles/PMC6836455/ /pubmed/31694664 http://dx.doi.org/10.1186/s13011-019-0237-y Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Opsal, Anne
Kristensen, Øistein
Clausen, Thomas
Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title_full Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title_fullStr Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title_full_unstemmed Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title_short Readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
title_sort readiness to change among involuntarily and voluntarily admitted patients with substance use disorders
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6836455/
https://www.ncbi.nlm.nih.gov/pubmed/31694664
http://dx.doi.org/10.1186/s13011-019-0237-y
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